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PROOF OF INSURANCE (2013) CLOSEDACORD- CERTIFICATE OF LIABILITY INSURANCE City of El Segundo - Public Works, 61DATE 1 812 01 3NYrn PRODUCER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,M3(jt91 j( THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates 350 Main St. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE K&4.� 1 na)p HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana, CA 92711 -0550 714 427 -6810 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Property Casualty Co 25674 AndersonPenna Partners, Inc. INSURER B: U.S. Specialty Insurance Compan 29599 20280 Acacia Street, #100 INSURER C: Newport Beach, CA 92660 _E INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �...._ ___........ LTA NL,. TYPE OF F I NSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DO/YX„- j DAT MM/ D LIMITS • GENERAL LIABILITY 68030521_77A 08/01/12 08/01/13 EACH OCCURRENCE $1,00 000 COMMERCIALGENERALLIABILITY General Liab. DAMAGE TO RENTED ������ ,.$1,000,000 CLAIMS MADE a OCCUR excludes claims MED EXP (Any one person) $10000 arising out of PERSONAL & ADV INJURY _ Po$1000 000 the performance GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: of professional PRODUCTS - COMP /OP AGG s2,000,000 C , POLICY X , P6 RO LOC services. • AUTOMOBILE LIABILITY BA30531_556 08/01/12 _ 08/01/13 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY CUP6874Y728 08/01/12 08/01/13 EACH OCCURRENCE $110001000 _X. OCCUR D CLAIMS MADE Umbrella Form AL GFEGA'rE $1 000,000 Excludes Prof'I $ DEDUCTIBLE Liability $ R.E.TENT'dR'.1N $ $ A '.. WORKERS COMPENSATION AND UB3708T659 06/01/13 06/01/14 X WC LIMIT 'OTH- '.. EMPLOYERS' LIABILITY �....._ EL, EACH ACCIDENT $1'000,000 ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE. $1,000000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT 1 $1,,00 0 B OTHER Professional USS1223133 08/01/12 08/01/13 $1,000,000 per claim Liability $2,000,000 annl aggr. Retro: 8/1/2005 $35,000 Ded. per claim DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: All operations as performed by the named Insured. City of El Segundo, its officials and employees are additional insured as respects to General Liability as required by written contract. Primary and Non - Contributing coverage applies to GL as required by written contract. CERTIFICATE HOLDER ACORD 25 (2001/08) 1 of 1 #S640624/M626881 RLL O ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of El Segundo - Public Works, DATE THEREOF, THE ISSUING INSURER WILL j(IbgMRRX§jMAIL 'I0_ DAYS WRITTEN Attn: Lifan Xu, P.E, NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,M3(jt91 j( Principal Civil Engineernaxx9sjaaaXr (I�(x(bNOjtstxRwax #'gtrs(tjtkIl 350 Main St. nxatlsxxoaxt►rjxx El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE K&4.� 1 na)p ACORD 25 (2001/08) 1 of 1 #S640624/M626881 RLL O ACORD CORPORATION 1988 AndersonPenna Partners, Inc. 68030521_77A 08/01/12 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products - completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily injury ", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a 'contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- C age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services ". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF after you have entered into that "contract or agreement requiring insurance ". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the coovriahted material of Insurance Services Office. Inc.. with its permission COMMERCIAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; . While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the copvriahted material of Insurance Services Office. Inc.. with its permission