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PROOF OF INSURANCE (2012) CLOSEDACORD. CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONF'E'RS 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 AD,DI'TIONAL INSURED, the policy'(fes) 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 Ueu of such endorsement(s), PRODUCER TA I NAME: Chesapeake Insurance Services HONE $18.898, 43 jF_ AIC, No fix : tqd . ppa CA License: 0799383 �MA°i` DDRCS' 15501 5 F Mission Blvd., #300 PROt�eR SU Mission Hills, CA 91345 -1359 INSURER(S) AFFORDING COVERAGE INSURED _ INSURERA: Continenta Casmalt anCe Co, l Casua Nexus IS, Inc. INSURERS: Continental ' . 27202 West Turnberry Lane INSURER C: Continental Casualty Co. Valencia, CA 91355 INSURER D: American Casualty Co. of 8e Fax: 661,373.5976 INSURER l;: Continental Casualty Co.-- DATE (MMIDDIYYYY) 03/28/2011 818,898,1643 NA IC 4 20443 35_289 20443 20427 20443 INSURER F COVERAGES CERTIFICATE NUMBER: 11/12 (M) 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. NPn ADDL SDeR LTR TYPE OF INSURANCE INSR WrrD POLICYNUMBER POLICY aI PDDDT I is MM6D'DrYYYY, OWtMNDD1'YYYk' �. LIMITS GENERAL LIABILITY 40263218$8 01!09!2011 01/09/2012 OCCURRENCE $ 1.000.000, X COMMERCIAL GENERAL LIABILITY r� E r o IU�N �BEt(E_ 100 1 00 a CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5, 000 A PERSONAL 9 ADV INJURY $ 11000,000 GENERAL AGGREGATE S 2,000,000, GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO S 2 000, 000 POLICY X C LOC S AUTOMOBILE LIABILITY 402632191 01/09/2011 01109/2012 COMBINED SINGLE LIMIT $ X (Es accident) 1,000,000' ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS 0 BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON -OWNED AUTOS $ S UMBRELLA LIAR X OCCUR 40243280,2,1 10912011 01/09/2012 EACH OCCURRENCE S 9, 000,-9,00 EXCESS LIAB CLAIMS -MADE _ AGGREGATE �'' $ 9, 000-, aa DEDUCTIBLE $ RETENTION S $ 402632192 LIABILIITY 02!12!2011 02112!2012 OTH AND EMPWORKER YIN T Y LT tlX ANY PROPRI f'ORrPARTNER/E'XFCUT'IV'E E,L. EACH ACCIDENT $ 1 000,- 000', OPFICERIMEMBER EXCLUDED? NIA - - (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 00000 If yas, describe under DArdRIP ION OF OPERATIQNS below E.L. DISEASE - POLICY LIMIT S 1,000,000 Professional Liability 425293592'01!09!2011 01!09212 Aggregate Limit = $2,000,000 aSCRIP I ION OF UPbKAIIUNS 1 LOCATIONS I VEHICLES (Attnch ACDRD 101, Addltlonal Remarks Schedule, Ir mare space Is required) ty of E1 Segundo, its officers, officials, employees, agents and volunteers are listed as Iditional insured. Ie attached for AI status, ERTIFICATE HOLDER &__� CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE'W,ITH THE POLICY PROVISIONS, City of El Segundo""" attn: City Clerk 350 Main Street E1,Seaundo. CA 90245 -0989 '`"'" ©1'9'88 0 ,9 ACORD 3ORD 25 (2009109) The ACORD name and logo are registered marks 3 CORD reserved. CNAInsured: Nexus IS, Policy #: 40263218 G- 144294 -C99 (Ed. 12/06) THIS ENDORSEMENT CHANGES OLICY, PLEASE READ iT CAREFULLY. TECHNOLOGY GENERAL LIABILITY EX'T'ENSION ENDORSEMENT This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Coverage afforded under this exienslon of coverage endorsement does not apply to any person or organization covered as an additional insured on any other endorsement now or hereafter attached to this Coverage part. 1. ADDITIONAL INSURED — BLANKET VENDORS or used as a container, part or WHO IS AN INSURED (section 11) Is amended to ingredient of any other thing or substance by or for the vendor, or Include as an additional Insured any person or organ €zadon (referred to below as vendor) with %vhom you agreed, because of a written contract or agreement to provide insurance, but only with respect to "bodily injury" or "property ,damage" arising out of "your products" which are distributed or sold In the regular course of the vendor's business, subject to the following additional exclusions: 1. The Insurance afforded the vendor does not apply to: a. "Bodily injury" or "property damage" for which the vendor Is obligated to pay damages by reason of the assumption of Ilabillty in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have In the absence of the contract or agreement; b. Any express warranty unauthorized by - you; c, Any physical or chemical change In the product made Intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under Instructions from the manufacturer, and then repackaged in the original container; e. Any failure to make such Inspections, adjustments, tests or servicing as the vendor has agreed to malce or normally undertakes to make in the usual course of business, In connection with the distribution or sale of the products; f. Demonstration, Installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled G- 1442x4 -C99 (Ed. 12J06) h. "Bodily Injury" or "property damage" arising out of the sole negligence of the vendor for Its own acts or omissions or those of Its employees or anyone else acting on Its behalf. However, this exclusion does not apply to: (1) The exceptions contained in Subparagraphs d. or f.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to maize in the usual course of business, In connection with the distribution or sale of the products. 2. This insurance does not apply to any Insured person or organization, from whom you have acquired such products, or any Ingredient, part or container, entering into, accompanying or containing such products, 3. This provision 1. does not apply to any vendor Included as an insured by an endorsement issued by us and made a part of this Coverage Part. 4. This provision 1. does not apply If "bodily injury" or "property damage" included within the "products - completed operations hazard" is excluded either by the provisions of the Coverage Part or by endorsement. 