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PROOF OF INSURANCE (2015) CLOSEDClient #: 299388 LIBRARY DATE (MMIDDIYYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 11/2112014 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 pollcy(les) 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 endorsernent(s), PRODUCER NAE' CONTACT Maria Morales Hub International PHONE Fn A/C No Ext,..805- 879 -9525 7 -1767 No.805- 61 HUB Int'I Insurance Serv. Inc. E-MAIL DRU S: maria.morates@hubinternaional.com A 40 East Alamar Avenue INSURER(S) AFFORDING COVERAGE NAIC M Santa Barbara, CA 93105 INSURERA: Philadelphia Indemnity Insuranc 18058 INSURED INSURER 0: Hartford Casualty Insurance Com 29424 Library Associates, In ' t 51 Monroe Street, Suite PE -04 INSURER C Rockville, MD 20850 -2442 INSURER D: INSURER E COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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. �,^ TYPE OF INSURANCE ITR POLICY . �.m....... POLICY EFF POLICY'Ek1 � ., _ ......_... _ ................... NUMBER IMMIDDIYYYY IMMIO IYYYY LIMITS A GENERAL LIABILITY PHPK1027414 6/0112014 06101/2015 EACH OCCURRENCE $1,000,000 .X. COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 8 'Mt F.S Ea nc'm n $100,000 CLAIMS -MADE Fx� OCCUR MED EXP (Any one person) $5000 -, PERSONAL & ADV INJURY $11000,000 GENERAL AGGREGATE $2,000,000 GLNLAGOREGATE LIMIT APPLIESPER: PRODUCTS - COMP /OPAGG $2,000,000 POLICY PRO LOC $ A AUTOMOBILE LIABILITY PHPK1027414 6101!2014 061011201 CGYMBVNE'D SINGLE' LIMIT Ea acsdaenl $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accldeni) $ •. ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X '', AUTOS 4 PROP�FtTTY DAMAGE Por accwdcell. $ A UMBRELLA LIAR OCCUR PHUB422451 6/01/2014 06/01/2015 EACHoccURRENCE 54,0001000 EXCESS LIAB OLAIMS•MADE AGGREGATE $4 000 OOO. D NTION $10000 5 B WORKERS COMPENSATION 72WECFY5736 2f0112013 121011201 WC STATU- '0TH X TOR EMPLOYERS' LIABILITY ANDS YIN EL EACH ACCIDENT $1 000 000 ANY PROPRIETOR /PARTNER/EXECUTIVE ICE RIMEMBEREXCLUDED? I NJ (Mandatory In NH) ,..NIA --�--• EEL. DISEASE - EA EMPLOYEE S1,00AIM If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE. POLICY LIMIT ,000,000 A Professional Liab PHPK1027414 6/0112014 0610112015 Limit $1,000,00 P A Erisa Bond PHSD848634 6/0112014 06/0112015 Limit $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate Holder is named as additional insured under the general liability poilcy under written contract per form CG2026 attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE t:lt of El Segundo Y g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main St. ACCORDANCE WITH THE POLICY PROVISIONS. EI Segundo, CA 90 AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S32006881M2900952 MM496 PI- MANU -1 (01100) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CG2026 Additional Insured - Designated Person Or Organization POLICY NUMBER COM- 11ERCIAL GENERAL LIABILITY fir' PHPK1027414 CG 20 26 07 04' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL _INSURED - DESIGNATED PERS0I4 OR ORGANIZATION This endorsement modifies insurance provided under the followings COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Any person or organization other than a joint venture whom you are required to add as an additional insured on this policy under a written contract or agreement provided that the contract or agreement is in effect during this policy period and is executed prior to the occurrence which causes " bcdily injury ", "property damage" or "personal injury and advertising injury ". When also required by written Contract or Agreement, this insurance shall be primary and non- contributory with respect to other insurance. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shorn in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the per** "ormance of your ongoing operations; or B. In connection with your premises owned by or rented to _you. This insurance does not apply to "bodily injury" or "property damage" arising out of or resulting from structural alterations, new construction or demolition operations performed by or for any additional insured. This insurance does not apply to "bodily injury" or "property damage" All other terms and conditions of this Policy remain unchanged. Page 1 of 2 PI- MANU -1 (01/00) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE TREAD IT CAREFULLY arising out of or resulting from any operations performed by or for any railroad, municipality, governmental entity or other public authority. This insurance does not apply to bodily injury" or "property damage" arising out of or resulting from any operations performed by or for any telemarketing, direct mail or internet advertising organizations. CG 20 26 07 04 © ISO properties, Inc., 2004 All other terms and conditions of this Policy remain unchanged. Page 2 of 2 n14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72 WEC FY573 ,/ Endorsement Number: 01 Effective Date: 12/01/14 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: LIBRARY ASSOCIATES, INC 51 MONROE ST STE PE04 ROCKVILLE, MD 20650 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be premium otherwise due on such remuneration. Person or Organization CITY OF EL SUt,D 350 MAIN ST. /`m EL SEGUNDO, CA 505 SCHEDULE 2 % of the California workers' compensation Job Description TEMPORARY LIBRARIAN Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 12/02/14 Policy Expiration Date: 12/01/15