PROOF OF INSURANCE (2008) CLOSEDClient #: 6540 WILLDAN
X01i°N"' A TM CERTIFICATE OF LIABILITY INSURANCE 29 /7
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dealey, Renton & Associates „ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Santa Ana, CA 92711 -0550
714 427 -6810 INSURERS AFFORDING COVERAGE
INSURED ........................................................._..............................................._. ........_.............wsuRERma. Zurich American Insurance ITCo.
..........._.................
Willdan INSURER B: American Automobile_ Ins. Co.
2401 E. Katella Avenue, Ste. 300 INSURER c: XL Specialty Insurance Co. ...... . ...........................�
Anaheim, CA 92806 - -.... - - - -.- - -- - -- ... - - - -- ...... _....
INSURER D
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.
INSR
LT
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF ECT IVE
POLICY EXPIRATION
N
LIMITS
EACH OCCURRENCE
$tpq 1000_1
•
GENERAL LIABILITY
GL0904316302
11/09/07
11/09108
X COMMERCIAL I
O
DAMAGE fire)
$10.0 0O,OpO
CLAIMS MADEER X
OCCUR
INDP. CONTRACTORS
(Any one pone
MED person)
... �..._
$10 00
ACT't1AL...._
X t.I�llfli.. ....
INCLUDED
PERSONALSADVINJURY
$1 Ot 00000
X BI',�"PD XCt„I
..,. ..�..t_.,,�,�:....,._._..._.... _W.___.... _
GENERA „wum
_....�.......,L AGGREGATE _......
$2x000 000_,
GEN'LAGGREGATE LIMITAPPLIES PER:
PRODUCTS - COMP /OP AGG
s2,000,000
POLICY( PRO -
T, X LOC
•
AUTOMOBILE
LIABILITY
BAP904316202
11/09/07
11/09/08
COMBINED SINGLE LIMIT
X
ANY AUTO
(Ea accident)
$1,000,000
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
X
HIRED AUTOS
BODILY INJURY
$
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
.� ANY AUTO
OTHER THAN EA ACC
$ v
AUTO ONLY: AGG
$
LIABILITY LIABIL
EACH OCCURRENCE
RE
$
OCCUR CLAIMS MADE
�
AGGREGATE
$
DEDUCTIBLE
$
RETENTION $
$
B
WORKERS COMPENSATION AND
WZP80955114
11/09107
11/09/08
X We sTATU- oTH-
O.I�.Y L.IdY1LT. Fes...
—.. -----
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
1_1,000,000
E.L. DISEASE - EA EMPLOYEE
_, - -.- _ -, _ °
$1,000,000
„_. ..........,,.. ...._ _ - -
El, DISEASE - POLICY LIMIT
$1,000,000
C OTHER Professional DPR9609216 11/09/07 11/09/08 $1,000,000 per claim
Liability $1,000,000 annl aggr.
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
General Liability policy excludes claims arising out of the performance of professional
services.
Re: Provide permit processing and other planning services
City of El Segundo, its officials and employees are additional insured as
(See Attached Descriptions)
W
City of El Segundo
Director of Planning and Building Safety
350 Main Street
El Segundo, CA 90245
SHOULD ANYOFTH EABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WlKXWKKA (qpX TO MAIL 30 DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, k
TIVE
ACORD 25 -S (7/97)1 of 2 #M208547 RILL O ACORD CORPORATION 1988
DESCRIPTIONS (Continued from Page 1)
respects to General Liability as required by written contract.
Primary and Non - Contributing coverage applies to GL as required by written
contract.
(GL- AI /PR)
(Industry)
AMS 25.3 (07/97) 2 of 2 #M208547
Additional Insured — Automatic - Owners, Lessees Or ZURICH
Contractors - Broad Form
Polic No.
Eff. Date of Pol
Ex . Date of Pol
Eff. Date of End
Producer
Add'1 Prem.
Return Prem.
GL0904316302
11/09/07
11/09/08
11/09/07
Dealey,Renton
$ N/A
$ N/A
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
A. WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization whom you are required
to add as an additional insured on this policy wider a written contract or written agreement.
B. The insurance provided to additional insureds applies only to "bodily injury", "property damage" or "personal and advertis-
ing injury" covered under Section I, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and
Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY, but only i£
1. The "bodily injury" or "property damage" results from your negligence; and
The "bodily injury", "properly damage" or "personal and advertising injury" results directly from:
a. Your ongoing operations; or
b. "Your work" completed as included in the "products- completed operations hazard', performed for the additional
insured, which is the subject of the written contract or written agreement.
C. However, regardless of the provisions of paragraphs A. and B. above:
1. We will not extend any insurance coverage to any additional insured person or organization:
a. That is not provided to you in this policy; or
b. That is any broader coverage than you are required to provide to the additional insured person or organization in
the written contract or written agreement; and
2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of:
a. The Limits of Insurance provided to you in this policy; or
b. The Limits of Insurance you are required to provide in the written contract or written agreement.
D. The insurance provided to the additional insured person or organization does not apply to:
1. "Bodily injury", "property damage" or "personal and advertising injury" that results solely from negligence
of the additional insured, or
2. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to
render any professional architectural, engineering or surveying services including
U -GL -I 175 -A CW (9103)
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a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; and
b. Supervisory, inspection, architectural or engineering activities.
E. The additional insured must see to it that:
1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim:
2. We receive written notice of a claim or "suit" as soon as practicable; and
3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by
another insurer under which the additional insured also has rights as an insured or additional insured.
F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in-
surance available to any additional insured person or organization unless the other insurance is provided by a contractor
other than you for the same operations and job location. Then we will share with that other insurance by the method de-
scribed in paragraph 4.c. of SECTION TV - COMMERCIAL GENERAL LIABILITY CONDITIONS.
Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ-
ten.
U -GL- 1175 -A CW (9/03)
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