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PROOF OF INSURANCE (2017) CLOSED $ DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 07/01/2016 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 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 CONTACT Lice se No 0437153ce Services {AI(No 6xt)a. FAX 777 South Figueroa Street E•MAII Los Angeles,CA 90017 APPRE $. Attn:Janice Hsu-213-346-5092 INSURER(S)AFFORDING COVERAGE NAIC# 02720-STND-CAS-16-17 Yes GLIAL INSURER A:National Fire Insurance Cc Of Hartford 20478 INSURED INSURER,6:Continental Insurance Company 35289 The Aerospace Corporation Attn:Tina Ganac-Risk Management INSURER C:NIA N/A PO Box 92957,M1/379N/A N/A Los Angeles,CA 90009 irys,uRER D INSURER E:N/A NIA INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-001781776-44 REVISI'O'N 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 .. .. .. ..... .,""..... LTR TYPE OF INSURANCE INSD WVD. POLICY NUMBER IMMIDDfYYYYI (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 6023888878 01115/2016 07/01/2017 EACH OCCURRENCE $ 2,000,000 — --- ufir'4d(t tf1Rk:&rE 0) CLAIMS-MADE X OCCUR f°REMI$I,a(I' 9f:giifrenco) $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 _ J _ .. .,,,, ..,,,, - ._ .., ., .,. GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ ,2,000,000 X POLICY❑JyE:•(;.t LOC PRODUCTS CO MP/OP AGG $ 2,000,000 N I'�R0• 011 11"A B AUTOMOBILE LIABILITY X 60 3888850 01/15/2016 07/01/2017 COM11'04i'DSINCa¢.E° LIMI"1 $ 2,000:000 _._,. (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOOr AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE' $ HIRED AUTOS (per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE ., $.... ..... .. ... DED I I RETENTION$ I .e$ WORKERS COMPENSATION AI H- AND EMPLOYERS'LIABILITY STTIJTF °R YIN ANY PROPRIETOR/PARTNER/EXECUTIVE _ II E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? �...... ..d N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE; $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMI i $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) _ REF: Aerospace/Air Force Pedestrian Bridge,EI Segundo,California The City of EI Segundo,its officers,officials,employees,agents and volunteers are included as additional insureds,but only as respects operations of the insured under written contract with the insured. Coverage is primary and non-contributory This certificate cancels and supercedes the certificate dated 11/5/08."10 days notice of cancellation for non-payment of premium will be provided by registered or certified mail CERTIFICATE HOLDER CANCELLATION City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Louis Morales,Project Consultant THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Planning 8 Building Safety ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo,CA 90245 AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Linda Leigh Long ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ��..� � DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 07/01/2016 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(les)must be endorsed. 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). PRODUCER CONTACT A( License No 0437153 1No CA Marsh Risk&Insurance Services PHONE FAX .. (AIC,Na): I 777 South Figueroa Street wm•MAIE. I Los Angeles,CA 90017 RkSS INSURERS FORDING COVERAGE NA IC Hsu-213-346-5092 4 1AF ._.. iC# 02720-STND-CAS-16-17 Yes GOAL INSURER A:National Fire Insurance Co Of Hartford 20478 rP INSURED INSURER 8:Continental Insurance Company 35289 The Aerospace Corporation Attn:Tina Ganac-Risk Management INsuRER„C:NIA N/A PO Box 92957,M1/379 INSURER D:N/A N/A Los Angeles,CA 90009 N/A .. A INSURER E NI INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-001781798-42 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 30LICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS /LTR _ pIDOL!i116R POLICY NUMBER.......... .. TYPE OF INSURANCE ......- -- c,� y1 ... . . POLICY EFF . POLICY EXP IMMIOOIYVYYI IMMlDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X 6023888678 01/1512016 07/01/2017 EACH OCCURRENCE $ 2,000,000 J X . I5AMA(AA'0 iN 19 r) OCCUR go{rerr riff.CLAIMS-MADE ) _ $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 RO -- t�Trf'I.,H ❑JEI�” ❑ � $ 000 X POLICY n LOC PRODUCTSNEO SINGLE V IMITGG $ 2,000,, B AUTOMOBILE LIA..IL!TY 1 6023888850 01/1512016 07/01/2017 (F ,I_n $ 2,000,,,00,0 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED [I'Tr le' E,RTY I'JAMAGE: $ ..,......., AUTOS L�' ��;Irtrynl� UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION$ $ WORKERS COMPENSATION PER PT.ATI/TF OTRH, AND EMPLOYERS'LIABILITY Y I N ❑ N/A DISEACH SE $ L E ANY PROPRIETOR/PARTNER/EXECUTIVE Fin NH EXCLUDE D E... (Mandatory' ) SE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPIFRATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) 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 and maintenance of underground storage tanks at the Aerospace complex as required under written contract with the insured. CERTIFICATE HOLDER CANCELLATION City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Fire Chief THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 314 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. EI Segundo,CA 90245 AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services I Linda Leigh Long -. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD