PROOF OF INSURANCE (2003) CLOSED08/12/2003 11:20 1060 GENERAL
01-2-03 10:12M Fra-
A00". CERTIFICATE OF LIABILITY INSURANUt
►"GOIJIMIPI I T" CERTWICATE 11I IM
Dodge Marren Q Peters - Torrance ONLY AND CONFER& NO F
Lie. 00243895 HOLOGA. THE CERTWICA1
15 Del Salo Blvd., 0300 ALTER THE 0OVERAGO Al
.zence C# 90503-
PAGE 02/04
T -170 P.012/003 F-011
OOU NOT
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Pbone:310 -542 -4370 VON. - 1.0 -542 -1803 INSURERSAFF0110MGCOVERACE
NOMM INSURlRA The Hartford in
T' '
ra CC%aaC7► 909w3etac
THE MORE or IN$LIHANCE LISTED KLM HAVE MV4 MOM TO TA 1N$UROD AMMGO ADOM FOR THE POLICY P6111100 MMATEO. NQL11M7M6TANVINU
ANY REOUIREMOrr, TERM 00 OOKOTION OF ANY CONTMCT OR OTHER DOCUAWMW MM RUPECT TO 11M4I9H TTMIS 01011 MATE MAY K VMM CR
MAY POTAPL THE INWI ANGE AFFOR040 DY THE POLIC!! OESMKO MIlIM1418 S M ECT TO AL1. THE TERMS ERCLU9Om AND OONDRION$ M AUCH
POL K31M AAOREGATT LIMITS SHOWN MAY WAVE SEEN ROUND SY PAIP CLAIML
eMMSL UAVMTT
7L X MMMQROw.GENmRAL►IMIuIY 72VVXt 6331
E. CLAIMS MADE [0 OCOUR
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ilHel
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4AaT
11/20/09 11./00/08 r
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P!'aONAL.AADYNUURY 131,000,000
I OGREMLAMR11MTE 11112,000,000
1 PRROUCTS. co~ ADS Is 2.000.000
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OOM$MU(D `*"LMT
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21,000,0000
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11/20/02
11/20/03
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ALL OMI+lO AUTOS
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OitCRI/IION Of OPERATIONS/ LOCATIOM / VIDIMM / DLCLUMDN! ADDED RV M00115TDIB+T / L N!
•10 Data notice of Cancellation in the ev=t Of non- Paysent Of IPWSM'wR.
Clay of 21 togunde is n&jwd additional
insured.
CMIITiRICATE NOI.OEII
CANCELLATNM
tR011L0 ANY OP THE AROVE OesdNMD rouse$ K CAN09LLE0 aEPDRE TH6 t1tPIRAVIC
C- BLSSfs
DATE TIDFMMF, THE ItMWM Rel#1iN MALL 9MD6WDII TO M^ LSD DATS wI "mm
NOTICE TO TM NRTIFlCAT V HOLDER "Ann TO 1 H9 LEM OUT PAIUAE 10 DO 90 $MALL
CMTT Or ZL $$A=MO
9APOE0 RO 9UUGnT10N OR UAPIUTT OF AM IOUM LPON THE V,sURM RD AGO— 00
360 XRZ1V STRZZT
NEPRE66HRATIVlL
>iL 81i041sD0 CA 90245
R 9NYA v *1 X1111vile,
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e ACOR D
CORPO"AlION 181
ACORD 2512001AM
08112/2003 11:20 1060 GENERAL
NW— ld-2003 09:42 KAS INSURANCE
-
AG CERTIFICATE OF LIABILITY INSURANCE
PRO mm M momm immer I Me primiICA7r IN Re 111
1250 Awmida ACase, Suits R -101
Cwrillo, CA 93012
Lief OW2692
(905)399 -79ss
55 33.6
s Vector Resources, Inc.
3570 VNIIIxager St.
Torgence, CAL 90303
Y AND CONFERS NO
PAGE 04/04
18953897955 P.02
LATE I>IwSSrTIm
S/1P/2003
AFFORDING COVINVA" NAIC •
LtA elRofteRSon Knd –
TILE POL)C" OF VOR RANCE LISTED BROW HAVE SUN MUEO TO THE (NSUAW NAMED ABOVE FOR THE POLICY PMOO INOICATSD. NOTWITNSTAAION(i
ANY AS91,11IRMMNKT. TERM OR CONDITION OF ANY OONTRACT OR OTNSR OOCUNIWr WITH FW PECT TO WHI*4 YMIS CERTIRICATE MAY BE SSSUEO OR
MAY PERTALN, TINT INSURANCE AFPOROF,O NY TFff POLIC016 DESCRIBED HlWCRI 64 SU0.IECT TO ALL TNi TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SNWNN MAY HAVE MN REDUCED 9Y PAID CLAIMS.
"ke city of L3 ugwAa
raw
somm waluYY
LWRs
R4CH 000UNIIlNON
comalle" 06wft LNSAMTY
0
330 Main sueei -soma 5
CLAANI MAW OCCUR
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OW90TAWK
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4
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ANT AUTO
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11/1/2003
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10 notice of Caaeallation for Nan -Bay
Ap':UKu zo WAR"I p
TOTAL P.02
3e► 3
LIHOULS AHY 0r Z4 MOW MSC*Mv FOLIC1 a me. Garcumo arm THE LAPAULTlw
"ke city of L3 ugwAa
SAIR IHSIREOF, THE UUNC 809M WILL 009AMN TO IMIL 0 boo w wmpi
City Clock's Offage
H07KS 70 THE CERTIFICATE HOLWIt 9 TO THE LEFT, &IT FAILURE TO 00 aO IHAK
330 Main sueei -soma 5
UnPOaE NO 09U6ATI011 OR 101H/ UPON TNI waUNk RS A64MM OR
T3 Segundo, CA 90211 -3995
OW90TAWK
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17 46�� 1
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TOTAL P.02
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08/12/2003
11:20
1060
GENERAL PAGE
01- 27-113
10:13U
From-
7-370 P- 002/003 F -113
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 ft certificate does not confer rights to the certRIMe
holder in lieu of such endoreement(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 cov,arage afforded by the policies listed thereon.
SG
CERTHOL.DER COPY
S'T'ATE P.O. Box 807, SAN FRANCISCO,CA 94142 -0807
COMPENSATION
114SU "RANGE
FUND CERTIFICATE OF WORKERS' COMPENSATION:'° INSURANCE
ISSUE DATE: 11 -01 -2004 GROUP:
POLICY NUMBER: 1661219-2004
CERTIFICATE ID; 232
CERTIFICATE ' EXPIRES: 11 -01 -2005
11 -01- 2004/11 -01 -2005,
CITY OF EL SEGUNDO SG JOB: ALL CALIFORNIA OPERATIONS
350 MAIN ST
EL SEGUNDO CA 90245
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer.
We will also give you 30 ;days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend' or alter the coverage afforded
by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document
with respect to which this certificate of insurance 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.
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.
ENDORSEMENT #0018 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE `1'1- 01-2004 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
NAME OF ADDITIONAL INSURED: CITY OF EL SEGUNDO SG
ENDORSEMENT #2005 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 11 -01 -2004 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY. -
EMPLOYER
LEGAL "NAME
VECTOR RESOURCES INC. VECTOR RESOURCES INC
3530 VOYAGER ST
TORRANCE CA 9050.3
10/1512004
MEV.3.03t PRINTED:
P0408