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PROOF OF INSURANCE (2017) CLOSEDM26MIM)2
Liability Insurance
Endorsement
Policy Period JULY 1, 2016 TO JULY 1, 2017
Effective Date JULY 1, 2016
Policy Number 3602 -73 -53 SFO
Insured BQilINIX.
Name of Company FEDERAL INSURANCE COMPANY
N,w�;t"RMtii.dY,q�;h';�' kk'pS:YaT &'rrdpa444G�pid'Y %Wt.dM'':yC., NikWlr6&°bkiu1 iY:WMI"�
This Endorsement applies to the following forms;
GENERAL LIABILITY
s a�
Under Who Is An Insured, the following provision is added.
Who Is An Insured
Additional Insured - persons or organizations shown in the Sciredutc arc Insureds; but they are Insureds only if you are
Scheduled Person obligated pursuant to a contract or agreenent to provide them with such insurance as is afforded by
Or Organization this policy.
However, the person or organization is an Insured only;
• if and then only to the extent the person or organization is described in the Schedule;
to the extent such contract or agreement requires the person or organization to be afforded
status as an insured;
• for activities that did not occur, in whole or in part, before the execution of the contract or
agreement; and
• with respect to damages, loss, cost or expense for injury or damage to which this insurance
applies.
No person or organization is an insured under this provision:
that is more specifically identified under any other provision of the Who Is An Insured
section (regardless of any limitation applicable thereto).
with respect to ally assumption of liability (of anotherPerson or organization) by them in a
contract or agreement, This limitation does not apply to the liability for damages, loss, cost or
expense for injury or damage, to which this instlrinncc applies, that the persolt or organization
would have in the absence of such contract or agreement,
Liabilllyhtsuranco Additional
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DATE (MMIDDIYYYY)
,�cm�cMr: CERTIFICATE OF LIABILITY INSURANCE 06/20/2016
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(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
C1
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 LIC #0877964 1- 415 - 365 -0000 CONTACT'
P
Integro Insurance Brokers PHONE • V FAX
JAJO. N% 6XU , , ,, „ ! IAdCR NoI
D•MAIL
One California Street AnDRSS:
W
4th Floor
San Francisco, CA 94111 ,,, INSURER(S) AFFORDING COVERAGE NAIC.Vf
INSURER A: FEDERAL INS CO 20281
.._.... .._... __. ., _. ..._., .... ......... ......... ,,, ,,, ....
INSURED INSURERS: ... .. ...
......... .._.. ........
Equinix Inc.
:IBC:
INSURER
One Lagoon Drive fNSURER,D:
INSURER E:
Redwood City, CA 94065 _...._ .... ._... __.. .._..
VNSUR.E:[B' F '.I
COVERAGES CERTIFICATE NUIMBEW 47153528 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,
INSR _... _. ADDL SUBR .... ....... .. POLICY EFF POLICY EXP ....LIMITS _..... .._.. _. ..
t.tlH TYFL� ". OF INSURANCE POLICY NUMBER ,�AIMIDDIYYYY MMIDDIYYVY
....._. F INSU. _. _
A GENERAL LIABILITY 3602 -73 -53 07/01/1' 07/01/17 EACHOCCURRENCE $1,000,000
R DAMAGE TO RENTED 1, 000, 000
COMMERCIAL GENERAL LIABILITY If';k MIrV.5IEa0iu:xo1V#W*r $ ._
CLAIMS MADE I X I OCCUR MED EXP (Any one person)" $ 10,000
PERSONAL& ADV INJURY $1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGA fE LIMI F APPLIES PER: PRODUCTS COMP /OPAGG $2,000,000
fSI4..IC�:S" YR,O .... ...... $, ... .....
,
AUTOMOBIILE�L
LIABILITY .,Aac odad3)flMdY kr Y.Iho91T
H',,i n�LertdrnwlBl .. _.. fir,. .
ANY ALTO BODILY INJURY (Per person) $ ..__ _...
'.
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
.. _ AUTOS _ AUTOS
NON -OWNED �PROPERTY DAMAGE $
HIRED AUTOS aryl 4"4orn',I_.
UMBRELLA LAB OC EACH OCCURRENCE
EXCESS LIAB LAIMS MADE AGGREGATE $
n
_
...... ......._........
..._ ..W C..._. - �.._�...._ m. ,.
WORKERS COMPENSATION +Rri: „I'fA'CW Cry "I'd'tl
D EMPLOYERS' LIABILITY YIN WHY LIN I,r ER
ANY PROPRIETORWARTNEWEXECUTIVE F L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? NIA - -- -- -- '
❑
(Mandatory In NH) If..L 171 EASL - EA F• dr9Pq !C,%YI:L $
If yes, describe under
DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $
-� � _ _.....m.... h ACORD 701, Additional Remarks Schedule, if more space is required)
DDEESCRIIPTIO OPERATIONS I LOCATIONS I VEHICLES (Attach .�
nOF
L
qu cations at 1920 E. Maple Avenue and 445 N. Douglas Street
nd
The City of El Segundo, its officers, agents and employees are included as additional insured with regard to liability
and defense of suite arising from "your work" performed by or on behalf of the named insured regardless of whether
liability is attributable to the named insured or a combination of the named and the additional insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Public works Department ACCORDANCE WITH THE POLICY PROVISIONS.
El Segundo City Hall
350 Main Street
AUTHORIZED REPRESENTATIVE
El Segundo, CA 90245 Y'_____
USA 1, ©1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
jchan
47153528
0,
Liability Endor--sement
(continued)
Conditions Under Conditions, the following provision is added to the condition titled Other Insurance.
Other Insurance — If You are obligated, pots,18111 to a Contra(,( or agreement, to Provido (fic person or olgallization
Primary, Noncontributory shown is, tiro Schedole with primary insurance such as is afforded by Illis policy, stich case
Insurance — Scheduled is
this insu:WWO is Plimunty and we will not seek contjibojjoaj from insurance available to such persor,
Person Or Organization or organizaliors.
Schedule XF16
Persons or organizations that' You arc obligated, pursuant to a contract or agreement, to provide with
such insurance, as is afforded by this policy„
All other terms and conditions remain unchanged.
Authorized Represenialivs
Liability Ins uranco A dddional 1qWt4&)fM 1, Organization
T0i'71 80-02-ij6-77fieW—f67)—'-- last page
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