PROOF OF INSURANCE (2007) CLOSEDClient : §549 VVILLDAN
:[ATE
ACOM,. CERTIFICATE OF LIABILITY INSURANCE D1/03/06 (MM/DDIYY)
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 INSURER A: Zurich American Insurance Co.
.,.INSURER B ....................... _-._,..— . ...,
American Automobile Ins. Co. 11 2401 E. Katella Avenue, Ste. 300 IN XL Specialty Insuranc
.. c. ... a Co.
Anaheim, CA 92806 INSURER D: ------ - �m ................................. ����...,.......,..................... ����������................................ .......������.............����� . ..�.....�����.........,..., -..�
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUREMENT, 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.
._.... TYPE OF INSURANCE ... ....., _..-- -.......... .. - -- -- ...- - --
NSR ... .. POLICY EFFECTIVE POLICY EXPIRATION
NCE POLICY NUMBER LIMITS
A ''.
GENERAL
LIABILITY
GL0904316301
11/09/06
11/09/07
..,EACH ..00CURRENCE ........................
$, 1,t1Q0,,,9,99 ,,,,,,,,,.........
X...i
COMM GENERAL I
.. CLAIMSMADENOCC R
INDP. CONTRACTORS
MEDEXP(Anyoneperso� .$1pQ
.. .........,..1
..............................
X
CONTRACTUAL
INCLUDED
PERSONALS ADV INJURY ..$�.1
903�OQ .. .... .- .............
X..B
PD,tmXCU ---
GENERAL AGGREGATE
AGGREGATE LIM ITAPPLIES PER:
P,R,ODU,CTS - COMP /O,P AG,G
$ 2,, 00, 0,, OOmOm
,GEN'L
PO-
POLICY ' X LOC
,m,m,m,m,m,m,m,mmm,m,m,,,,,,,,.
A
AUTOMOBILE
BAP904316201
11/09/06
11/09/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
OLIABILITY
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
X
BODILY INJURY
$
HIRED AUTOS
X
NON -OWNED AUTOS
(Per accident)
......... .
..........................�_
PROPERTY DAMAGE
',.....'.. $
(Per accident)
GARAGE
LIABILITY
AUTO ONLV - EA ACCIDENT
$
,,.__----
ANY AUTO
OTHER THAN EA ACC
. ....,.
$
m.. � ............ ............- ..m.....m,..,....
AUTO ONLY: AGG
$
EXCESS LIABILITY
EX.�
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
DEDUCTIBLE
$
RETENTION $
$
B
WORKERS COMPENSATION AND
WZP80945444
11/09106
11/09/07
X WCSTATU- OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$1J,000,000
t; I... DI�II.A$E -EA EMP_LanE
_$�9,-000 00�OOG ^.
E.L. DISEASE - POLICY LIMIT
1 $1 000 000
C OTHER Professional DPR9600717 11/09/06 11/09/07 $1,000,000`per claim
iability $1,000,000 annl aggr.
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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)
City of El Segundo
Director of Planning and Building Safety
350 Main Street
El Segundo, CA 90245
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER Wlpp( XWX TO MAIL 30 DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAM ED TO THE LEFT,)WA"XXWXXjo00000MX
ACORD 25 -S (7/97)1 of 2 #M177107 RLL O ACORD CORPORATION 1988
AMS 25.3 (07/97) 2 of 2 #M177107
Additional Insured — Automatic - Owners, Lessees Or
Contractors - Broad Form
0
ZURICH
Policy No.
Eff. Date of Pol. Exp. Date of Pol.
Eff. Date of End.
Producer
Adfl. Prem
Retum Prem.
GL0904316301
11/09/06 11/09/07
11/09/06
Dealey, Renton
Associates
$ 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 under 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 if:
1. The "bodily injury" or "property damage" results from your negligence; and
2. The "bodily injury ", "property 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:
"Bodily injury", "property damage" or "personal and advertising injury" that results solely from negligence of the addi-
tional insured; or
U -GL- 1175 -A CW (9/03)
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Includes copyrighted material of Insurance Services Office, Inc. with its permission.
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:
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 an-
other 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 W - 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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