No preview available
PROOF OF INSURANCE (2008) CLOSEDOP ID DATE (MM/DD/YYYY) ACORA CERTIFICATE OF LIABILITY INSURANCE JONES -3 06/12/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Poole Professional Ltd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 401 Ed ewater Place Suite 180 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. g Wakefield MA 01880 Phone:781- 245 -5400 Fax:781- 245 -5463 INSURED The Jones Payne Group 522 N. Fern Avenue Ontario CA 91762 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co. 25666 6 6 INSURER B: Charter Oak Fire Ins. Co. 25615 ..... ....- . -_ .......................... INSURER C: -...._ ..... . ..... INSURER D: ......... .... _..�. INSURER E: 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,. ..,. .......... ........... .�~.... - -- - ............... -... -- .mm . .. TTFFE (LTR SRt.. -CT DATE MM /DDIY LIMITS TYPE OF INSURANCE NUMBER DATE GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X - COMMERCIAL GENERAL L� T � 3 6$O- r.337L9..6 / Q6/01, 07 06/0.1/0F -UWAGF I Fall Dy$ Pl��.�nl��, (I �p ccpu,l� y 1,000,000 ,^ ,.,. - - " "f CLAIMS MADE OCCUR IP`— .., . , ,, MED EXP (Any one person) 5 � 0...0 0 .IABILI�Y X Business Owners PERSONAL &ADV INJURY $1,000,000 - .........._... �.- .-----......-- - ---- -- - ...GENERAL AGGREGATE........... .... .- - . - - $ 2 ---�.. --..�..�. - - - - -- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG s2,000,000 ....., .. - ........ PRO- JECT .......p POLICY LOC a..... n .................... m............. ..................- .- .- .- - -.... - .-- ._......... -__�.. ..._..- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $$1,000,000 ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) a .. X HIRED AUTOS BODILY I JURY 8 X NON-OWNED BA2341L323 06/01/07 06/01/08 accident) _.......... .- ..._ ........... ................. _ PROPERTY DAMAGE $ (Per accident) GARAGE ... LIABILITY AUTO ONLY - EA ACCIDENT ...O __ .....,.______.. -. $ . -� ANY AUTO OTHER THAN EA ACC $ �._.......,, - AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY''.. EACH OCCURRENCE $2,000,000 A X OCCUR CLAIMS CUP- 6568Y159 06/01/07 06/01/08 AGGREGATE $2,000,000 DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND x ITORY LIMITS ER B EMPLOYERS' LIABILITY UB- 6567YO22 06/01/07 06/01/08 "' ..... -- EL. EACH ACCIDENT - -- $ 1,000,000 ANY PROPRIETOR /PARTNER /EXECUTIVE — — OFFICER /MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPEC AL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER B Business Owners 680- 2337L936 06/01/07 06/01/08 Valuable Package Papers $370,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS See Attachment Form B. CERTIFICATE HOLDER CANCELLATION City of E1 Segundo Office of City Clerk 350 Main Street El Segundo CA 90245 -3813 ArrnRn qq i9nnimset C+IELS -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL X ,ID( )(XQ(MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,)gW"I)WX XQ(QMXX%K I�(AOX�CI�1t1�t36D4�FDGtODQ Dka:l14i8KDiXX IQD(q(41PI�OK3f9E iN�l�iE9()Q;�C�dX HEiaDE;�NXAGDQ�C AUTHORI' 8 P'RE: TATIVE CC) TION 1988 COMMERCIAL GENERAL LIABILITY OLICY NUMBER: 680- 2337L936- TCT -07 ISSUE DATE: 05 -24 -07 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 SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): CITY OF EL SEGUNDO PROJECT /LOCATION OF COVERED OPERATIONS: 350 MAIN STREET, EL SEGUNDO, CA 90245 1. WHO IS AN INSURED (Section II) is amended to include the person or organization shown in the Schedule above as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property darnage " or "personal injury"; and b. If the injury or damage arises out of the per- formance, by you or your subcontractor, of "your work" on or for the project, or at the lo- cation, shown in the Schedule above. Such person or organization does not qualify as an additional insured with respect to their inde- pendent acts or for "bodily injury", "property damage" or "personal injury" for which that person or organization has assumed liability in a contract or agreement. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a. This insurance does not apply to the render- ing of or failure to render any "professional services ". b. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed to provide in a "contract or agreement requiring insurance" for that additional in- sured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the lim- its of insurance stated in the LIMITS OF IN- SURANCE (Section III) for this Coverage Part. 3. 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 Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insur- ance is primary to other insurance that is avail- able 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 "properly 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 addi- tional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any CG D3 82 09 06 © 2006, The St. Paul Travelers Insurance Companies, Inc. Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. - -11 ­1" 1 r other basis, that is available to the additional in- sured when the additional insured is also an addi- tional insured under any other insurance, 4. The following is added to Paragraph 8�. Transfer Of Rights Of Recovery A in COMMERCI gRillst Others To � Us AL GEN NE LIABILITY CON- DITIONS (Section IV),, We waive any rights Of recover we may have the additional � Of payments we make Schedule above becausc insured shown in the for " "bodily injury" "property damage" or "personal injury" arising out Of "Your work .' 011 Or for the pro- jec,t, or at the location" shown in the Schedule above, Performed by you, der a or. On Your behalf, un- "contract or agreement requiring insurance" with that additional insured. We waive these lights Only where you have agreed to do so as part Of the "contract or agreement requiring insur. ance" with that additional insured entered into by YOU before, and in effect when, the "bodily injury. Page 2 of 2 or "property damage" occurs, MY Offense is committed S. As respects the insurance Provided to the addi- tional insured by this endorsement, the following definition is added to DEFINITIONS (Sectioll V): Contract or agreement requiring instnce rneans that part of any contract Oragreernenj un-1 - der which You are required to include the person Or organizaii0n, shown in the Schedule as all ad- ditional insured On this coverage Parl, Provided that the "bodily injury" and "Property darriage" C"I'S, and the "personal injury is caused by an oc- Of- fense committed: a. After You have entered into that contract or "greement; c b. While that Part of the contract or agreement is in effect; and C. Before the end of the Policy period. All other terms Of Your policy remain the same. Includes 0 20G6, The St. Paul Travelers 111SUrance Companies, Inc. copyrighted material Of Insurance Sevvices orfice ., Inc., With its permission, CG D3 82 09 06 14 ACORD. CERTIFICATE OF LIABILITY INSURANCE ES JONES DATE(MM/DD/YY 06/12/07 7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ... .... .... .... ...... ....... E...ga j114S'R" DD"E ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Poole Professional Ltd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 401 Edgewater Place, Suite 180 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wakefield MA 01880 Phone: 781 - 245 -5400 Fax:781- 245 -5463 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: XL Specialty Insurance Co. 37885 .'- -----' INSURER 8: _.,.,.m....._° --------- ......m .......m -. ., ._.. _ . glhe_Jones rP8 ax/Gr©up'; INSURER C: 522 N. Fern Avenue INSURER D: Ontario CA 91762 COMMERCIAL GENERAL UABILiTY 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. ... .... .... .... ...... ....... E...ga j114S'R" DD"E E"y.EXISI�A'nU'H'... POLICY NUMBER DATIE M�DDNY LIMITS LTR NSR TYPE OF INSURANCE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $ .'- -----' DAMAGETOFTENTEU - -_— _ COMMERCIAL GENERAL UABILiTY PREMISES (Ea occurence) $ CLAIMS MADE OCCUR ...._ ..._ -._ ..._._.... M E D E X P An Y one P erson) ........( . ... .. $ PERSONAL & ADV INJURY ......... ....... $ , GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ POLICY PRO LOC JECT AUTOMOBILE ... _ LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) ........,—,. .___ ........................... .....__, PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ - — _ . ...... OCCUR CLAIMS MADE AGGREGATE _ $ .. .., ..... Is DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS_ EMPLOYERS' LIABILITY _$ _ El. EACH ACCIDENT ANY PROPRIETOR /PARTNER /EXECUTIVE --- - - - - -- EL. DISEASE - EA EMPLOYEE $ OFFICER /MEMBER EXCLUDED? It yes, describe under " "'_'..___....." SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER A Archs. & Engrs. DPR9606441 06/01/07 06/01/08 Aggregate $1,000,000 Professional Liab. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS For professional liability coverage, the aggregate limit is the total insurance available for all covered claims presented within the policy period. The limit will be reduced by payments of indemnity and expenses. CERTIFICATE HOLDER City of E1 Segundo Office of City Clerk 350 Main Street E1 Segundo CA 90245 -3813 ArrnRn 9r, t9nmmm CANCELLATION CIELS-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLXp(M9MXXMAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,)PXX%IKWXX9(9( *Q)%(*X IXK*K=96XI1KX )Q)0QMMDQIK9M(X949(WAXXFX "* *14=AM)OM 9E)F9�G9Q�plA(044(s• AIUTHORIZ2TROPPE FzJWTATIVE TION 1988