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PROOF OF INSURANCE (2015) CLOSEDDATE (MM /DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/18/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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 ADDITIONAL INSURED, the policy(l'es) 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 lieu of such endorsement(s). PRODUCER (<% Krista Dean Altus Partners Inc PHONE (610)526 9130 ('N (610)526 -2021 919 Conestoga Roadsycertificates @altuspartners.com PUSTOCER 9 0000023 Building 3, Suite 311 c(I4Tw(N(ER Io _ Rosemont PA 19010 - INSURER S) AFFORDING COVERAGE — -- _ N641C N INSURED 1NSURERA ACE American Insurance Co. 22667 INSURERB.ICE_ American Insurance CO 2667 Aerotek, Inc. INSURERC ACE Property & Cas Ins Co. 20699 7301 Parkway Drive )i RD - Indemnity Ins Co of NA Hanover NOD 21076 I INSURER s COVERAGES CERTIFICATE NUMBER:14 -15 Standard 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. NSR- - ODI UBR -- -- POLYI*Y oo (C�' E'RP '- " "" �� LIMITS TYPE OF INSURANCE jfi&R POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE, $ 1, 000, 000. X COMMERCIA1, GENERAL LIABILITY O" OE' 5, Mo 4wnopc'a) 1,000 000' $. ! ... A N CLAIMS -MADE a OCCUR KSL 62 7 3 4 01 92 11/30/2014 1/30/2015 MED EXP (Any one person) $ 10,000 X $lmm SIR PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL.AI.IGREGA"I'E $ 2, 000, 000'.. ... _ e ... GEN L AGGRfC7 APPLIES LIMIT LI - m .... ESPER• PRODUCTS - COMP /OPAGG $ 2,000,000 .,,.M POLICY P 1 OC $ B AUTOMOBILE LIABILITY H08830320 (H6NO) 1/30/2014 1/30/2015 COMBINED SINGLE LIMIT $ 1,000,000 08830332 (Owned) (Ea accident) - ANY AUTO X 1/30/201411/30/2015 BODILY INJURY (Per person) $ $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ $ C X UMBRELLA LIAB OCCUR 27636949 1130/2014 1/30/2015 EACIIOCCURRENCE $ 5,000,000 WX, EXCESS LIAR CLAIMS -MADE ,. ... ....... ..,.w,.w . .............. ._ AGGREGATE A , , a.. , e '$ 5,000,000 m .. DEDUCTIBLE X RETENTION $ 100.000 ''' '� D WORKERSCOMPEN$ATION 48139851 (All other) 11/30/2014, TORYLRGv% %fiS O ER I AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR(PARTN'E@ I1ECU'rIVE 4813984A (CA,MA) 11/30/2014 1/30/2015 EACHACcloFNr $ OFFICrRIMLMSER F�CLUD,E'O? N (Mandatory InNiH) N/A 48139863(WI) 11/30/2014 1/30/2015 / / .EL E.L.DiSEASa - E0.EMPl Y(.a —11-000,000 $ 11000,000 II yye�s. dess,aikue: undo�r DESCtlwI dON Of OF ' TIONS p E L DISEASE - POLICY LIMIT S 1.600 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ff more space Is required) Certificate issued as evidence of insurance per policy terms, conditions and exclusions. Certificate holder is an additional insured on the general liability insurance policy per the written agreement. A waiver of subrogation in favor of certificate holder applies to the workers compensation insurance policy per the written agreement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of E1 Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street E1 Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Krista Dean /KMD ACORD 25 (2009109) ©1988 -2009 ACORD CORPORATION. All rights reserved, INS025 (200909) The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Issued By (Name of Insurance Company) ACE American Insurance Company Insert the pocky number. rho mma[ridur of the fnfornrratfran li lobe complelod only wahen bola endorsamani Is Issued — Sequent to via tarepsrav ;;n ra time policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: , EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization whom you have agreed to include as an additional Insured under a written contract, provided such contract was executed prior to the date of loss. • • • . ...■ . „:I . N:' ■ :. as f, ■ _ ', « • i/ C • • M. .• a 61 ITS4 r r a iv;"�• tr wuI5 or omissions or 11-ons of those acting on your behalf. 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The Insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured Is required by a contract or agreement, the most we will pay on behalf of the additional insured Is the amount of Insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not Increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS -6W25b (04113) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of t WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. Authorized Agent XS -6W34 (M/95) Ptd. in U.S.A. Page 1 of 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named In the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERY IN A WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS. For the states of CA, UT, TX, refer to state specific endorsements. This endorsement is not applicable in KY, NH, and NJ. Authorized Agent WC 00 0313 (11105) Ptd. U.S.A. Copyright 1982 -83, National Council on Compensation