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PROOF OF INSURANCE (2007) CLOSED A CORD- CERTIFICATE OF LIABILITY INSURANCE 01/3 /2007 )
DATE(
1/31/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Aon Risk Services, Inc. of Ohio
c/o Client service Center AND CONFERS NO RIGH'T'S UPON THE CERTIFICATE HOLDER.THIS
1000 Milwaukee Avenue CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE
Glenview IL 60025 USA COVERAGE AFFORDED BY THE POLICIES BELOW.
N
INSURERS AFFORDING COVERAGE NAIL
PBONE-(866) 283-7122 --(847) 953-5390
INSURED INSURER A: Greenwich Insurance Company22322
Cintas Corporation and its subsidiaries INSURER B: XL Specialty Insurance Co 37885
6800 Cintas Blvd fi
P.O. Box 625737 INSURER C: XL Insurance America Inc 24554 ,b
Cincinnati OH 45262 USA �+
INSURER D:
- INSURER E:
OVERAGE4 siR may AMijjCq
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDMON 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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'( POLICY EFFE &OLICVEXPIRAT'ION
LTR INSRD TYPE OF INSURANCE POLICY NUMBER
- DA D\YY) 0A'1'K(IwgOMgMI3IIh"N"YY
A „ (RAL LIABILITY RGD943715701 07/01/06 07/01/07 EACH OCCURRENCE $2,000,000
X COMMERCIAL GENERAL LIABILITY I DAMAGE TO RENTED $2 50,000
PREMISES(Ea
I
CLAIMS MADE OCCUR ocs;ueercel �v
MED EXP[Any one Person) '�S,UUII
'Y' contractual Liability (PERSONAL&ADV INJURY 51,000,000 n
Ln
GENERAL AGGREGATE $2,000,000 rn
n
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COPS/OP AGG $1,000,000° N
POLICY11 7E X LOC o
0
A AUrI'I'MOBILF.LMLBHATY RAD943715801 I 07/01/06 07/01/07 coMEBaEDsRaGLELST
- ""' ANY AUTO A05 (Eaaccaent) $5,000,000' .�
A RAD943715901 07/01/06 07/01/07
ALL OWNED AUTOS MA BODILY INJURY
us
SCHEDULED AUTOS (Pee person)
HIRED AUTOS BODILY INJURY •d
NON OWNED AUTOS (Per accident) V
Comp/Call COV. Incl, PROPERTY DAMAGE
with $0 Ded. (Per accident)
GARAGE LIABILITY -AUTO ONLY-EA ACCIDENT
ANY AUTO . -
OTHERTHAN FJs ACC
8AUTO ONLY,
AGG
C 1XCF-48WhIBRELLALIAHIIAT11 US000090SIL,106A 07/01/06 07/01/07 EACH OCCURRENCE Is,UUU,UUU
ElOCCUR CLAIMS MADE =AGGREGATE $5,000,000
OIII."➢r[➢t',`IBII,N° __
RETTNTJOI'➢
I VV
e EMPLONSATONAND RWR943511401 07/01/06 07/01/07 01 07/01/06 07/01/07 EI,.PARYLIMISTATS I➢�ILIdd,CH ACCIDENT $1,000,000I
RSCOMPEN
i 35113U1 07/01/06 I U7/U1/U7 c
ITY
A ANY PROPRIETOR/PARTNER/EXECUTIVE.RWE94 `
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000
Ifyes,describe u�lee SPECIAL PROVISIONS , E.L,DISEASE-POLICY LIMIT S1,000,000
below
OTHER ED—
al
17FSt:;➢d'➢I""['NdlNt';?P 437'N'!➢tA"W'➢K)N;ywr'I"G'1'd':I1"f tlONSAVI"➢I44,`Lk;.MSI{?(CY,1:1;titlON'tiA[)Y7➢'[]BYY;CMN[R'.FR:aI"hqJ;N'1'P3PIiIC'0„hI.PfAOV15[{➢CHCS
The City of E1 Segundo, Its officers, officials, employees, agents and certified volunteers are included as
Additional Insured on the General Liability, but only with respect to work performed under contract between the
certificate holder and the
insured. The insurance afforded the additional insured is primary and non-contributory _el
CERTIFICATE HOLDER CANCELLATION
City of E7 Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION -
350 Main St. DATE THEREOF,THE ISSUING INSURER WELL MAR.
El Segundo CA 90245 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
-YA�N'�tl➢.pRT�gR,D!'➢�'➢Y:N"1'54.7.kNRALId'PAIPdRmE.NYS:1(;YBLNP�r�1'ffi�Ia)N-4kkI.IAYIBI.Y�q`�W
PRESENTATIVE_ACM �1_
D 25(2001/081 A„
o v, v
POLICY NUMBER: RGD943715701 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 Organization(s): Location(s) Of Covered Operations
The City of EI Segundo, Its Officers, Officials, All locations
Employees,Agents and Certified Volunteers.
The General Liability policy certified hereon is primary
and non-contributory to the insurance available to the
Additional Insured, but only to the extent required by
written contract with the insured, and always subject to
the policy terms,conditions and exclusions.
I
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 B. With respect to the insurance afforded to these
include as an additional insured the person(s) or additional insureds, the following additional exclu-
organization(s) shown in the Schedule, but only sions apply:
with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or
damage" or "personal and advertising injury" "property damage"occurring after:
caused, in whole or in part, by:
1. All work, including materials, parts or equip-
1. Your acts or omissions; or ment furnished in connection with such work,
2. The acts or omissions of those acting on your on the project (other than service, maintenance
behalf; or repairs) to be performed by or on behalf of
in the performance of your ongoing operations for the additional insured(s) at the location of the
the additional insured(s) at the location(s) desig- covered operations has been completed; or
nated above. 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 other
than another contractor or subcontractor en-
gaged in performing operations for a principal
as a part of the same project.
`L
CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑
POLICY NUMBER: RGD943715701 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
Y Name Of Additional Insured Person(s)
Or Organization(s): Location And Description Of Completed Operations
The City of EI Segundo, Its Officers, Officials, All Locations
Employees,Agents and Certified Volunteers.
The General Liability policy certified hereon is pri-
mary and non-contributory to the insurance avail-
able to the Additional Insured, but only to the ex-
tent required by written contract with the insured,
and always subject to the policy terms, conditions
and exclusions.
Information required 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
organization(s) shown in the Schedule, but only with
respect to liability for"bodily injury" or"property dam-
age" caused, in whole or in part, by "your work" at
the location designated and described in the sched-
ule of this endorsement performed for that additional
insured and included in the "products-completed
operations hazard".
CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