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PROOF OF INSURANCE (2013) CLOSEDCERTIFICATE OF LIABILITY INSURANCE I U�AT*E(„MM'DD -YYY) 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 policy(ies) 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)- PRODUCER CONTACT Diana $aln2 NAME: m_ L (949)281 2167E ...._ MPX Insurance Services, Inc. PHONE �'---- ° - - - ° °� FA% (949)334-5330 Arfz No 27121 Aliso Creek Road, Suite 130 E -MAIL Aliso Viejo, CA 92656 xmsurance.com ADDRESS, _ License #: OH49306 B_ _ SI .. FO : R-D- IN. G C- O_ V—ERA_G_ E N AIC # INSURED Signvertise Fl"N DBA Signvert ise 1301 S Pacific Coast Highway Redondo Beach, CA 90277 RER „e COVERAGES CERTIFICATE NUMBER, 00000032 -0 REVISION N6IMRER- 2A 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSed.. mm F INSURANCE Aba IY6 POLICY EFF_' .."___._ ....._ .. ...... .. ....... _...... TYPE 0...._ .............. ............................... . 'TR.. POLICY NUMBER POLICY E%P LIMITS A GENERA a LIABILITY Y N CBP8719075 09/26/2012 09/26/2013 EACH OCCURRENCE $ 1 000 OOQ X COMMERCIAL GENERAL LIABILITY .... TO RENTED . PREMISES Ea occurrence $mmmmmmmmmmmmmmmmm_100y000 CLAIMS-MADE ® OCCUR IVIED EXP Any one person) $ �IT5U000 ........... _. ...................... PERSONAL &ADV INJURY $ 1 000T0U0m,m, GENERAL AGGREGATE ()O0,099 GEN'LAGGREGATE: LIMIT APPLIES PER: ]­$ PRODUCTS - COMP /OP AGG $ X POIICY PRO- LOC .1�,OOOt000 $ B AUTOMOBILE LIABILITY Y N BA8718975 09/26/2012 09/2612013 BINS SIN IT CO�sL�o ........ 1..000 0 ANYAUTO ''. BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS """""....___. _...... BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE..... „PROPERe„q[j _.. $ $ UMBRELLA LIAB OCCUR Y N CU8719175 09/26/2012 09/26/2013 EACH OCCURRENCE $ 1,000,00 EXCESS LIAB X CLAIMS -MADE AGGREGATE ........... __ ........ $ 1,000,000 ;OFFICER/MEMBER DED RETENTION $ '.. $ RKERS COMPENSATION N 1965569 -11 10/20/2012 10/20/20/3 X WC STATU- OTH -' Y.Lt6T.3. D EMPLOYERS' LIABILITY YIN _,C, ....__.,.., ..............._. PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? NIA E.L. EACH ACCIDENT _ $ 1,000,00 (Mandatory in NH) E L. DISEASE - EA EMPLOYE $ 1 OOO OOO If yes describe under DESCRIPTION OF OPERATIONS below E.L, DISEASE- POLICY LIMIT ........... $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is named additional insured regarding general liability 4.. rE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE pp1�, THE EXPIRATION DATE THEREOF, NODESCRIBED CANCELLED EFORE CE WILL BE DELIVERED IN City of El Segundo Vii' 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) The ACORD name and logo are registered marks of ACORD Printed by DDS on December 04, 2012 at 05:34PM IN C General Liability #CBP8719075 Signvertise 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 The City, its officers, officials, employees, agents, and volunteers. Name Of Additional Insured Person(s) Or Orqanizatio City of El Segundo 350 Main Street El Segundo, CA 90245 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your Behalf. in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insured's, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 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 additional insured(s) at the location of the covered 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 contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 O Worker's Compensation #1965569 -11 Signvertise DBA Signvertise WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: WORKER'S COMPENSATION COVERAGE PART SCHEDULE Name of Person or Organization: City of El Segundo 350 Main Street El Segundo, CA 90245 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 Location of Covered Operations: above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 n: Location of Covered Operations: above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1