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PROOF OF INSURANCE (2014) CLOSEDClient#: 12058 ABOUTSPAC YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 6/14 DATE (MMIDDIMIDDI 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. IMP t kTANTs 111046­ e certificate holder Is an ADDITIONAL INSURED, the poIlicy(lesj 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 endorsement(s). CONTACT PRODUCER NAME: Kimberly VeS(jUeZ Dealey, Renton & Associates PHONE o 714 .... — � ( r Ext): 427 -6810 �(A /C, No): 714 427 -6818 P. O. Box 10550 E -MAIL Santa Ana, CA 92711 -0550 ADDRES .... - - - -... ------ _ - _-- __._._._.. _._.._,....... IURER(S) AFFORDING 714 427 -6810 INSURER A: Travelers Property Casualty Co E 25674c INSURED.... .... . ............................... ... .. ... ........... ................. .. .�...........:......�.._�...... ,. ,.,.......... About: Space, LLC INSURERS: XL Specialty Insurance Co. 1"37885 345 Richmond St. El Segundo, CA 90245 INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS INDICATED. CERTIFICATE r�rEXCLUSIONS dN R LTfd A IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH TYPE OF INSURANCE — — GENERAL LIABILITY X COMMERCIAL GENERAL CLAIMS - MADE °AL LI OBCCUR X� OF POLICIES, ADDL I-N$R X INSURANCE THE SUBR WvD X LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY INSURANCE AFFORDED BY THE LIMITS SHOWN MAY HAVE BEEN N POLICY UMBER 6803A484088 excludes claims arising out of the performance professional ISSUED TO CONTRACTOR POLICIES REDUCED POLICY E I MWDDWFY 0612212013 THE INSURED OTHER DOCUMENT DESCRIBED BY PAID CLAIMS, r POLICY EXP MMIIDGAdYYYY 06/22/2014 NAMED ABOVE FOR THE WITH RESPECT HEREIN IS SUBJECT TO LIMITS EACH OCCURRENCE 11 I'll 11 DAMAGE TO RENTED ce „ Eaoccurrenon) MED EXPS(A (Any one pers, PERSONAL &ADV INJURY . G RALAG11 AGGREGATE ....... �0 coMPoaaGG POLICY PERIOD TO WHICH THIS ALL THE TERMS, S1,,0 -9 0�000 $1 $1,000,000 UIDUO $1,000,000 s2_1000000 2 ,0 00,0 $2 000 O0 AGGREGATE LIMIT APPLIES LOC _ - _ . . SrVICeS. @ ............... ....... _ PRooucr.. .. .E,.N.E.._ ._,...,.,..,., a .......... ..... .....- -- A AUTOMOBILE LIABILITY X X BA4A049064 6/22/2013 06/22/2014 c'OMBINEDSIiNGL.E LIMIT (E efq0 n! 81,000,,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS _...... ......... .. BODILY INJURY (Per accident) $ X X NON -OWNED PROPER YY DAMAGE ...... $ " ................. �. HIRED AUTOS AUTOS -(Per accident,) ..... - -- -,. UMBRELLA LIAB _. UI EACH OCCURRENCE $ IAB EXCESS L. CLAIMS -MADE . _ AGGREGATE $ ....� i DED RETENTION 5 $ A ... _ , , , _... WORKERS COMPENSATION _ .,..,_ X , , , , , , ,,,,,,,,, , , , , , ,,,,,,,,,, , , , , , , ,,,,,,,,, , , , , , _. UB9984Y474 _.,.., , , , , , , ,..,..,.., , . 5/21/2013 , ,..,..,. ...... 051211201 n. „ ...... , , X we srATU OTH AND EMPLOYERS' LIABILITY .. TORY LIMIT a .. ER -__...... _... ANY PROPRIETOR /PARTNER/EXECUTIVE — E L EACH ACCIDENT $1,000,000 OFFICER /MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1 ,000 ,_000 If yes, describe under DESCRIPTION. OF OPE,RATIONS_beloW -_ —_._ --- 'E L DISEASE POLICYLIMIT $1,,000,000 B Professional DPS9692869 7/09/2012 07/091201 $1,000,000 per claim Liability $1,000,000 annl aggr, Claims Made $5,000 Ded per claim '.. DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: ESPD bathroom remodel. The City of El Segundo, its officials and employees are Additional Insured as respects to General Liability coverage as required by written contract. Coverage afforded the Additional Insured is Primary and Non - Contributory as respects to General Liability coverage. (See Attached Descriptions) City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Stephani Katsoulea ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S638571/M638559 TMN