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PROOF OF INSURANCE (2014) CLOSEDw l ° DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemer 1. PRODUCER MARSH USA, INC. INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS NXWII ...... FAX EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 445 SOUTH STREET TYPEOFINSURANCE POLICY............ NUMBER MMIDD/YYYY MM /DDIYYYX LIMITS PHONE. GENERAL LIABILITY MORRISTOWN, NJ 07960 -6454 E-MAIL 12/15/2013 Attn: Mordstown.certrequest @marsh.com Fax 212 -948 -0979 EACH OCCURRENCE $ 1,000,000 X INSURER S AFFORDING COVERAGE NAIC # 123456 - -A+CP -13-15 American INSURER Zurich Insurance Co 16535 INSURED Onex York Holdings Corp COMMERCIAL M LIABILITY INSURER B: N/A ......... - -- -- N/A ---- - - -- - - -- and its Subsidiaries INSURER C : Chubb Insurance Company of NJ ..........Ins.... .. pIBFMISF�(Fa ocourrenag) 41386 Cherry 99Cher Hill Road, Suite 102 X CLA CLAIMS-MADE OCCUR O OCCUR o. INSURER D : National Union Fire Ins. Co. of Pittsburgh, PA ......... ....----- 19445 Parsippany, NJ 07054-1102 MED EXP (Any one person) $ 5 000 ....... COVERAGES CERTIFICATE NUMBER: NYC - 006757383 -08 REVISION NUMBER: 20 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ............ .._,..........- ......bL'tt�t.. .... ........POLICYEFF POLICYEXP .................. ,..,.......... ...,..... ..... .... ILTR TYPEOFINSURANCE POLICY............ NUMBER MMIDD/YYYY MM /DDIYYYX LIMITS A GENERAL LIABILITY CPO 5820234 -00 12/15/2013 12/15/2014 EACH OCCURRENCE $ 1,000,000 X bAFn4CE iYfi €N1Eb., 1,000,000 COMMERCIAL M LIABILITY pIBFMISF�(Fa ocourrenag) $ X CLA CLAIMS-MADE OCCUR O OCCUR MED EXP (Any one person) $ 5 000 PERSONAL ......__ -. -. -. $ 1,000,000 _....,.,., GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY LOC $ A AUTOMOBILE LIABILITY BAP 5820233 -00 12115/2013 12115/2014 COMBINED SINGLE LIMIT 0 1 000,,00,,,,,,,, ,(Ea acclQenO $ .......... X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ 111. NON -OWNED PROPERTY DAMAGE .... $ HIRED AUTOS AUTOS (per a_p der/t) UMBRELLA LAB OCCUR d EACH OCCURRENCE _ ..__..... . _., _ - -- ......... $ _1 ... .... ..... EXCESS LB CLAIMS-MADE 1 ­1111- 11, 1 ­ 11 I ­--l'] "111-11- AGGREGATE $ 111 OF RETENTION $ $ A WORKERS COMPENSATION WC X wC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY UMIYY, Efi, .. ANY PROPRIETOR /PARTN � ER /EXECUTIVE E L EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? t.. i N/A 1 (Mandatory in NH) L, DISEASE EA EMPLOYEE $ 000,000 If yes, describe under _E 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ C CRIME 6800 -5714 06/30/2014 06/30/2015 $5,000,000 LIMIT/ $100,000 DED D PROFESSIONAL LIABILITY 01- 357 -06 -61 06/3012014 06/30/2015 $10,000,000 LIMIT /$500,000 SIR DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF EL SEGUNDO, ITS OFFICIALS, AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO GENERAL LIABILITY, . CITY OF EL SEGUNDO,w ITS OFFICIALS AND EMPLOYEES 350 MAIN STREET tp i r EL SEGUNDO, CA 90245 ELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee �MA1/lDOf.: ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 0 Additional Insured — Automatic — Owners, Lessees Or ZURICH" Contractors Policy No. I Eff . Date of Pol. I Ext. Date of Pol I Eff. Date of End Producer No. Add'I. Preen Return Prem, 5820234 2/15/2013 12/15/2014 12/15/2013 10099000 /A /A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: P ,a Address (including ZIP Code):, All This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II —Who Is An Insured is amended to include as an insured any person or organization who you are required to add as an additional insured on this policy under a written contract or written agreement. However, if you have entered into a construction contract or construction agreement with an additional insured person or organization, the insurance afforded to such additional insured only applies to the extent permitted by law. B. The insurance provided to the additional insured person or organization applies only to "bodily injury", "property damage" or "personal and advertising injury" covered under Section I — Coverage A — Bodily Injury And Property Damage Liability and Section I — Coverage B — Personal And Advertising Injury Liability, but only with respect to liabilityfor'bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, and resulting directly from your ongoing operations or "your wort as included in the 'products- completed operations hazard ", 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 are required to provide to the additional insured person or organization in the written contract or written agreement; 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: "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: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. Supervisory, inspection, architectural or engineering activities. U -GL -1175-E CW (04112) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with Its permission E. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified 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" 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 may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non - contributory. F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph 4.a of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is primary insurance as respects our coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non - contributory with respect to any other policy upon which the additional insured is a Named Insured. In that event, we will not seek contribution from any other such insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added to Paragraph 4.1b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence', offense, claim or "suit ". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. All other terms and conditions of this policy remain unchanged. U- GL- 117S-E ON (04/12) Page 2 of 2 Includes copyrighted material of Insurance Services OfMce, Inc., with Its permission.