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PROOF OF INSURANCE (2006) CLOSEDACORD. CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 01/24ATE /2006 PRODUCER 877-945-7378 Willie North America, Inc. - Regional Cart Center 26 Century Blvd. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# P. O. Box 305191 Nashville, TN 372305191 INSURED INSURERA:National Union Fire Ins CO of Pittsburgh 19445 -100 INSURERB:Lexington insurance Company 19437 -000 Street, 25th Floor San Francisco, CA 94111 INSURERC:American International South Insurance Cc 40258 -001 INSURER D: Insurance Com any of the State of PA 19429 -100 l $ COMMERCIAL GENERAL LIABILITY INSURER E: A� A; GVVtMAL9t5 LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LIMITS TYPE OF INSURANCE POLICY NUMBER A TGENERA L LIABILITY GL7061033 4/1/2005 4/1/2006 EACHOCCURRENCE $ 1 OOO OOO DAMAGETO RENTED PREMISES Eeoccurance $ 11000,000 \ \�,/n��V/. r— l $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5 000 CLAIMSMADE FX-1 OCCUR PERSONAL BADVINJURY $ 11000,000 .T� %CU, BFPD X Contractual Liability GENERAL AGGREGATE $ 2,000,0 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 2., 00O 000 POLICY g I PRO 'I LOC JECT A AUTOMOBILE LIABILITY CA8262024 4/1/2005 4/1/2006 COMBINED SINGLE LIMIT $ 1,000,000 A g ANY AUTO CA8262037 4/1/2005 4/1/2006 (Ea accident) A ALL OWNED AUTOS CA8262038 4/l/2005 4/1/2006 BODILY INJURY $ A ��� SCHEDULEDAUTOS CA8262025 4/1/2005 4/1/2006 (Per person) HIREDAUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS - -- PROPERTYDAMAGE $ (Per accident) -- - -- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC $ $ AUTOONLY: AGG B EXCESS LIABILITY 1155287 4/1/2005 4/1/2006 EACH OCCURRENCE $___ _ AGGREGATE $ OCCUR 'i� CLAIMS MADE - -- Claim A re ate $ 1,000,000 Each Claim $ 11000,000 DEDUCTIBLE WC STATU- OTH- $ 1 RETENTION $ A WORKERS COMPENSATION AND WC1359815 1/1/2006 1/1/2007 x T YIMI R E.L. EACH ACCIDENT $ 11 00,000 C EMPLOYERS' LIABILITY WC1359816 1/1/2006 1/1/2007 E.L. DISEASE - EA EMPLOYEE $ 11000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? WC1359817 1/1/2006 1/1/2007 E.L. DISEASE •POLICY LIMIT $ j 000 D D 11 yes, describe under SPECIAL PRO VISIONS below WC1359818 1/1/2006 . 1 1 2007 B OTHER 1155287EO 4 1 2005 4 12006 ;Professional Liability P $1,000,000. Each Claim w /Limited Contractual - $1,000,000. Aggregate laimo Made Policy DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS To further evaluate the subject area proposed for redevelopment at 827 North Douglas Street in the City of El Segundo City of El Segundo, its officials and employees and Thomas Properties Group -City National Plaza 515 South Flower, 6th FL, Los Angeles, CA 90071 are included as Additional Insureds as respects General Liability and Automobile Liability whenever contractually required. ACORD25( 2001 /O8) CO11:1t)LL1SO Tp1:4n9D09 O (C'4=L - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL Bl16YIUMXK MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFZ&ItXXK10L%XdCNt1L4&L m1id67EYl] 67NLCfdIs1t461U6K3GYiIC[ 1F] r3F] Lit9C YlilOCODieSll7t�Ill9tli�7C ]iI:XS�iEC9C�C City of E1 Segundo Attn: Jessie LeNay AIL17YDRIZED REPRESEy7ATIVE 350 Main Street E1 Segundo, CA 90245 \ \�,/n��V/. .nnnn noonownnu�nnn ACORD25( 2001 /O8) CO11:1t)LL1SO Tp1:4n9D09 O (C'4=L Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 2512001/081 Co11:1522136 Tp1:454664 Cert:6882289 POLICY NUMBER: GL7061033 COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of El Segundo, its officials and employees and Thomas Properties Group -City National Plaza 515 South Flower, 6th FL, Los Angeles, CA 90071 / Project location: 827 North Douglas Street (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations per- formed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bod- ily injury" or "property damage" occur- ring after (1) All work, including materials, parts or equipment furnished in connec- tion with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional in- sureds) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in per- forming operations for a principal as a part of the same project. Primary Wording: Such insurance as is afforded by this endorsement for the additional insureds shall apply as primary insurance. Any other insurance maintained by the additional insureds or its officers and employees shall be excess only and not contributing negligence on part of the additional insureds. CG 20 1010 01 © ISO Properties, Inc., 2000 Page 1 of 1 0 tc lot% POLICY NUMBER: GL7061033 COMMERCIAL GENERAL LIABILITY CG20 3710 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of El Segundo, its officials and employees and Thomas Properties Group -City National Plaza 515 South Flower, 6th FL, Los Angeles, CA 90071 Location And Description of Completed Operations: 827 North Douglas Street Additional Premium: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products - completed operations hazard ". Primary Wording: Such insurance as is afforded by this endorsement for the additional insureds shall apply as primary insurance. Any other insurance maintained by the additional insureds or its officers and employees shall be excess only and not contributing negligence on part of the additional insureds. CG 20 37 10 01 C ISO Properties, Inc., 2000 Page 1 of 1 O 0 K _(Al COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Name of Person(s) or Organization(s) : City of El Segundo, its officials and employees and Thomas Properties Group -City National Plaza 515 South Flower, 6th FL, Los Angeles, CA 90071 Project location: 827 North Douglas Street Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section 11 of the Coverage Form. Primary Wording: Such insurance as is afforded by this endorsement for the additional insureds shall apply as primary insurance. Any other insurance maintained by the additional insureds or its officers and employees shall be excess only and not contributing negligence on part of the additional insureds. This endorsement is executed by the company designated below: National Union Fire Ins Co of Pittsburgh PA Effective date 4/1/2005 Expiration Date 4/1/2006 For attachment to Policy No. CA8262025 Issued to: URS Corporation CA 20.18 02 99 © Insurance Services Office. Inc.. 1999