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PROOF OF INSURANCE (2009) CLOSEDJan -14 -2009 04:26pm From - WILLDAN 5629083515 T-893 P 002/005 F -504 _ACORD, CERTIFICATE OF LIABILITY INSURANCE 1 " " "`7 ;8 10131 /O S PRODUCER Dealey, Renton &. Associates P. O. Box 10550 Santa Ana, CA 92711 -0550 14427-6810 INSURrD Willdan Engineering 2401 E. Katella Avenue, Ste. 300 Anaheim, CA 92806 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND C ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOIr INSURERS AFFORDING COVERAGE INSURERA. Zurich American Insurance Co. INSURER C; XL Specialty Insurance Co. rNSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDI ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED MAY P2RTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SL POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 11/09/08 POLICY EXPIRATION LIMITS • I GE ERAL LIABILITY GLO904316303 11/09/09 EACI4 OCCURRENCE $1,000,000 FIRE DAMAGE (Anyone flro) 11 000 000 I X :COMMERCIAL GENERAL LIABILrTY CLAIMS MADE FX OCCUR INDP. CONTRACTORS MED EXP (Any ono arson) 110 000 PERSONAL 8 ADV INJURY $1,000,000 X CONTRACTUAL INCLUDED I X BFPD, XCU GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PRO n LOC PRODUCTS- COMP/OPAGG 52000000 • AUTOMOBILE LIABILITY i X ANY AUTO BAP904316203 11109108 11109109 COMBINED SINGLE LIMIT (Ea awaenc) 51,000,400 BODILY INJURY (Per Person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Pora«Iden[) 1 I X HIRED AUTOS 77-1 X ! NON- OVINED AUTOS I I PROPERTY DAMAGE (Per eccldent) 5 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG 5 I ANY AUTO Is IXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE 5 AGGREGATE 1 r, DEDUCTIBLE 1 1 RETENTION S B WORKERS COMPENSATION AND WZP80967141 11/09/08 11109/09 1 S AT U. I OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT 31,000,000 E.L. DISEASE -EA EMPLOYEE 11,000,000 E,L. DISEASE - POLICY LIMIT 21 000 000 C OTHER Professional D 11/09/08 11/09/09 $1,000,000 per claim Liability $1,000,000 anni aggr. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services Re: Provide permit processing and other planning services City of El Segundo, its officials and employees are additional insured as (See Attached Descriptions) GFRTIFIGA City of El Segundo Director of Planning and Building Safety 350 Main Street El Segundo, CA 90245 ACORD 25S (7197)1 of 2 #M241865 SHOULD ANYOFTHEABOVE DESCRIBED POLICIESBE CANCELLED BEFORETHE EXPIRA'n DATE THEREOF, THE ISSUING INSURER WIWX&Xj0tM TOMAIL30— DAYSWRRT IVOTIC E TO TH E CERTIFICATE HOLDER NAMED TO YH E LEF r"JU RLL 0 ACORD CORPORATION TArl -14 -2009 16:15 5529083515 P.02 Jan -14 -2009 04:26PM From-WILLDAN 5629083515 .!d 4, respects to General Liability as required by written contract. Primary and Non-Contributing coverage applies to GL as required by written contract. 3L-Al/PR) .-I (Industry) T-893 P 003/005 F-504 7, AMS 25.3 (07/97) 2 of 2 4M241865 Jars -14- 009 16 :16 5629093515 P . 037 Jan-14 -2009 04:27pm From-WILLDAN 5629083515 T -893 P 004/005 F -504 0 Additional Insured — Automatic - Owners, Lessees Or ZURYCI- - -Cantm tQ rs,- .Broad Form Policv No. Eff. Uatc of Pp1 Exp. Datc of Pol Eff. Date of End Producer Add'1 Pram Rerun Pram. GL0904316303 11/09108 11/09/09 11/09/08 Dealey, Renton S N/A S N/A THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy wider a written contract or written agreement_ B. The insurance provided to additionul insureds applies only to "bodily injury", "property damage" or "personal and advertis- ing injury" covered under Section 1, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY, but only if. 1. The "bodily injury" or "property damage" results from your negligence; and 2. The "bodily injury", 'properly damage" or `personal and advertising injury' results directly from: a. Your ongoing operations; or b. "Your work" completed as included in the "products - completed operations hazard', performed for the additional insured, which is the subject of the written contract or written agrocmcnt. C. However, regardless of the provisions of paragraphs A. and B. above: I. We will nor extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy; or b. That is any broader coverage than you arc required to provide to the additional insured person or organization in the written contract or written ugrccment; and 2. We will not provide timirs of Insurance to any additional insured person or organization that exceed the lower of.• a. The Limits of Insurance provided to you in this policy; or b. The Limit3 of Insurance you are required to provide in the written contract or written agrccment. D. The insurance provided to the additional insured person or organization does not apply to: 1. "Bodily injury', "property damage" or "personal and advertising injury" that results solely from negligence of the additional insured, or 2. 'Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including V- GL1175 -g CA "(9103) Page 1 oft JAr 1 -14 -2009 16: 16 552908515 P. 04 Jan-14 -2009 04:27pm From-WILLDAN 5629083515 T -893 P 005/005 F -504 a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, f ei d o deter; c�tangc- an3ers or dRewings and �cati4sns - ar:d -: -- b. Supervisory, inspection, architccraral or engineering activities. E. The additional insured must see to it that: 1. We are notified as tloon as practicable of an "occurrence" or offense that may result in a claim: 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured also has rights as an insured or additional insured. F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in- surancc available to any additional insured person or organization unless the other insurance is provided by a contractor other than you for the same operations and job location. Then we will share with that other insurance by the method de- scribed in paragraph 4.c. of SECTION TV - COMMERCIAL GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ- ten. U -GL- 1175 -A CW (9iO3) Page 2 of 2 Jk1 -14 -2009 15 16 5529083515 R.05 Jan-14 -2009 04:26Pm From-WILLOAN Transmittal CA-r l ATTENTION: 5629083515 T -893 P 001/005 F -504 �W WI LLDAN I exteur ndng yo Engineering I reach DATE: LI pK v41! JOB NO.: SUBJECT: Cei- �� Y' /��i c4, 'e O� ��t St1 ✓G.+'� -�� ENCLOSED: REMARKS: The enclosed materials are being sent for PLEASE SIGN COPIES AND RETURN TO OUR OFFICE. COPIES TO: D VC _/, ��f ✓r4nee A4 a� �� Ci>< � Cd", � Y ��� Y f 2CW s 4 o ✓1 'W a %2 a� e cY.-t y Je s�1e -tl I 1 0r, -�v b-e--- /� y VERY TRULY YOURS, plekse Ld -4 � WILLDAN ENGI E RING Engineering I Geotochnical I Environmonral I Financial I Homeland Security 562.908.6200 1 600.499.4484 1 fax: 662,896.2120 1 13191 Crossroads Parkway North, S018 405, Industry, CA 91746 -3443 1 www.willdan.com TP0 -14 -2009 16 :15 5529 ©53515 99 P.01