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PROOF OF INSURANCE (2016) CLOSED
ACC>R CERTIFICATE OF LIABILITY INSURANCE DATE 115/2015DnYYY' 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(ies) 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 CONTACT MARSH USA, INC. NAME PHONE FAX 445 SOUTH STREET tAlr Nwy F ri rnlr, NoI: a MORRISTOWN, NJ 07960 -6454 AE-MAIL Attn: Morristown.certrequest @marsh.com Fax 212 - 948 -0979 INSURER4SI AFFORDING COVERAGE NAIL # 123456-- A+CP -15 -16 .. .... INSURED Onex York Holdings Corp. and its Subsidiaries 1 Upper Pond Road Building F, 4th Floor Parsippany, NJ 07054 INSURER A: Zurich American Insurance Co 16535 INSURER B: N/A N/A INSURER C : Chubb Insurance Company of NJ 41386 INSURER D : Aspen Specialty Insurance Company 10717 II I INSURER F: I I COVERAGES CERTIFICATE NUMBER: NYC - 007224051 -16 REVISION NUMBER:22 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. INSR "'' �A66L°SUtfi POLICY EFF POLICY EXP _. ...._._ LTR TYPE OF INSURANCE INS WVD POLICY NUMBER 1MMIDDM/YYt (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CPO 5820234 -02 12/15/2015 12/15/2016 EACH OCCURRENCE $ 1,000,000 ....... -... DAMAGE TO RENTto ... .,.. CLAIMS MADE X OCCUR PRFMISFS,Fa occ irra ce) $ 1,000.00 - 0 ............._ MED EXP (Any one person) -........---..........- "------------------ ...._._._... $ 5,00 --- ------------------------------------------------------ - ......... ......... PERSONAL & ADV INJURY ........................... _ $ - -- - -- 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO X LOC - � PRO- .. -PRODUCTS_- COMP /OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY BAP 5820233 -02 12115/2015 12115/2016 COMBINED SINGLE LWIT $ 1,000,000 !T za a crndeF C1 _, X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED ----------------------------------- BODILY INJURY (Per accident) $ AUTOS AUTOS ....., __, NON -OWNED PROPERAY DANwPAF $ HIRED AUTOS AUTOS rPerg;?gidonI UMBRELLA LIAB EACH OCCURRENCE $ .EXCESS LIAR CLAIMS -MADE � AGGREGATE $ DFf1 RFTFNTIQN $ COMPENSATION A WORKERS COMP WC 5820235 -02 12/1512015 12/1512016 X �ERTI �RT H AND LIABILITY YIN irF mm ANY PROPRIETOR /PARTNER /EXECUTIVE E L EACH ACCIDENT $ 1,000,000 OFFICER /MEMBER EXCLUDED? NIA (Mandatory in NH) L_JI E L DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below � � E L DISEASE -POLICY LIMIT $ C CRIME 6800 -5714 06/30/2015 06/30/2016 $5,000,000 LIMIT/ $100,000 DED D " PROFESSIONAL LIABILITY LRO03TG15 06/30/2015 06/30/2016 $10,000,000 LIMIT /$500,000 SIR DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) CITY OF EL SEGUNDO, ITS OFFICIALS, AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO GENERAL LIABILITY, CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ITS OFFICIALS AND EMPLOYEES !V ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 MAIN STREET j .Y ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO, CA 90245 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjeeauoo� - ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 0 Additional Insured —Automatic — Owners, Lessees Or ZURICH' Contractors Policy No, Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AddT Prem Return Prem. 5820234 12/15/2015 12/15/2016 12/15/2015 10099000 N/A N/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Onex York Holdings Corporation Address (including ZIP Code): One Upper Pond Rd, Bldg F, 4th Floor, Parsippany, NJ 07054 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional 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. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products- completed operations hazard ", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, 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; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the 'occurrence" which caused the "bodily injury" or "property damage ", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: U -GL- 1175 -F CW (04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 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 may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non - contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence ", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; 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. All other terms and conditions of this policy remain unchanged. U -GL- 1175 -F CW (04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission.