PROOF OF INSURANCE (2010) CLOSED A CORDIII. C E RTI F I CATE O F LI A I LITY I N S U RAN C E DATE 07/06//20092009/YYYY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Marsh Risk&Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
License No.0437153 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
777 South Figueroa Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Los Angeles,CA 90017
Attn: LosAngeles certrequest@marsh.com
02720-TAC-CAS-09 x-out INSURERS AFFORDING COVERAGE NAIC#
INSURED THE AEROSPACE CORPORATION INSURER A:Zurich American Insurance Co 16535
Attn: Carolyn Carrasco, Risk Mgmt Analyst INSURER B:N/A N/A
P.O.Box 92957,M 1/379 INSURER C:N/A
Los Angeles,CA 90009-2957 N/A
INSURER D:N/A N/A
INSURER E' Y
COVERAGES 12...
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
TRI
CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED
BY PAI CLAIMS,D BY PAID CLAIMS.
INSR "OLICY E Y EXPIRATION'
RL TYPE OF INSURANCE POLICY NUMBER DATE MMFDD/Y'Y) DATE(MM/DD/YY) LIMITS
A X _ GLO 5085562 05 07/01/09 07/01/10 DAMAGE
AMA SET(OEa 2,000„00(
GENERAL LIABILITY
4Ea occurence)
X COMMERCIAL GENERAL LIABILITY RENTED 1,000,00C
MED EXP(Anone y p (;
CLAIMS MADE ( X OCCUR $ 5,00
PERSONAL&ADV INJURY $ 2,000,00C
GENERAL AGGREGATE $ 2,000100('
GENERAL At,(REI',";'AI Eni I EMITAPPLIES PE:;EB PRODUCTS-COMP/OP AGG2 060,006
POLICY
X ' �YIG2RY�. Loc $ ,
A AUTOMOBILE LIABILITY BAP 5085560 05 07/01/09 07/01/10 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $ 2,000,006
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT$
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE .... .. ....
RETENTION $ $
�. WORKERS COMPENSATION AND ^WC STATU- OTH-
EMPLOYERS'LIABILITY ARY LIMITS,I,,, I ER
L EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? !;=L DISEASE-EA EMPLOYEE'$
If yes,describe under
'v
SPECIAL PROVISIONS below 1 DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The City of EI Segundo,its officers,employees and agents,while acting within the scope of their duties,are included as additional insureds but only as
respects the conduct of research projects involving explosive materials at the Aerospace complex as required under written contract with the insured.
CERTIFICATE HOLDER LOS-000649034-22 CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of EI Segundo EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ?1 W7V MAIL
Attn: Fire Chief 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
314 Main Street
EI Segundo,CA 90245 t)GdX� O�OXD4t�tDt1�C4it MIEi)fXD6�lkt1
mxmxxxmxx>t*NKMXXIXDOMXODWIKXXX)O(XXXW"*WXOW.X
AUTHORIZED REPRESENTATIVE
of Marsh Risk&Insurance Services
Larry Mosier
ACORD 25(2001108) O ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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 endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the isau�'ng insuror(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon.
Acord 25(2001)08) Reverse of Page 1