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PROOF OF INSURANCE (2017) CLOSEDO 09 -26 -2016 10:16 AM Fax 310- 322 -2756 01 0 F DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 9/26/2016 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 endorsementfsl. PRODUCER krthur J. Gallagher Risk Management Services, Inc. fwo Lincoln Centre 5420 LBJ Fwy. Suite 400 Dallas TX 75240 INSURED DEWEY SERVICES, INC. BRANCH NO. 7 DBA DEWEY PEST CONTROL 939 EAST UNION STREET PASADENA CA 91106-7214 "' PESTSURE CERTIFICATES ----------- – MO.Eact1 ... FAX N °i 58 PESTSUREC03 972 663 62 ADS.. 8 82TSAJG COM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A Old Republlc,Insurance Company+ 24147 INSURER B INSURER D: COVERAGES CERTIFICATE NUMBER., 1710169599 REVISION NUMBER: THE CITY OF EL SEGUNDO %THE CITY CLERK S 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. USA A S'U'B'p'" .... .. ..... YLTR. ...._,. 'i= ...i�MIOD _... TYPE OF INSURANCE I P'OLICW.... NUMBER: l DIYYYY.... MMIDDlYYYY IPDI" Y1 LIMITS • X COMMERCIAL GENERAL LIABILITY Y MWZY308110 10/112016 10/1/2017 EACH OCCURRENCE $2;000;000 f CLAIMS -MADE X OCCUR `—� PREMIS�r n,re� $100:000 MED EXP (Any one person)_ $5 „000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $4 000 000 PRO- X POLICY � JECT LOC PRODUCTS - COMP P AGG P $4 000;000 OTHER- $ • AUTOMOBILE LIABILITY MW`rB 308111 1011/2016 10/1/2017 � ;U aUINtu: : ''.. $2.000.000 X ANY AUTO BODILY INJURY (Per p rson) $ ALL OWNED SCHEDULED X AUTOS X AU TOS ........... .. BODILY INJURY (Peraccident) ................... $ ........... ......_ N OWNED NO X X PF TYr1AIv1 A%a F .... .......... $ HI RED AUTOS AUTOS ,.. (4 "ar acco�rftr��t1� .... ....... ..... .... I is UMBRELLA LIAB OCCUR ... EACH OCCURRENCE ............................................$........................................ $ ............................... EXCESS LIAB CLAIMS -MADE ..........RE�TENTION ... ............ ..........................,. "O' .. AGGREGATE �.. __ .........................,..... $ D E • WORKERS COMPENSATION MWC30566300 111/2016 111/2017 AND EMPLOYERS' LIABILITY Y 1 N ,X STATU,TF ANY ACCEA.�� E,L $1,,000.000 OFFICERJUEIM BEERI EXCLUDED? N �', NIA (Mandatory In NH) EL_,,,,,E DSEASE-IEA EMPLOYEE L $1;000;000 ryes, describe under .' '...`." - - - - - -- DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required( ALL LOCATIONS & OPERATIONS. ADD'L INSURED COVERAGE IS PROVIDED BY FORM #CG 2010 (04 /13).SEEATTACH ED. CLIENT #NEW. SERVICE ADDRESS: THE CITY OF EL SEGUNDO IS NAMED AS ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION @ 1888.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF EL SEGUNDO %THE CITY CLERK S THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 MAIN STREET A ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO CA 90245 USA A AUTHORIZED REPR� SENT THE fl- 1888.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD O 09 -26 -2016 10:16 AM Fax - .> 310- 322 -2756 02 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 994 • This endorsement modifies insurance provided under the following:. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location (s) Of Covered Operations All persons or organizations as required All locations by contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but 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 for the additional insured(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 O 09 -26 -2016 10:16 AM Fax > 310- 322 -2756 D 3 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: 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 contract or 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. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13