2. MISCELLANEOUS ADDITIONAL INSUREDS WHO iS AN INSURED (Section 11) Is amended to Include as an insured any person or organization (called additional Insured) described in paragraphs 2.a, through 2.11. below whom you are required to add as an additional insured on this policy under a written contract or agreement but the written contractor agreement must be: 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the "bodily Injury," "property damage" or "personal injury and CMA G- 114294 -C99 (Ed. 12106) advertising Injury," but only the following () This Insurance applies only with persons or organizations are additional respect to the fotlowing hazards for Insureds under this endorsement and which the state or political coverage provided to such additional subdivislon tees Issued a permit in Insureds Is limited as provided herein: connection with premises you own, a. Addltlonal Insured —"Your Work" rent, or control and to which this Insurance applies; That person or organization for whom you do work is an additional insured (a) The existence, maintenance, solely for liability due to your negligence repair, construction, erection, or specifically resulting from "your work" removal of advertising signs, awnings, canopies, cellar for the additional Insured which is the subject of the. written contract or written entrances, coal holes, agreement. No coverage applies to driveways, manholes, marquees, ha[staway openings, liability resulting from the sole negligence of the additional Insured, sidewalk vaults, street banners, or decorations and similar The Insurance provided to the additional exposures; or Insured is limited as follows: (b) The construction, erection, or (1) The Limits of Insurance applicable removal of elevators; or to the additional insured are those specified In the written contract or (2) This insurance applies only with written agreement or in the respect to operations performed by you or on your behalf for which the Declarations of this policy, whichever Is less, These Limits of state or political subdivision has Insurance are inclusive of, and not issued a permit. In addition to, the Limits of This Insurance does not apply to "bodily Insurance shown In the Injury," "property damage" or "personal Declarations, and advertising Injury" arising out of (2) The coverage provided to the operations performed for the state or munlclpality. additional insured by this paragraph. 2.a,, does not apply to c, Controlling Interest "bodily. Injury" or "property damage" arising out of the "products- Any persons or organizations with a completed operations hazard controlling interest in you but only with respect to their liability arising out of: unless; (a) It is required by the written (1) Their financial control of you; or contract or written agreement; (2) Premises they own, maintain or and control while you lease or occupy (b) "Bodily injury" or "property these premises, damage" included within the This insurance does not apply to "products - completed operations structural alterations, new construction hazard" is not excluded either and demolition operations performed by by the provisions of the or for such additional Insured. Coverage Part or by endorsement d. Managers or Lessors of Premises (3) The Insurance provided to the A manager or lessor of premises but only with respect to liability arising out of additional Insured does not apply to „bodily injury," "property damage," tile ownership, maintenance or use of or "personal and advertising injury" that specific part of the promises leased arising out of the rendering or to you and subject to the following additional exclusions: failure to render any professlonal services. This insurance does not apply to: b. State or Political Subdivisions (1) Any "occurrence" which takes place A state or political subdivision subject to after you cease to be a tenant in the following provisions: that premises; or G- 141294 -1399 (Ed. 12106) (2) Structural alterations, new construction or demolition opeMtlans performed by or on behalf of such additional insured. a. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by You. This insurance does not apply to structural alterations, new construction or demolition operations performed by or for such additional Insured. f, Owners /Other Interests -- Land is Leased An owner or other interest from whom land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the land leased to you and subject to the following additional exclusions: This insurance does not apply to: (1) Any "occurrence" which tapes place after you cease to lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured, g. Co -owner of insured Premises A co -owner of a premises co -owned by you and covered under this Insurance but only with respect to the co- owners liability as co -owner of such premises. h. Lessor of Equipment Any person or organization from whom you lease equipment Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ands when their written contract or agreement with you for such leased equipment ends. With respect to the Insurance afforded these additional insureds, the following additional exclusions apply: G-144294•C99 (Ed. 12106) G -1 X14294 -Cgg (Ed. 12/06) This Insurance does not apply: (1) To any "occurrence" which takes place after the equipment lease expires; or (2) To "bodily injury, " "property damage, " or "personal and advertising injury':' arising out of ti'l sate negligence of such additional Insured. Any Insurance provided to an additional insured designated under paragraphs b. through h. above does not apply to "bodily Injury" or "'property damage" Included within the "products-completed operations hazard." As respects the coverage provided under this endorsement, Paragraph 4.b. SECTION IV — COMMERCiAL GENERAL LIABILITY CONDITIONS Is deleted and replaced with the following: 4. Other Insurance b. Excess Insurance This Insurance is excess over. Any other Insurance naming the additional Insured as an Insured whether primary, excess, contingent or on any other basis unless a written contract or agreement specifically requires that this insurance be either primary or primary and noncontributing. Where required by written contract or agreement, we will consider any other insurance maintained by the additional insured for injury or damage covered by this endorsement to be excess and noncontributing with this Insurance. 