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PROOF OF INSURANCE (2013) CLOSEDDATE (MMiDDfYYYY) ACORD INSURANCE E 1 1 /13/201 2 TM CERTIFICATE OF IN U PRODUCER 818 247 485$ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Stepan Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE p 9 Y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 450 N Brand Blvd 6th Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Glendale , CA 91203 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: ASSOCIATED INDUSTRIES INS. CO Karabuild Development, Inc. INSURERB TRAVELERS INSURANCE 17337 Ventura Blvd #215 INSURERc GRANITE STATE INS. CO Encino, CA 91316 INSURER D INSURPwR COVERAGES TIME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED -TO 714E INSURED NAMED ABOVE FOR 'THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM DR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF=ICA'T'E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE=IN IS SUBJECT TO ALL. THE TERMS, EXCLUSIONS AND CONDiTIC)N OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADD 'L POLICY NUMBER POLICYEFF'ECTIVE PA� LICYFXPPRATION w�..,m. _.�._. -� h�.I��L.,....�+Wx.T • tl�'M1�1�r�__._�.. LIMITS� GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000 A COhhMFFYCIAI GEIVE.RALLIABII._ITY DAMAGE TO REN rEI.T PRFMISES(Eiarcurence) $100,000 (A.AIMSMAADE: v/ ocCUR M FDFXP(Anycmepaexrsan) S 10,000 AES102484000 11/16112 11/16113 PERSONAL BADVINJURY $ 1,000,000 GENFRAL.AGG;IREGATE $ 2,000,000 Y' wlli' r: Y4 1 AGGREGATE. LIMIT AP'P'LIE.' I'll:: R' PRODUCTS - COMP/OP AGG $ 1,000,000 'f'TM) ... P�JIIII.Y +L� -. ..- .rv_,.$.1,000.000�; A UTO MOBILE LIABILITY C G,uIk.A'Fa91`A ll_:ID ,�UIIIOI -E:: d..0 IVIU U (L-a ac:r denrU V/ ANY AUI O ALL (: wHEn Au ros B ` BODILY $ (Per Petrti ri) SCHEDUI.EDAU103 V( HIREDAU10S BA- 8035R21A 08/24/2012 08124/2013 BODILY INJURY $ (Per accident) NON- OAINE.D AU'ros PROPERTY DAMAGE $ (Pe,r accideni) GARAGE LIABILITY AUTOONLY- EAACCIDENT $ ANYAUIO OTFIERTHAN EAACC $ AUTOONLY: AGO .��,M...,.». ._..�.�,,.._.. I, �..,......... -_. ,.a �.. , .e..w__.....,..,,._..,,..,.... - -,._._.�.... EXCE S SAPMBR ELLA k. I AB ILI TY .._....�,�.m EACH (JCCURRE NCE OCCUR. CLAIMAS WADE I AGGREGA'TF. b DEDUCTIBLE � _ .. tlI1'CP„tdTIGN WORKERS COMPENSATION AND + ¢ V d TORY gTAIIIJ III LiMiTt, E",R .,.... _.._ ..... G. DMPI OYLR'a 19ABII.UTY E t EACH AQ'CIDFNY 001631708 09/30/2012 09/30/2013 $ 1,000,000 ANY PIZOPRIETORIPA [ITNERtEXFG,vnVE- EI_ DISEASE- EAEMAPLOYEE. S 1,000,000 (1(F IG. ;LR/aVFP.ARF.R EXCLUDED? d4) r.9r' cruNcoartids� F U I7IrP,f«,„ ' OTHER D ESC RIPTIONOF0PE RATIO NSILOCATIONSIVEHICLESIEXCLUSIONSADDEDBYENDORSEM ENT ISPECIALPROVISI N THE CITY, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED. PROJECT: RSI 12 -09, Group 46 *10 days for nonpay, 30 days for all other. THIS INS[ IRAN('F IS PRIMARY AND NON - CONTRIBUTORY CERTIFICATE HOLDER CITY CLERK CITY OF EL SEGUNDO 350 MAIN STREET EL SEGUNDO, CA 90245 ;ANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL .30 _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, AUTHORIZED REPRESENTATIVE Albert Stepan ACORD 25 (2001!08) _ @ AGORP CIORP'ORAT'ICIN 1988 COMMERCIAL GENERAL LIABILITY CG 2010 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL. LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: As required by written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations per- formed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added 2. Exclusions This insurance does not apply to "bodily inju- ry" or "property damage" occurring after'. CITY CLERK CITY OF EI, SEGUNDO 350 MAIN STREET EL SEGUNDO, CA 90245 (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured(s) at the site of the cov- ered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project. THE CI "I'Y, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGF,NTS AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED. CG 20 1010 01 © ISO Properties, Inc., 2000 Page 1 of 1 0 COMMERCIAL GENERAL LIABILITY NX GL 009 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE (THIRD-PARTY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Third Party: All persons or organizations where required by written contract with the Named Insured As required by written contract is endorsement apply as 'ience specifically named Third Party above means that the provisions of th required by written contractual agreement with any Third Party for whom you are performing work.) Paragraph 4. of SECTION IV: COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following.- 4. Other Insurance: With respect to the third Party shown above, this insurance is primary and non-contributing. Any and all other valid and collectable insurance available to Such Third Party in respect of work performed by you under written contractual �,Iqreemenlls with said Fhlird Party for loss covered by this policy, shall in no instance be (,',,onsidered as prin'IWY, Go- insurance„ or rontributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. CITY CLERK CITY OF El. SE'GUNDO 350 MAIN STRFIFT EL SEGUNDO, CA 90245 THE CITY, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAME-[) As ADDITIONAL INSURED. NX GL 009 08 09 Page I of 1 Includes copyrighted material of Insurance Services Office, Inc,, with its permission POLICY NUMBER:AES102484000 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 0111110111111 W317 PIP IT1,111TI10 1&1=11111111 I I I I I I I I I I I I I I I I I I I I I I I I I I I 1: 11 1 1 11 1 111 11 R. COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: As required by written contract Information reauired to cornlAete this Schedule, if not shown above, will be shown in the Declarations The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or daninge arjsijlq out of your ongoing operations or, your work" (lone under a contract with that person or organi7ation, and included in the "prodUCtS- compfeted operations nazard" This waiver applies only t(,!) the person or organy zatson shown in the Schedule above, (,'I IN CL ERK. (ITY 0 F F. L S FG 1. 1 N 11) 0 350 MAIN STIZFE'l F1, SF,GUNDO, C.A. 90245 THF. CITY, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED CG 24 04 05 09 @ Insurance Ser ,ices Office, Inc, 2008 Page 1 of 1 ❑ ppgopgI 111�11 I !III I 1 1 11111 11 W of the WO 00M, bted w0rkOrs GOM, RenS900,111 Prblmlufll: WC 04 03 61 Cpun terslovadbY ,(Ed, 14/90) Authoft-o.,d R""Mative