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PROOF OF INSURANCE (2024) CLOSED
Page 1 of 2 CERTIFICATE OF LIABILITY INSURANCE DATE,M0/2023 06/2/2023 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 have ADDITIONAL INSURED provisions or 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). � n Certificate Center PHONE 1-677-945 7378 �1-888-467 2378 Wi101isETowerayWataon Northeast, Inc. Willie Tourers .... FAX C47NTA T c/o 26 Century Blvd P.O. Box 305191 E-MAIL es@Willis comcertificat Nashville, TN 372305191 USA INSURER(S) AFFORDING COVERAGE NAIC # ACE American Insurance Company 22667 INSURER A �_IT-m_m mm p y INSURED INSURERB Indemnity Insurance Company of North Ameril 43575 .... Pitney Hawes Inc. ....... . ACE Fare""OnderWritere Ina NSURERC urance Company 20702 I - 3001 Summer Street �.-_ Stamford, CT 06926 INSURERD: INSURER E INSURER F ; COVERAGES CERTIFICATE NUMBER: W29359081 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 POLICIES.. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR . — TYPEOFINSURANCE ...... i6kl]OL'SU POLICY NUESE'R - . Lp, I M�fd IDuY1'wy MiMOM YY ,.... LIMITS X1 COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 2,000, 000 ill CLAIMS -MADE f X ;OCCUR �" i CIS 300 000 ......... .. . A MED EX- Any ane person) $ 5, 000 R HDO G72964366 07/01/2023'07/01/20241mmmmm PERSONAL & ADV INJURY $ 2,000,000 LIMIT APPLIES PER; GENERAL AGGREGATE I $ 4,000,000 XN'IGIRNFOA'TE IxCIG""X" LOC ® a, , ,$ -. ] 4,000,000 PRODUCTS- COMP/OP AGG S i9EC'T is OTHER.'.! I AUTOMOBILE LIABILITY 1 CCMOINED SINGLE LIMIT 0 ." Ea a agrrYl. ®3,000,,UU.. X I ANY AUTO BODILY INJURY (Per person) Is A ;OWNED SCHEDULED ISA H25579635 � 07/01/2023 07/01/2024 � BODILY INJURY (Per accident)( $ ..... ..x AUTOS ONLY AUTOS HIRED NON -OWNED - " .. -. ..... m. " - .... .. PROPE1IT'yCIAdJAOE AUTOS ONLY ! I AUTOS ONLY mfPec actidcw'1) _ UMBRELLA LIAB OCCUR C URRENCE $ EACH OC� LIA EXCESS � CLAIMS -MADE I AGGREG TE �j DED L RETENTION $ $ WORILITYKERS WORKERS COMPENSATION X I PER ER"" B OFTH- FCER/EPROPR MTBEREXCBLUDR/PARTNER D� ECUTIVE o N / A WLR C70319536 "� „� 07/01/2023 07/01/2024 9 E L EACH ACCIDENT ! (MandatoryIn NH) E L DISEASE EA EMPLOYEES $ 21000,000 III yes, describe under f 2,000,000 E.L. DISEASE -POLICY LIMIT $ 10 ESCRIPTION OF OPERATIONS below A iWorkers Compensation and NLR C70319573 07/01/2023 07/01/2024j1E.L. Each Accident 1$2,000,000 IE.L. jEmployers' Liability Disease - EA EmP $2,000,000 f , I E.L., Disease-Pol IMTI$2,000,000 iPer Statute DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF EL SEGUNDO OFFICE OF THE CITY CLERK ATTN: PATTI ADLEN 350 MAIN STREET EL SEGUNDO, CA 90245-3813 ACORD 25 (2016/03) AUTHORIZED REPRESENTATIVE ®1988-2016 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD sR to: 24289227 BATCH: 3021245 5344: 2 - of; AGENCY CUSTOMER ID: LOC #: ROB ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Willis Towers Watson Northeast, Inc. Pitney Bowes Inc. 3001 Summer Street POLICY NUMBER Stamford, CT 06926 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 Page 2 Of 2 AL:UKU 1U1 (luUtI/Uj) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:24289227 BATCH:3021245 CERT:W29359081 5344: 2 of 2 II