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PROOF OF INSURANCE (2016 - 2017) CLOSEDClient#: 1255108 305A1 ENT ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (NMIDDlYYYYI ar31r2o1 s 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the 1pollcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such erraforsomenl('s). PRODUCER gONTACT Ailie Mosldr BB &T Insurance Services rra011E ` 714 941 -2900 FAX 877- 297 -9116 qA C,Ne.,T�II. _..Q taus NoIt of Orange County E.MArLIrrrrJSior bbar�dt,COm, ADDRESS, 2400 Katella Avenue Ste 1100 INSURER(s) AFFORDING COVERAGE NAIL I Anaheim, CA 92806 INSUREr1A. JIarnes River insurance Company 12203 INSURED ._r... A -1 Enterprises, Inc. dbe A -1 Fence INSURERS Cypress Insurance Company (CA) 10x55 Company a Nat onwide Insurance Co of Amer INSURER_ Security Insurance Company 24 INSURER D 453 .. 2831 E. La Cresta Ave. INSURER Ee - Anaheim, CA 92806 COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 161AY 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. INSURANCE Dijon XP IPOCIC"RCrF IPOLY4r'r fiR TYPE OF INSTr YY4ALy POLICY NUMBER PRE M k1C0y 'yy11 LIMITS A m X COMMERCIAL GENERAL LIABILITY 000202729 210112015 1210112016 LACIr u+ Cuon NL.E $1,000,000 � � � ... ,. CLAIMS -MADE OCCUR I R n rccneoerrrrr�aup 550,000 X BI1PD Ded:5,000 r,1irO EXP ttoty 670 Faa50n) s 5,000 I Pirt347N,ar. b ADV INJURY $1.000,000 GENT AGGREGATE LIMITAPPLIES PER. Y GENERAL AGGREGATE 52,000,000 PRO- I POLICY JECT _ LOG ®_ PRODUCTS COMPIOPAGG 52,000,000 ... _. .... R S _. D i AUTOMOBILE LIABILITY ACP2582860196 m rm:rrra Cl SNrV'd,i��.l IJ��UP. 812912016, 08/2912017 rao wl 51,000,000 aFa F fIpANY AUTO BODILY INJURY (Par person) 4 ALL OWNED SCHEDULED _, AUTOS AUTOS BODILY INJURY (Par a=4enq S XI NOWOWNED HIRED AUTO AUTOS PAOPPRIYDA"�t iii S ..... .... Per ar.IxEaaS XbYpYD Oth Car. S n UMBRELLA LIAR OCCUR e EACH OCCURRENCE EXCESS DETENTION ��. ... , ._ —� �.. CLAIMS h1AD ,. AGGREGATE_ .. ...,. _.....,..= ...- ...�,,,. _......... .... ... S B AOWC707929 AND EMPLOYERS' LIABILITY °a 110112016011011201 X 151A E IER, C I N iWa° RU°r'rr ARrc ir' hurl �, „� .. E� EACHACCiQENr 511000,000. L71F ;IcapimEI,1aER'FXCLuai;J'T Y NIA y . .ITW I ateryka I 9L DISEAIL EA4111PLaJY� r1 000 0 I Mi 4' I c N r P Pa'aTiL,"rI�P$,LM,dw,wwr ..._.. _ .m,.. _ .. E L. DISEASE 9"OLWY UNUI, � S1,000,000 00 C E to men BKS57293391 q P 812912016 08!291201 32,500 Deductible Rentecill-eased $80,000 Max Per Item DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES JACORD 101. AdMonal Remarks Schedulr., maybe allachod it more apace is required) Re: All Operations performed on behalf of the Named Insured Certificate holder, its officers, officials and employees, agents and volunteers are named as additional Insureds as respects general liability and this Insurance Is primary and noncontributory with any other insurance of the additional Insured and waiver of subrogation applies as respects workers compensation as required by written contract, per endorsement attached. City of El Segundo Recreation & Parks 401 Sheldon Street El Segundo, CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE fC 1988 -2014 ACORD CORPORATION. All rights reserved. ACORO 25 (2014101) 1 of '1 fho ACORD narno and Iog,o am rogisterad marks of ACORD #S16751263IM16750392 ACMOS POLICY NUMBER: 000202729 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or, anization s : Locations Of Covered Operations Where required by written contract or agreement All operations of the Named Insured's. 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 liabillty 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not -apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a prin- cipal as a part of the same project. CG 2010 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: 000202729 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Opera - Or Or anization s : tions Where required by written contract or agreement All operations of the Named Insured's. Information re uired to complete this Schedule, if not shown above. will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tion(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location desig- nated and described in the schedule of this endorse- ment performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 Policy #000202729 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Blanket as required by written contract If no enlry appears above, this endorsement applies to all Additional Insureds covered under this ooricv. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. APS031 US 04 -10 Page 1 or 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10 B (Ed. 9 -14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA BLANKET BASIS 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.) The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such remuneration. The minimum premium for this endorsement is 5350. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE BLANKET WAIVER Person /Organization Blanket Waiver — Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Job Description Waiver Premium All CA Operations This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/15/2016 Insured A -1 Enterprises, Inc. Insurance Company Cypress Insurance Company WC 99 04108 (Ed. 9-14) P0lICy No. AOWC707929 Countersigned by Endorsement No. Premium S