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PROOF OF INSURANCE (2007) CLOSED
ACORD,. CERTIFICATE OF LIABILITY INSURANCE INSR LTR page 1 of 2 04/01/2006 PRODUCER 877 - 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION POLICY EXPIRATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. - Regional Cart Center 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 305191 GL177 -4688 4/1/2006 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED URS Corporation 600 Montgomery Street, 25th Floor San Francisco, CA 94111 INSURERA:National Union Fire Ins Co of Pittsburgh 19445 -100 INSURERB:Lexington Insurance Company 19437 -000 INSURERC:Insurance Company of the State of PA 19429 -100 INSURERD:American International South Insurance Co 40258 -001 PERSONAL & ADV INJURY INSURERE:Lloyd's of London /A.F. Beasley Syndicate 15792 -200 Lz•►v a: r • «.4-1 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' TYPEOFINSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS A 350 Main Street E1 Segundo, CA 90245 GENERAL LIABILITY GL177 -4688 4/1/2006 5/1/2007 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES Ea occur nce $ 11000,000 X Comm CLAIMSMADE � OCCUR MED EXP (Anyone person) $ 5 000 PERSONAL & ADV INJURY $ 11000,000 X XCU, BFPD X Liability GENERAL AGGREGATE $ 2.000.000 �Contractual 'LAGGREGATELIMITAPPLIESPER: POLICY FX7 PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 A A AUTOMOBILE X LIABILITY ANY AUTO CA826 -2357 CA826 -2360 4/1/2006 4/1/2006 5/1/2007 5/1/2007 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ A ALLOWNEDAUTOS SCHEDULED AUTOS CA826 -2361 4/1/2006 5/1/2007 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GE LIABILITY AUTO ONLY - EA ACCIDENT 1 $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ B EXCESS LIABILITY X OCCUR F7 CLAIMS MADE 7022029 4/1/2006 5/1/2007 EACHOCCURRENCE $ 11000,000 AGGREGATE $ 11000, OOO $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY SPEC WC1359817 1/1/2006 1/1/2007 X WCSTATU- 0TH- E.L. EACH ACCIDENT $ 1.000.000 A D C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? If yes, describe under SPECIAL PROVISIONS below CA WC1359815 GA WC1359816 AOS WC1359818 1/1/2006 1/1/2006 14142006 1/1/2007 1/1/2007 1 1 2007 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 B OTHER 1155961 E &O 4/1/2006 5 1 2007 E iClaims Professional Liability w /Limited Contractual - Made Policy MLP0005 4/1/2006 5/1/2007 $1,000,000. Each Claim $1,000,000. Aggregate DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS To further evaluate the subject area proposed for redevelopment at 827 North Douglas Street in the City of E1 Segundo City of E1 Segundo, its officials and employees, TPG -E1 Segundo Partners, LLC, Thomas Properties Group, L.P., Thomas Properties Group, Inc 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 d Automobile Liability whenever contractually recruired. UEN 1 RIGA I t MOLDER f`ANv FI 1 ATIAN ,�Cii I&wwr,vo/ t oiL:loaoasi -rpi:4a41a-/ cert:71118459 0 ACORD %ORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL SI=NK MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFOad3=111111MINNXIM211115rX&L City of E1 Segundo Attn: Jessie LeMay SflF7EX UT ORIZEDREPRESE ATIVE uv,� 350 Main Street E1 Segundo, CA 90245 ,�Cii I&wwr,vo/ t oiL:loaoasi -rpi:4a41a-/ cert:71118459 0 ACORD %ORPORATION 1988 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. AGUKL)20(ZUU1/o8) C011:1586837 Tpl:484187 Cert:7108459 POLICY NUMBER: GL177 -4688 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, TPG -EI Segundo Partners, LLC, Thomas Properties Group, L.P., Thomas Properties Group, Inc and Thomas Properties Group -City National Plaza 515 South Flower, 6th FL, Los Angeles, CA 90071 (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 2010 10 01 C ISO Properties, Inc., 2000 Page 1 of 1 POLICY NUMBER: GL177 -4688 COMMERCIAL GENERAL LIABILITY CG20 37 10 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 E:10I:1*91M I�4 Name of Person or Organization: City of El Segundo, its officials and employees, TPG -El Segundo Partners, LLC, Thomas Properties Group, L.P., Thomas Properties Group, Inc 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 0 ISO Properties, Inc., 2000 Page 1 of 1 ❑ 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) : 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 II 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: American Home Assurance Company (CA826 -2358) National Union Fire Insurance Company (CA826 -2357, CA826 -2360, CA826 -2361) Effective date 4/1/2006 Expiration Date 5/1/2007 For attachment to Policy No.'s: CA826 -2357, CA826 -2358, CA826 -2360, CA826 -2361 Issued to: URS Corporation CA 20 48 02 99 © Insurance Services Office, Inc., 1998