Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
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