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PROOF OF INSURANCE (2011) CLOSEDACC> ' O CERTIFICATE OF LIABILITY INSURANCE 02 02/08/2011 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, /08 /201YYY) 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 LIC #0660864 1- 925- 671 -5110 CONTACT Anne Young Argo Insurance Group, Inc. PHONE . _.... FAX flAIO 852 -0409 925-852-0459 2300 Contra Costa Blvd »1IfLExI)m,..925 ,.IC,..9).m E MAIL antte fax oinsurance.com _.......,.... ............. Suite 375 ...... PRODUCER Pleasant Hill, CA 94523 CUSTOMER ID #_ - ................ _-----,,,,,,,,,,,,- DAMS GaTl1 I�ENiI J _ INSURERS AFFORDING COVERAGE ___ _____ NAIC # INSURED INSURERA: TRAVELERS PROP CAS CO OF AMER .25674 Wave Communications Inc. INSURER„ ...,......._ . ......... ........... ., ..._ .... ......... _.._... ........ .. _ g: SOUTHERN INS CO 19216 ........ _ - - - -- _ .. P.O. Box 2306 INSUR.,..... E RC: E1 Segundo, CA 90245 INSURERD 00 INSURER E CLAIMS MADE I.,X.J OCCUR INSURER F : COVERAGES CERTIFICATE NUMBER: 19690050 REVISION NUMBER: 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. ILSR TYPE OF INSURANCE POLICY bt S R POLICY E'FF POLICY EXP .. — . ...... _ NUMBER iMMIDONYm MMdDDdYYYY LIMITS • GENERAL LIABILITY X 6807032M23409TIL 10 /01 /1 10 /01 /11 EACH OCCURRENCE $ 1,000,000 g DAMS GaTl1 I�ENiI J LIABILITY 00 CLAIMS MADE I.,X.J OCCUR ^Any persocn� _ ME EiXP one � PERSONAL & ADV INJURY $ 1,000,000 ,.: ........... ...... .._...... .,,.,..,,.,,.,....... GENERAL AGGREGATE $ 2,000,000 EN'L AGGREGATE G „_ ATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY PRO- LOC $ • - AUTOMOBILELIABILITY 6807032M23409TIL 10/01/1 10/01/11 COMBINED SINGLE LIMIT $INCLUDED (Ea accident) ANY AUTO - -- -' BODILY INJURY (Per person) $ ALL OWNED AUTOS ... ......... ............... ------ „.. ”- --� BODILY INJURY (Per accident) $ SCHEDULED AUTOS - - -- - PROPERTY DAMAGE $ X ,__.........., HIRED AUTOS (Per accident) X NON -OWNED AUTOS .......... ..,. -,,. , ..... ..._ ........ ...,,, .., ......... .......... ... $ ......... .._....__ A UMBRELLA LIAB X OCCUR CUP1183TO3209TIL 10 /01 /1 10/01/11 EACHOCCURRENCE — ............. $ 5,000,000 ...EXCESS LIAB CLAIM S -MADE ... _..._..__.. _ - ....... ... .v ....... AGGREGATE ..._...... ............ $5 000,000 DEDUCTIBLE$ _ ............. ......... � �,,, , , .... .................. RETENTION $ $ B WORKERS COMPENSATION WS10003066 -03 10 /01 /1 10 /01 /11 X I WCSTATU- OTH- AND EMPLOYERS' LIABILITY YIN. ... ,T,QRY..LI.MITS- - E,R....... ....... - .µ„�,........ ... ANY '"' -""'"' E L EACH ACCIDENT $ 000 OFFICER /MEMBER EXCLUDED? N/A Man detoPRIE NH) (Mandatory ) m F.L DISEASE - EAEMPLOYEE 1, 000 $ ,000 Y describe under �$ DESCRIPTION OF OPERATIONS below E L DISEASE EASE - POLICY LIMIT , 000 ,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Add'lOonal Remarks Schedule, If more space Is required) City of E1 Segundo, its officers, agents, officials and volunteers are Additional Insured per the language provided in the attached CGD247 0805. RE: Cabling & System work only. General Liability In rance is Primary per the language provided in the attached CGD037 0405. CERTIFICATE HOLDEV I CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segun THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE E1 Segundo, CA 90245 -3813 /�k ] -' USA V wLw.w� LMazza ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 19690050 POLICY NUMBER: I- 680- 7032M234- TIL -10 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 02 -07 -11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): CITY OF EL SEGUNDO 350 MAIN STREET EL SEGUNDO, CA CA 90245 -3813 PROJECT/LOCATION OF COVERS' OP RATIONS: PROJECT LIBRARY SKYPE ROO EL SEGUNDO, CA 1. WHO IS AN INSURED — (Section II) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury ", "prop - Schedule above, but: erty damage" or "personal injury" arising out a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any "property damage" or "personal injury"; and professional architectural, engineering or sur- b) If, and only to the extent that, the injury or veying services, including: damage is caused by acts or omissions of i. The preparing, approving, or failing to you or your subcontractor in the performance prepare or approve, maps, shop draw - of "your work" on or for the project, or at the ings, opinions, reports, surveys, field or- location, shown in the Schedule. The person ders or change orders, or the preparing, or organization does not qualify as an addi- approving, or failing to prepare or ap- tional insured with respect to the independent prove, drawings and specifications; and acts or omissions of such person or organiza- ii. Supervisory, inspection, architectural or tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to "bodily injury" or a) In the event that the Limits of Insurance of "property damage" caused by "your work" this Coverage Part shown in the Declarations and included in the "products- completed op- exceed the limits of liability required by a erations hazard" unless a "written contract "written contract requiring insurance" for that requiring insurance" specifically requires you additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that "written con- the additional insured applies only to such tract requiring insurance ". This endorsement "bodily injury" or "property damage" that oc- shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section III — Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage CG D2 47 08 05 © 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance ", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if a "written contract requiring insurance" for that ad- ditional insured specifically requires that this in- surance apply on a primary basis or a primary and non - contributory basis, this insurance is pri- mary to 'other insurance" available to the addi- tional insured which covers that person or organi- zation as a named insured for such loss, and we will not share with that 'other insurance ". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible 'other insurance ", whether pri- mary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional in- sured under such 'other insurance ". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: I. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the 'occurrence" or offense. b) If a claim is made or "suit" is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit ", cooperate with us in the investigation or settlement of the claim or defense against the "suit ", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit' to any provider of 'other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to 'other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. — DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 47 08 05 Insured: Wave Communications, Inc. Policy Term: 10 -1 -0 to 10 -1 -11 Policy #I6807032M234TIL10 Form CGD037 04/05 Page 1 of 1 THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE _ ADDITIONAL. INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), Paragraph 4. (Other Insurance), is amended as follows: I . The following is added to Paragraph a. Primary Insurance: However, if you specifically agree in a written contract or written agreement that the Insurance provided to an additional insured under this Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that Is available to such additional Insured which covers such additional insured as a named Insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which ooverage is sought occurs; and b. The "personal injury" or "advertising injury" for which coverage is sought arises out of an offense committed subsequent to the signing and execution of that contract or agreement by you. 2. The first Subparagraph (2) of Paragraph b. Excess Insurance regarding any other primary insurance available to you is deleted. 3. The following is added to Paragraph b. Excess Insurance, as an additional subparagraph under Subparagraph (7): That is available to the insured when the Insured is added as an additional insured under any other policy, including any umbrella or excess policy. CG DO 37 04 Ob prN= I Legal Notira 02008 The Travelers Companies, [no,