PROOF OF INSURANCE (2013) CLOSEDCertificate of Insurance
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❑ Vancouver 16th Floor, 1111 West Georgia Street, Vancouver, B.C. Canada V6E 4G2 Telephone: (604) 682 -4211 Facsimile: (604) 682 -3520
® Victoria 350 -4396 West Saanich Road, Victoria, B.C. Canada V8Z 3E9 Telephone: (250) 388 -4416 Facsimile: (250) 388 -9926
❑ Calgary Suite 400, 220 - 12th Avenue S.W., Calgary, Alberta Canada T2R OE9 Telephone: (403) 264 -8600 Facsimile: (403) 264 -8608
❑ Edmonton Suite 747, 10104 - 103rd Avenue., Edmonton, Alberta Canada T5J OH8 Telephone: (780) 421 -7188 Facsimile: (780) 421 -7717
❑ Surrey 201 - 10172 — 152A Street, Surrey, B.C. V3R 1J7 Telephone: (604) 583 -9800 Facsimile: (604) 583 -5777
Certificate Certificate No.: LATI003- 12 -17B
Holder: City of El Segundo
ATTN: City Clerk
350 Main Street
El Segundo, CA USA 90245 -0989
Description: All Operations of the Named Insured as Described in the Policy Declarations
Name of Insured: Latitude Geographics Group Ltd
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 or may be reduced by paid
claims /expenses.
Schedule of Insurance
Company and Policy
Type of Insurance Number Policy Dates Limit of Liability/Amount
General Liability Including Lloyd's Underwriters Effective 4- Sept -12 Bodily Injury and Property Damage
Non -Owned Auto Liability ESB03034789 Expiry 4- Sept -13 $5.000.000.00 Inclusive
$5,000,000.00 Aggregate with respect to
Products /Completed Operations
$5,000,000.00 General Aggregate
These statements have been made in good faith and are a summary of the insurance cover in force (which is subject to the
full terms and conditions of the policy). We accept no responsibility whatsoever for any inadvertent or negligent act, error or
omission on our part in preparing these statements or for any loss, damage or expense thereby occasioned to any recipient of
this certificate.
Particulars of Insurance
General Liability
0 Premises Property and Operations
Products and Completed Operations
Blanket Contractual (all written agreements)
Owners and Contractors Protective
Occurrence Bodily Injury and Property Damage
Personal Injury
Contingent Employers Liability
ZI Broad Form Property Damage
j� Employees as Additional Insured
Cross Liability
Indicates
Effective: November 14, 2012;1,, N
Terms and Conditions
Pollution Exclusion
Additional Insured: The City of El Segundo, its officers, officials,
employees, agents and volunteers, but only insofar as their legal
liability arises out of the negligent operations of the Named Insured, and
only with respect to the contracts entered into with the Named Insured
Provides Coverage for Claims arising from Use of Machinery and
Equipment attached to licensed construction machinery on Project Site
30 Days Notice of Cancellation TO THE CERTIFICATE HOLDER
Professional Liability Exclusion
Deductible --- 1 000.00
This certificate is issued for convenience only"'°"411 of the terms and conditions of the Policies referred to are contained in the original document which are not
modified or amended by this Certificate. With respect to Liability Insurance Coverages, where an Aggregate limit applies, the Certificate Holder is advised that
the limit shown may apply to products /completed operations or projects other than shown in this certificate and the limit may be reduced by Claims /Expenses
Paid.
Dated January 9, 2013
MP4 -92 Insurance & Surety Bonds /Business Life Insurance
Jardine Lloyd Thompson Canada Inc.
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Signed Kim Wood,
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Jardine Lloyd Thompson Canada Inc.
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Signed Kim Wood,
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ATTACHING TO POLICY
NUMBER: ESB03034789
THE INSURED: LATITUDE GEOGRAPHICS GROUP LTD
WITH EFFECT FROM: 04 Sep 2012
It is hereby understood and agreed that Principals are indemnified under this Policy as an
additional Insured, but only in respect of sums which they become legally obliged to pay (including
liability for claimants' costs and expenses) as a result of any claim arising solely out of any
wrongful act committed by you or accidental injury or damage in the course of your business
activities, provided that had a claim been made against you, then you would be entitled to
indemnity under this Policy.
When this clause applies it shall be primary and non - contributory to Principals' own insurance but
only if you and Principals have entered into a contract that contains a provision requiring this.
It is a condition precedent to indemnity under this clause that Principals shall prove to our
satisfaction that the claim arose solely out of your business activities.
Whilst Principals have been named under this Policy as an additional Insured, it is hereby noted
and agreed that any claim made by Principals against you shall be treated as if Principals were
a third party.
We shall also endeavour to provide 30 days notice of cancellation to Principals; however, not
doing so shall not place any additional liability upon us.
It is further understood and agreed that Principals are defined as follows:
County of Marin (Effective From: 22 Sep 2012)
3501 Civic Centre Drive
San Rafael, CA 94903
US
City of El Segundo (Effective From: 16 Nov 2012)
ATTN: City Clerk
350 Main Street
El Segundo, CA 90245 -0989
US
SUBJECT OTHERWISE TO THE TERMS AND CONDITIONS OF THE POLICY
Authorised Signatory
CFC Underwriting Ltd