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PROOF OF INSURANCE (2011) CLOSEDClient#: 6242 RISKMANAG1 ACORDTM CERTIFICATE OF DATE (MMIDDNY) LIABILITY INSURANCE 03117111 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana, CA 92711-0550 714 427-6810 INSURERS AFFORDING COVERAGE ................. ............. . . . . . . . ............ . . . . . . ... INSURED . . . . . . . ........... . . . . ............. . INSURER A : T r Casualty u alt y Co o f A m aI vel e. r s Property Risk Management Professionals .. - - . ., .- ­ I N S UR E R 6 U . S. Spe cialty In s u r a n c e C o mp a n y 300 Goddard Way, #200 - I INSURER c: Tr avel e rs In Co. of Connect ic Irvine, CA 92618 ­ ............. URER 0: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ........... . . ........... . f-,isik LTR TYPE OF INSURANCE POLICY NUMBER ......... . . ....... . ............ POLICY EFFECTWE EXPIRATION DATE (MMfDDIYYI DATE (MM D LIMITS A GENERAL LIABILITY 68067071-6911 12111/10 12/11111 EACH OCCURRENCE A9401AP9 -- ---- - ------ X COMMERCIAL GENERAL LIABILITY General liability FIRE DAMAGE (Any one fire) $1 000000 CLAIMS MADE 14� 7X OCCUR excludes claims .................. - MED EXP (Any one person) $10,000 . ............ - rising out of the PERSONAL &AD INJURY ----- -------- performance of GENERAL AGGREGATE l?"900,900 GEN'L AGGREGATE LIMIT APPLIES PER: professional PRODUCTS - COIAP/OP AGG $2 OOQqqq.. P RO. I ,—I POLICY,E JECT ILOC services C . AUTOMOBILE LIABILITY BA67071­92A 12/11/10 12/11111 COMBINED SINGLE LIMIT $1 ANY AUTO (Ea accident) . .... 1000YO00 ..... ALL OWNED AUTOS BODILY INJURY $ .... ..... SCHEDULED AUTOS (Per person) — ------ .... . ............. ... .... ...... X HIRED AUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Per accident) ......................... . . ..... PROPERTY DAMAGE $ (Per accident) -GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS LIABILITY CUP7491RB18 12/11110 12/11/11 EACH OCCURRENCE­ $2,000.,000 XI OCCUR CLAIMS MADE Umbrella Form . . .. ........ AGGREGATE $2,000V000 1111­1 -­ -- -- -------------- Following Form $ ... . ................ - . ....... . ..... DEDUCTIBLE Excludes Prof 1. $ RETENTION $ Liability $ . ............... . .. ........... A WORKERS COMPENSATION AND UB7641Y390 X WC STATU- OTH- 11/12/10 11112/11 T J?ff I TO j JIMLT,j_ EL . . .. . ....... . . ................. ......... EMPLOYERS' LIABILITY E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT [ $1,000,000 B OTHER Prof 1. Liab USS1021207 12/11/10 12111/11 $1,000,000 per claim �Ialms Made $2,000,000 anni aggr. etro: 12/1111995 $35,000 Ded per claim DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: All Operations as pertains to named insured. CERTIFICATE HOLDER AODRIONALINSUREO: INSURER LETTER: CANCELLATION Tan Day NUtice fpr Non-PavWgnt of Prgmium SHOULD ANYOFTH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION City of El Segundo DATE THEREOF, THE ISSUING INSURER WIWXKXMX9M TO MAIL 30 DAYSWRITTEN Public Works Department NOTICE TOTH E CERTIFICATE HOLDER NAMED TOTH E LEFT,)WAXXXWXX9)00008MK Attn: Maryam M. Jonas, Principal Engineer 350 Main Street 29m, 19MMIMM El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97)1 of I #S281300/M277084 TMN ACORD CORPORATION 1988 Policy No. 6806707LG91 Insured: RICK MANAGEMENT PROFESSIONALS Effective Date: 12/11/10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART NAME OF PERSON(S) OR ORGANIZATION(S) City of El Segundo, its officials and employees ALL OPERATIONS OF THE INSURED A. The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury", 'property damage" or 'personal injury caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing oper- ations; b. In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products- completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services ". The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part, B. The following is added to Paragraph a, of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a contract or agreement requiring insurance that, for the addi- tional insured shown in the Schedule, the insur- ance provided to that additional insured under this CG D3 82 09 07 Page I © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission COMMERICAL GENERAL LIABILITY 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 the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury' for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury ", "property damage" or "personal injury' arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. D, The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional insured on this Coverage Part, provided that the "bodily injury' and "property damage" occurs, and the "personal injury' is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 Page 2 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services office Inc., with its permission