PROOF OF INSURANCE (2009) CLOSEDA[I -14 -2009 04:26pm
..,,
From-WILLDAN 5629083515 T -893 P 002/005 F -504
CERTIFICATE OF LIA-BILI TY INSURANCE 10131108
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF IN FORMAT.
Dealey, Renton &Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND
P. O. Box 10550 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL
Santa Ana, CA 927'11 -0550
14427-6810
tNSURCO
Willdan Engineering
2401 E. Katella Avenue, Ste. 300
Anaheim, CA 92806
r^nVCR An FS
INSURERS AFFORDING COVERAGE
INSURER A. Zurich American Insurance C.O.
INSURER 0: XL
INSURER D:
INSURER E:
insurance Co.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEHIUU INtJIUA I tU. NU I w1I MZ� I Af
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
nen o n ri nix�C
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A I
11X���I
GENERAL LIABILITY
COjCOMI� M ERCIAL GENERAL LIABILITY
'��
CLAIMS' MADE ® OCCUR
LKI CONTRACTUAL
GLO904316303
INDP. CONTRACTORS
INCLUDED
11/09108
11/09/09
EACH OCCURRENCE
s1 000 000
FIRE DAMAGE (Any ono Qro)
21,000,000
McD EXP (Any ono Pelson)
310 000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
52 OOO 000
X BFPD XCU
PRODUCTS- COMPiOPAGG
52000000
I
G'EN�- L AGGREGATE LIMITAPPLIESPER:
;'''
1 POLICYFX7 PRO LOC
A AUTOMOBILE
LIABILITY
BAP904316203
11/09/08
11/09109
COMBINED SINGLE LIMIT
(Ee acclaen[]
£1,000,000
X
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
(Par person)
S
SCHCDULED AUTOS
j X
HIRED VU70S
BODILY INJURY
(Par aacidont)
$
X
NON - OWNED AUTOS
—
PROPERTY DAMAGE
(Per eccIdentl
5
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S _
OTHERTHAN EA ACC
S
I ANY AUTO
S
AUTO ONLY: AGG
I EXCESS LIABILITY
EACH OCCURRENCE
S
AGGREGATE
S
OCCUR Cf CLAIMS PAADE
_
a
DEDUCTIBLE
RETENTION L
B
WORKERri COMPENSATION AND
WZP80967141
11/09/08
11/09/09
X WC S ATU• OTH-
E.L. EACH ACCIDENT
0,000,000
EMPLOYER' LIABILITY
E.L. DISEASE - EA EMPLOYEE
iiMI000
E,L. DISEASE - POLICY LIMIT
-,1,000,000
C
OTHER Professional
OPR9614659
11/09/08
11109!09
$1,000,000 per claim
Liability
$1,000,000 annl aggr.
DESCRIPTION OF OPERATIONSILOCATIONSA/EHICLES /EXCLUSIONS ADDED BY ENDORSEMENTI°.PECIAL 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)
TE HOLDER
City of El Segundo
Director of Planning and Building Safety
350 Main Street
El Segundo, CA 90245
ACORD 25 -S (7197)1
of 2 #M241865
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED B EFORE TH E EXPIR/
DATE THEREOF, THE ISSUING INSURER WlWXR%XXXWx TOMAIL3n DAYSWRI
moncETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEF- r"K,'jM(M-AXRX)00M
RLL O ACORD CORPORATIOI
Trot I -1 -1 009 16: 16 5629ae3515 P.02
' Jao-W-ZOOQ 04:26pm From-W|LLDAN 5629083616
'
respects to General Liability on required uy written contract.
Primary and Non-Contributing coverage applies toGLos required bywritten
/cunoocc
3L'AVpp)
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AMS 253 (07197) 2 of 2 #M241 865
16:16 5629883515 P.03
T-893
P 003/005
F-SOW
16:16 5629883515 P.03
Jan-14 -2009 04:27pm From- WILLOAN
5629083515 'f -893 P 004/005 F -504
0
Additional Insured — A utoma- is -- Owners, Lessees Or URIC
Can
trac
Policv No.
Eft. AaTc of Pol
Eup. Darc of Pol
Eff. Datc of End
Produacr
$ d 'I P tm.
� N APT
GL0904316303
11/09/08
11/09/09
11/09/08
Jimmy,
Renton
TISTS ENDORSEMENT C1LANGES THE )POLICY PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
A. WHO IS AN Lei 1SURED (Section I1) is amended to include as an insured any person or organization whom you arc rcquircd
to add as an additional insured on this policy wider a written contract or wrinen 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, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and
Coverage B, PERSONAL AND ADVERTISING INJURY LIABU.ITY, but only if:
1. The "bodily injury" or "property damage" results from your negligence; and
2. The "bodil v injury', "properly damage" or `personal and advertising injure?' results directly (Tom:
a. Your ongoing operations; or
b. "'Your work" completed as included in the "products - completed operations hazard', performed for the additional
insurcd, which is the subject of the written contract or writtcn agrccmcnt.
C. .However, regardleos of the provisions of paragraphs A. and B. above:
1. We will not extend any insurance coverage to any additional insurcd 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 wrtten ugrccmcnt; and
2. We will not provide - Limits of lnsuranca 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 Insurancc you are required to provide in the written contract or wnttcn agreement.
D. The insurance pmvidcd to the additional insured person or organization does not apply to:
1. "Bodily injury", "property dumaga- or "personal and advertising injury" that results solely from negligence
of the additional insured, or
2. 'Bodily injury", "properry damage" or "personal and advertising injury" arising out of the rendering or failure to
render any professional architectural, engineering or surveying services including
U -GC-I 175 -A CA, (9 /OS)
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142003 16: 16 562`?oe 15 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, rcpons, survevs,
't'nn : ° }. -.and. _.. ... -_. _. -.. -._.:.._.
b. Supervisory, inspection, architccraml or engineering activities.
E. The additional insured must see to it that:
We are nodficd as soon as practicable of an "occurrence" or offense that may result in a claim-,
2. We receive written notice of a claim or "suit" a_, coon 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 a, 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 - COMM)CRCIAL GENERAL LIABILITY CONDITIONS.
Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement conrinuc to apply as writ-
ten.
U -GL- 1 175 -A CW (9/03)
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7Ht J -14 -;?009 IS: 1b 5629ae3515 P.05