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PROOF OF INSURANCE (2022) CLOSED
COVERAGES TI-IE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED DOCU M FNT NAMED ABOVE FOP. THE POLICY vA,n°'I RESPECT TO WHICH T1115 CERTIFICATE PERIOD INDIQkTED NO•TWTHSTANDING MAY BE ISSUED AN'Y OR MAY PERTAIN, REQUIREMENT, TERM OR CONDITION OF THE INSURANCE AFFORDED BY THE ANY CONTRACT OR OT"-IER POLICIES 'DESCRIBED HEREIN IS SUBJECT TO ALL THE. TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HA.' BEEN REDUCED BY PAID CLAIMS. _ ®-- pNSR TYPE OF INSURANCE POLICY NUMBER POLCCI` EFFECTTW'. POLICY EXPIRATION' DATE MNUDD TE M:MIDI IYY' LIMITS L, A cENERALLIABCLITY / / / / FACHEJCCJJRRLNCE $ 1,000,000, FIRE I.Y.F4hdn�.E QAn'y'.Cl�'Mt" Iat'I 5 1 0 ��- 010, x COMMERCIAL GENERAL LIABILITY '... CLAIMS MADE occuR'....72SBAAMi234 07/10/2021 07/10/2022 MFDC- PPAryone r sny 00 0. PERSONAL ADV INJURY 5' 1,000,000 ERALAGGRE GEN�. 000 $ � _ PRODUCTS - C'OMPlOP AGC" PROD �� $ 2,000,000 GEN'LAGGREGATE LIMMAPPLIES PER X POL.ICYLI 0L47I;' aj / AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT (Ea accident) $. ANY AUTO / / / / ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS / / / / HIRED AUTOS URY BODILY INJURY NONOWNEDAUTOS PROPERTY DAMAGE IPb%a5c'idePrEy � AUTO ONLY- EAACCIDEW $' '.... GARAGE LIABILITY / / / / OTHER THAN F.i, ACC ANY AUTO m AUTO ONLY: AGG $ p OCCU XRFNi•;..':E .. ., ... ...._ '.. EXCESS :�LJABILITY....'-A.2 692R "GA' OCCUR El CLAIMS MADE DEDUCTIBLE I RI;..TENfI(.)N $ WORKERS COMPENSATION AND/ 'W C; AI'iJ' O� �I.. / / / IORY LIMIT, .,�_.,...�................ EMPLOYERS' UABI,LTTY .$ F.L EACH ACCIDENT ...,,. . I L, DISEASE EEMPLOYEE......$ t L nISEASE.- POLICY' IPuTII $ OTHER DESCRIPTION OF OPERATIONS(LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS operations of the named insured CERTIFICATE HOLD R x ADDITIONAL INSURED; INSURER LETTER: __� � CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT City of El Segundo, 1t r s Officials and FAILURE' DO SHALLIMPO O' OBLIGATION OR LIABILITY OF ANY 19ND UPON THE employees Attn: City Clerks Office INSURER AGE TSORREPR" '' TATIAFE 350 Main Street AUTHOR E R R iI El Se do CA 90245— � ©ACORD CORPORATION 1988 ACORD 25S (7/97) Page �2 mm INS025S (99io).o'I ELECTRONIC LASER FORMS, INC - I-I.�'4°+ 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 issuing insurer(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 25S (7197) *,,r INS025S (991o) 01 Page2&2