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PROOF OF INSURANCE (2014) CLOSED.4CC)Mbf CERTIFICATE OF LIABILITY INSURANCE NAM THIS CERTIFICATE If ISSUED A$ 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(% AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IINPORTANT: If the avilksto hoadsr Is on ADDITIONAL INSURED, " polNey(Iss) must be *ndomod, N SUSROGAT'IOf+N IS WAIVED, sub)sat to the tonne and conditions of the Policy, caMn pollcMs may noire an sndsnsn ant, A statsmsnt on this osrtlAeab doss not confer tights to the In Ilsu of such sndom montitL PRODUCER TRI WORLD INSURANCE AGENCY INC 4500 Campus Drive # 670 Newport Beach, CA 92660 -1830 INSURED MARX BROS. FIRE EXTINGUISHER CO. & COOK FIRE EXTINGUISHER, A DIV. OF MARX 1159 SOUTH SOTO LOS ANGELES, CA 90023 o M . REVISION w wucr 10833 22314 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, MR LTR TYPE OF INSURANCE POLICY NUMBER iFF / LIMITS GENERAL LIABILITY EACH OCCURRENCE $ n PRMI S p 0 X cowmcm GENERAL LIABILITY CLAIMS -MADE � OCCUR MEO EXPAn o n) S PERSONAL& ADV INJURY S 110001000 A CCP 000525080 -01 03/26/13 03/26/14 $5900_Ded /Occ GENERAL AGGREGATE . s 2 000 000 CEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS • COMP/OP AGG s 21000,000 POLICY X. LOC S AUTOMOBILE LIABILITY Ee spC9 ANYAVTO BODILY INJURY (Pa Pawn) S ALL OWNED AUTOS LED BODILY .._Y ( INJURY (Pa eocid— $ HIRED AUTOS NON -OWNED AUTOS Pa 1 S s - UMBRELLA LIAS X OCCUR NHA230714 03/26/13 03/26/14 EACH OCCURRENCE s 4,000j000 AGGREGATE a 4,000,000 B EXCESS LIAR CLAIMS -MADE PRODUCTS OPS s 4 000 000 DIED I i RETENTION (c WOR)MRS COMPENSATION OTH X �. AND EMPLOYER& LIABILITY AW PROPRETORPARTNEREXEOUrIVE �"" �. CPCA16804 02/18/13 02/18/14 E.L. EACHACCIDENr ' x_1.000,000 C OWN)ERURIBER EXCLUCEOO Y Piwarory In Pit" NSA E,L, DISEASE - EA EMPLOYE S 1 000 000 DES RIPTIOM O OPERATIONS below El DISEASE • POLICY' LIMIT i 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (Agech ACORD 101, AWW" Remarks SdwduAs, N more spas Is required) ALL OPERATIONS - SERVICE AGREEMENT CITY OF EL SEGUNDO, ITS EMPLOYEES, REPS, OFFICERS AND AGENTS ARE ADDITIONAL INSURED PER ATTACHED ENDORSEMENTS. WORK COMP WAIVER OF SUBROGATION ENDORSEMENT ATTACHED, THIRTY (30) DAYS NOC APPLIES TO ALL LISTED POLICIES. CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN CITY CLERK THE EXPIRA ON DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 MAIN STREET, ROOM 5 ACCORDANCjr THE POLICY PROMS S. EL SEGUNDO, CA 90245 -3813 AUTHORIZED SENTA r 0 1988 -2010 ACORD CORPORATION. All rights reserved. ar,rwn,me7ninimN Tho at^nan name and I^nn arm rAw4W*rarM rnartre rvf artrlpn JAMES RIVER INSURANCE CO, COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LEASEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF EL SEGUNDO, ITS EMPLOYEES, REPS, OFFICERS AND AGENTS RE: ALL OPERATIONS (If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II - Who Is An Insured Is amended to Include as an Insured the person or organization(s) shown in the Schedule, but only with respect to liability for "bodily Injury" or "property damage" caused, In whole or In part, by "your work" at the location designated and described In the schedule of this endorsement performed for that additional Insured and Included in the "products - completed operations hazard ". PRIMARY INSURANCE CLAUSE: To the extent that this insurance Is afforded to any additional insured under this policy, such insurance shall apply as primary and not contributing with any insurance carried by such additional insured, as required by written contract. a CG 20 37 07 04 C) ISO Properties, Inc., 2000 Page 1 of 1 JAMES RIVER INSURANCE CO. COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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: CITY OF EL SEGUNDO ITS EMPLOYEES, REPS, OFFICERS AND AGENTS RE: ALL OPERATIONS A. Section 11— Who Is An Insured is amended to include as an insured any 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. S. With respect to the insurance afforded to these additional insureds, the following additional exclusions applies: 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. PRIMARY INSURANCE CLAUSE: To the extent that this insurance is afforded to any additional insured under this policy, such insurance shall apply as primary and non contributory with any insurance carried by such additional insured, ad required by written contract. �j ya�r CG 20 10 07 04 ®ISO Properties, Inc., 2004 Page 1 of 1 COMPANION PROPERTY & CASUALTY Policy Number: CPCA16804 Policy Period: 02/18/2013 TO 02/18/2014 Named Insured: MARX BROS FIRE EXTINGUISHER CO., INC. The Information above is required only when this endorsement is issued subsequently to preparation of the policy. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work described In the Schedule. The additional premium for this endorsement shall be 3% of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION CITY OF EL SEGUNDO ATTN: CITY CLEARK 350 MAIN STREET, ROOM EL SEGUNDO, CA 90245 -3813 This endorsement changes the policy to which It is attached and Is effective on the date issued unless otherwise stated. PRODUCER: TRI -WORLD INSURANCE AGENCY, INC. WC 04 03 06� � .