PROOF OF INSURANCE (2005) CLOSED M A CERTIFICATE OF,INSURANCE
RSH
CERTIFICATE NUMBER
LOS-000079638-03
P ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk&Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
License No.0437153 POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
777 South Figueroa Street AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Los Angeles,CA 90017 COMPANIES AFFORDING COVERAGE
Attn:Erlinda Ytom(213)346-5079
COMPANY
02720-AC-GAW-04/05 x-out A Zurich American Insurance Company
..... ____ ._._._._._. .. .... ._.
INSURED COMPANY
The Aerospace Corporation B
........ C
Director,
Risk Management COMPANYioS0:N
3
Los Angeles,CA 90009-2957
COMPANY
D (J (�(19 i (� r
07 r [I n r i I
COdERAE ;
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THIS
CERTIFY HPOLICIES NCE DESCRIBED HEREIN HAVE BEEN l DIGATED.
NOTWITHSTANDING AYREQUIIREMENT,TERM R CONDITION OF ANY CONTRACT OR RNT WITH TO CCH THE ETIT� 9 R MAY
i
PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MMIDD/YY)
A GENERAL LIABILITY GLO508556200 07/01/04 07/01/05 GENERAL AGGREGATE $ 2,000,000
..
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000
:...:.._9 _..... m....................-..............
CLAIMS MADE OCCUR I PERSONAL&ADV INJURY $ 1,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one fire) $ 1,000,000 j
I MED EXP(Any one person) $ 5,000
AUTOMOBILE LIABILITY I
COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
...._................._.......................... _......w—
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
� I
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
(� AGGREGATE $
EXCESS LIABILITY
EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND I TORY LIMITS I OER�
EMPLOYERS'LIABILITY ......_................._
EL EACH ACCIDENT $
° .............�................. .....•...•-
._ .._......
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTIVE .....................
OFFICERS ARE: EXGL EL DISEASE-EACHEMPLOYEE $ ....__......,.
OTHER
I I
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS
The City of EI Segundo,its officers„employees and agents,while acting Within the scope of their duties,are included as additional insureds only as respects
the conduct of research projects involving explosive materials at the Aerospace complex.
CERTIFICATE CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL E4MWiAY MAIL -'A0 DAYS WRITTEN NOTICE TO THE
City Of EI Segundo CERTIFICATE HOLDER NAMED HEREIN, XK�
Attn:Fire Chief
314 Main Street XNE
EI Segundo,CA 90245 IW' XXMMM XXXXXXXXxXXXXX>(XXXXX,XXXXXXxXxxXXXXXXXXXXXXXXXXX
MARSH USA INC'.
BY: John F Wesley
MM1(3102) VALID AS OF::07/02/04
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