3. NEWLY FORMED OR ACQUIRED ORGANIZATIONS Paragraph 3,a. of Section 11— Who is An Insured Is deleted and replaced by the following: Coverage under this provision is afforded only until the end of the policy period or the next anniversary of this policy's effective date after you acquire or form the organization, whichever is earlier. 4. JOIN' VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANY COVERAGE A. The following is added to Section It — Who Is An Insured; 4. You are an insured when you had an interest in a Joint venture, partnership or limited liability company which terminated or ended prior to or during this policy period but only to the extent of your Interest in such Insured; Nexus IS, Inc. G- 144294 -Cgg CNAPolicy #: 4026321888 (Ed. 12!06) THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. TECHNOLOGY GENERAL LIABILITY EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered as an additional Insured on any other endorsement now or hereafter attached to this Coverage Part. 1. ADDITIONAL INSURED —BLANKET VENDORS or used as a container, pail. ui ingredient of any other thing or WHO IS AN INSURED (Section 11) is amended to substance by or for the vendor; or Include as an additional Insured any person or organization (reterred to below as vendor) with whom you agreed, because of a written contract or agreement to provide insurance, but only with respect to "bodily Injury " or "property damage " arising out of "your products " which are distributer) or sold In the regular course of the vendor's business, subject to the following additional exclusions; 1. The Insurance afforded the vendor does not apply to: a. "Bodily Injury" or "properly damage" for which the vendor Is obligated to pay damages by reason of the assumption of Ilabllity in a contract or agreement. Tide ekc uslon does not apply to liability for damages that the vendor would have In the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change In the product made Intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of Inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. Any failure to snake such Inspections, adj'ustrnents, tests or servicino as the vendor has agreed to make or` normally undertakes to make In the usual course of business, In connection with the distribution or sale of the products; f. Demonstration, installation, servicing or repafr operations, except such operations performwd at the vendor's premises in connection with the sale of the product; g, Products which, after distribution or sale by you, have been labeled or relabeled h. "Bodily injury' or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of Its employees or anyone else acting on Its behalf. However, this exclusion does not apply to; (1) The exceptions contained in Subparagraphs d. or f.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or nnrmally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. 2. This insurance does not apply to any Insured person or organization, from whom you have acquired such products, or any Ingredient, part or container, entering into, accompanying or contalnIng such products, 3. This provision 1. does not apply to any vendor Included as an insured by an endorsement issued by us and made a part of this Coverage Part. 4. This provision 1. does not apply If "bodily injury" or "property damage " included within the "products - completed operations hazard" is excluded either by the ,provisions of the Coverage Part or by endorsement. 2. MISCELLANEOUS ADDITIONAL INSUREDS WHO IS AN INSURED (S ctlon I1) is amended to Include as an Insured any person or organization (called additional Insured) described in paragraphs 2.a. through 2.1r. below whom you are required to add as an additional Insured orM this policy under a written contract or agreement but the written contract or agreement must be: 1. Currently in affect or becoming effective during the term of this policy; and 2. Executed prior to the "bodily Injury," "property damage" or "persnnal injury and G- 144294 -099 (Ed. 12!06) City of El Segundo, its officers, officials, employees, agents and volunteers PDF created with IJdfFactory trial version www.r)dffactorv.com G- 144294 -C99 CNA(Ed. 12106) advertising injury," but only the following (1) This insurance applies only with persons or organizations are additional respect to the following hazards for Insureds under this endorsement and which the state or political coverage provided to such additional subdivision has issued a permit in insureds is limited as provided herein; connection with premises you own, a. Additional Insured — "Your Work" rent, or control and to which this insurance applies: That person or organization for whom (a) The existence, maintenance, you do work is an additional insured repair, construction, erection, or solely for liability due to your negligence removal of advertising signs, specifically resulting from "your work" awnings, canopies, cellar for the additional Insured which is the entrances, coal holes, subject of the written contract or written driveways, manholes, agreement. No coverage applies to marquees, holstaway openings, liability resulting from the sole sidewalk vaults, street banners, negligence of the additional Insured, or decorations and similar The Insurance provided to the additional exposures; or Insured is limited as follows; (b) The construction, erection, or (1) The Limits of Insurance applicable removal of elevators; or to the additional insured are those (2) This Insurance applies only with specified in the written contract or respect to operations performed by written agreement or In the you or on your behalf for which the Declarations of this policy, state or political subdivision has whichever is less, These Limits nf Issued a permit. Insurance are inclusive of, and not in addition to, the Limits of This insurance does not apply to "bodily Insurance shown in the injury," "property damage" or "personal Declarations. and advertising injury" arising out of operations performed for the state or (2) The coverage provided to the munlcfpallty. additional insured by this paragraph. 