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PROOF OF INSURANCE (2017) CLOSED
M26MIM)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 lcorin�'Cd- Pie.*3:�riTIFN�u �,n7t r e,.:..w� ortiaralrallvra conlinuod w 0 N Z W uRdl ism 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 Page 2 a