PROOF OF INSURANCE (2010) CLOSEDACORD CERTIFICATE OF LIABILITY
PR (415) 874 -7100 FAX: (415) 874 -7199
F -.ty Risk Partners, Inc.
L Anse No. OD21146
DATE (MMB)DJYYYY)
INSURANCE 1 /7 �zoo9
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
101 Montgomery Street, 14th F1
San Francisco CA 94104
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Wyle Holdings, Inc., Wyle Laboratories, Inc.,
Wyle Information Systems LLC LTS Holdings Inc
1960 E. Grand Avenue, Suite 900
INSURER A: Liberty Mutual Fire Ins
23035
INSURERB:ACE Property and Casualty
INSURER c: Liberty Mutual Insurance
INSURERD:Underwriters at Llo ds
INSURE0E:
El Segundo CA 90245
tTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINJAN
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PE
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PO
REGI E Y AVE REDUCED BY AID CLAIMS.
INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS
TYPE OF INSURANCE POLICY NUMBER DATE MMBJD/YY DATE MMlDDIYII
INSRO
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
TB2661065761029
1/1/2009
1/1/2010
$ 1 , 000,000
DAMAGE TO RENTED
PRE e
MEDEXP An one person)
$ 100,000
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
RO UC - G
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
7 xi POLICY JE O LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
A
X
ANY AUTO
ALL OWNED AUTOS
AS2661065761019
1/1/2009
1/1/2010
gerpers n)
(Per person)
$
X
SCHEDULED AUTOS
X
HIRED AUTOS
BODILY INJURY
(Per accident)
$
X
NON -OWNED AUTOS
X
Comp. Ded. $1,000
PROPERTY DAMAGE
(Per accident)
$
X
Coll. Ded. $1.000
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC,
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
QCURRENCE
$ 25, 000, 000
AGGREGATE
$ 25,000,000
$
B
DEDUCTIBLE
M00530992
1/1/2009
1/1/2010
C
X RETENTI N 10,000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER /MEMBER EXCLUDED?
WEC7 6 610 657 610 4 9 (OH)
WA766D065763.039 (AOS)
1/1/2009
1/1/2009
1/1/2010
1/1/2010
x TWOS o R
$
E.L. EACH ACCIDENT
Is 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE • POLICY LI IT
$ 1,000,000
If yes, describe under
SP PROVISIONS elo
D
OTHER Professional
Liability
B0595E009802009
1/1/2009
1/1/2010
Each Claim 2,000,000
Aggregate 2,000,000
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES !EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate holder is included as additional insured as required by written contract per attached policy form
LN20010605 subject to all policy terms and conditions.
(310) 640 -0489 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of El Segundo EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL )AWOONOV, MAIL
Public Works Department 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, XXX
Attn : A)GxIX" *61C MYAMM d CaG+l(AWLYMI*(
350 Main Street�����
El Segundo, CA 90245 -3895 AUTHORIZED REPRESENTATIVE
Anthony Marcon /PADILL
Arnen !`nDOnRATIAM 1QAA
ACORD 25 (2007103)
Page 7 of 2
INS025 (otoB).o8a