2.a., does not apply to c. Controlling Interest "bodily Injury" or "property damage" "products- Any persons or organizations with a arising out of the completed operations hazard controlling interest In you but only with unless: respect to their liability arlsing out of (a) it is required by the written (1) Their financial control of you; or contract or written agreement; (2) Premises they own, maintain or and control while you lease or occupy (b) "Bodily injury" or "property these premises, damage" Included within the This Insurance does not apply to "products- completed operations structure] alterations, new construction hazard" is not excluded either and demolition operations performed by by the provisions of the or for such additional insured. Coverage Part or by d. Managers or Lessors of Premises endorsement. (3) The insurance provided to the A manager or lessor of premises but only with respect to Iiability arising out or additional Insured does not apply to the ownership, maintenance or, use of "bodily Injury," "property damage," or "personal and advertising injury" that specific park of the premises leased arising out of the rendering or to you and subject to the following failure to render any professional additional exclusions: services. This insurance does nut apply to: b. State or Political Subdivisions (1) Any "occurrence" which takes place A state or political subdivision subject to after you cease to be a tenant in the following provisions: that premises; or G- 144294 -C99 (Ed. 12106) PDF created with r)dfFactory trial version www.t)dffactorv.com G- 144294 -C99 (Ed. 12106) (2) Structural alterations, new This insurance does not apply: construction or demolition (1) To any "occurrence" which takes operations performed by or or behalf of such additional insured. place after the equipment lease expires; or e. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This Insurance does not apply to structural alterations, now construction or demolition operations performed by or for such additional Insured. f. Owners /Other Interests -- Land Is Leased An owner or other Interest from whom land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the land leased to you and subject to the following additional exclusions: This insurance does not apply to; (1) Any "occurrence" which takes place after you cease to lease that land; or (2) Structural alteratlons, new construction or demolition operations performed by or on behalf of such additional insured. g. Co -owner of Insured Premises A co -owner of a premises cc -owned by you and covered under this Insurance but only with respect to the co- owners liability as co -owner of such premises. h. Lessor of Equipment Any person or organization from whom you lease equipment Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment Ceased to you by such pprsnn or organisation, A ,person's or organization's status as an Insured under this endorsement ends when thelr written contract or agreement with you for such leased equipment ends, With respect to the Insurance afforded these additional insureds, the following additional exclusions apply: G- 144294 -C99 (Ed. -12J06) (2) To "bodily injury," "property damage," or "personal and advertising injury" arising out of the sole negligence of such additional insured. Any insurance provided to an additional insured designated under paragraphs b. through h. above does not apply to "bodily injury" or "property damage" included within the "products-completed operations hazard." As respects the coverage provided under this endorsement, Paragraph 4.15. SECTION IV — COMMERCiAL GENERAL LIABILITY CONDITIONS Is deleted and replaced with the following; 4. Other Insurance b, Excess Insurance This insurance is excess over: Any other Insurance naming the additional insured as an insured whether primary, exceee, contingent or on any other basis unless a written contract or agreement specifically requires that this insurance be either primary or primary and noncontributing. Where required by written contract or agreement we will consider any other insurance maintained by the additional insured for injury or damage covered by this endorsement to be excess and noncontributing with this insurance. 3. NEWLY FORMED OR ACQUIRED ORGANIZATIONS Paragraph 3.a. of Section Ii — Who Is An Insured is deleted and replaced by the following: Coverage under this provision is afforded only until the and of the policy period or the next anniversary of this policy's effective dale after you acquire or form the organization, whichever is earlier. 4. JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANY COVERAGE A. The following is added to Section iI — Who Is An Insured: 4. You are an insured when you had an interest in a. joint venture, partnership or limited liability company which terminated or ended prior to or during this policy period but only to the extent of your interest in such PDF created with odfFactory trial version www.r)dffactorv.com