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PROOF OF INSURANCE (2009) CLOSED (2)Jan-14 -2009 04:26Pm From- WILLDAN 5629083515 T-993 P 002/005 F -504 AGORD, CERTIFICATE OF LIABILITY INSURANCE 10131108y PRODUCER THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATIC Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICK HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ( P. O. Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO' Santa Ana, CA 92711 -0550 INSURERS AFFORDING COVERAGE 14427-6810 wsUReD INSURER A. Zurich American Insurance Co. WIIIdan Engineering _ ,..,, L�? fl_. Al? _.. _ _ 2401E Katella Avenue, Ste. 300 INSURER C; XL Anaheim, CA 92806 INSURER D: INSURER E: Insurance Co. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAND ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SI a,�nwn uev uevC I�GCwi OC h1,f :F111iV PAII'1 (:I 61f,RS- NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMiOD1YY) LJMITS A GENERAL LIABILITY GLO904316303 11/09/08 11/09 /09 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any onoflro) 51000000 IX COMM ERCIAL GENERAL LIABILITY CLAIMS MADE XI OCCUR INDP. CONTRACTORS MED EXP (Any ono person) $10,000 PERSONAL B ADV INJURY S1,000,000 X CONTRACTUAL INCLUDED X BFPO XCU GENERAL AGGREGATE s2,000,000 -L AGGREGATE LIM ITAPPLIES PEP: PRODUCTS -COMPiOPAGG 52000000 �GEN POLICY X PRO LOC A AUTOMOBILE LIABILITY ANY AUTO BAP904316203 11/09/08 11109/09 COMBINED SINGLE LIMIT (Ea aWaant) S1 000 000 i r X BODILY INJURY (Per Penton) £ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Par aceldant) S HIRED A! iTOS NON-OWNED AUTOS j X PROPERTY DAMAGE accident) S i(Per GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHERTHAN EA ACC AUTO ONLY: AGG S ANY AUTO S EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE S a DEDUCTIBLE a RETENTION £ B WORKERS COMPENSATION AND WZP80967141 11/09/08 11/09/09 0TH- X WC S IMITSVI E.L. EACH ACCIDENT S1 000 000 EMPLOYER' S* LIA131LITY E.L,OISEASE - EA EMPLOYEE 51,000,000 E,L. DISEASE - POLICY LIMIT 21,000,000 C OTHER Professional DPR9614659 11/09/08 11/09109 $1,000,000 per claim (Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /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) CERTIFICATE HOLDER ADDMONAL INSURED; INSURER LETTER: CANCELLATION Ten Day Hatice-for Non-Paympnt of Premium I SHOULD ANYOFTH EABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATI City of El Segundo DATE THEREOF, THE ISSUING INSURER WIC TOMAIL30 DAYSWRITT Director of Planning and Building Safety NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT,)B 5U l 350 Main Street ���xerxxR��ceess xzanecam(xxcc El Segundo, CA 90245 x�ae TATIVE ACORD 25 -S (7197)1 of 2 #M241865 7At1 -14 -2009 16 :15 5529083515 RLL Q ACORD CORPORATION P.02 Jan-14-2009 04: 26pm From—WILLDAN 5629083515 T-893 P 003/005 F-504 p KIRTTIONS G -n -U, el respects to General Liability as required by written contract. Primary and Non-Contributing coverage applies to GL as required by written contract. 3L-AIIPR) -)-(Industry) AMS 25.3 (07197) 2 of 2 #M241865 1H41-14 -2009 15: 16 56290e3515 P.03 Policv No. Eff. Darc of Pal EzQ. Date Of P01 Eff. Date of End Produces Add'1 Prom Rcnirn Prom. GL0904316303 11/09/08 11/09/09 11/09/08 S N!n N/A Re Rennton ton TMS ENDORSEMENT CIANGES THE POLICY PLEASE READ IT CAREFULLY. Tlus 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 arc required to add as an additional insured on this policy wider a written contract or written agreement B. The insurance provided to additional insureds applies only to "bodily injury", "property damage" or "personal and advertis- ing injury" covered under Section I, Coverage A, BODELY INJURY AND PROPERTY DAMAGE LIADMITY and Coverage B, PERSONAL AND ADVERTISING INJURY 1LIABU.ITY, but only if: 1. The "bodily injury" or "property damage" results from your negligence; and 1 The "bodily injury", "properly damage" or ``personal and advertising injury" results directly (Torn: 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 agreement. C. However, regardless of the provisions of paragraphs A. and B. above: 1. We will not 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 ugrecmcrlt; and 2. We will not provide'LimiTS 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 Limits of Insurance you are required to provide in the written contract or written agreement. 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 3. 'Bodily injury", `property damage" or "personal and adverri sing injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including JAH -14 -2009 16 :16 5629083515 U -GL.1 175 -A CAS (9/03) Page I oft 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, 'an _ _ __ ....... ....._._. _ _ _ _. ... . -..: - ._..... b. Supervisory, inspection, architcerural or engineering activities. E. The additional insured must see to it that: 1. We are notified as noon as practicable of an "occurrence" or offense that may result in a claim: 2. We receive written notice of a claim or "suit" ac soon as practicable; and 3. A request for defense and indmmity of the claim or "suit' will promptly be brought against any policy issued by another insurer undcr 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- surance 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 - COMMICRCIA?L GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Pan not changed by the terms and conditions of this endorsement conrinuc to apply as writ- ten. U -GL- 1175 -A CW (9/03) Page 2 of 2 JAN -14 -2©09 16: IS 5529x83515 P.05 Jan -14 -2009 04:26Pm From -WILLDAN Transmittal r CA. 45 DATE: 5629083515 T -893 P 001 /005 F -504 JOB NO.: ATTENTION: SUBJECT: �f-e` �j 14% CG O� �`t St1 ✓c,►"' -�-� -- ENCLOSED: REMARKS: The enclosed materials are being sent for. 7 PLEASE SIGN COPIES AND RETURN TO OUR OFFICE. W I LLDAN ending your _ Engineering mach an v" 7 - *f COPIES TO: _G ..71-i(I I ,t; '2 c -e dF As, y�ea� yon Y y' 1 0 G �� ` VERY TRULY YOURS, �1���ise �a- +aura"' ►r��. �.u^..� Y� WILLDAN ENGI E RING Engineering I Geotochnical I Environmental I Financial I Homeland Security 562.908.6200 1 800.x99.4484 1 fax: 552.895.2120 1 13181 Crossroads Parkway North, Suite 405, Industry, CA 91746 -3443 I www.willdan.com JPt1 -14 -2009 15: 16 5529083515 99%, P.01