Loading...
PROOF OF INSURANCE (2027)UH I t (MIVIIU U/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/22/2026 .. .................. ... ... 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 INSUR ficate INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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 USAA INSURANCE AGENCY INC/PHS-•••----- PHONE N (888) 242 1430 FAX 65812846 o, Ext): (A/C, No): The Hartford Business Service Center �.. 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# ........_..........�.........�.....� 1iNSUREUD _ INSURER A : Hartford Accident and Indemnity Company 22357 NETFILE .....--- _............... INSURER B ;: PO Box 27320 ._............ INSURERC: FRESNO CA 93729 INSURER D ......................................_.. _�............ ,.,._..................... .. ................ INSURER E : ........................................�._,...�.-......................... .................. INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSrt ADD SUBRW uuu um LTR' _._.--- _jNSR WVD _„„„„„„ POLICY „ . JMMIDD/YXYF ITIT IT POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER m .___.... ....,. Yj,,,, MMIDDIY YYY COMMERCIAL GENERAL LIABILITY FDAMA' RRENCE ENTE iCLAIMS-MADE ❑OCCUR Fa occu enca�J ........... MED EXP (Any one person) PERSONAL & ADV INJURY -_.... .........._. ...�-�...,_.,_........,. ........................... �............................................................ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PRO- r— ._._.����� ........................ POLICY I LOC PRODUCTS-COMPIOPAGG JECT �H J1 OTHER: ........... .............. ........ ......,,�,�,.,' ......................... ............... AUTOMOBILE LIABILITY CO(N®INFO SINGLE LIMIT $1 ,000,000 X ANY AUTO BODILY INJURY (Per person) A AUTOS AUTOS ALL OWNED SCHEDULED X X 65UECIY4482 04/20/2026 04/20/2027 BODILY INJURY (Per accident) . AUTOS AUTOS (Per accident) WWITITITITITITITITITITITITITITITITITIT HIRED X X NON -OWNED PROPERTY DAMAGE .... ...................... . ........ ......................_...... �. ..........................� UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS- AGGREGATE MADE OEO RETENTION $ WORKERS CiYM107 �............_ AND EMPLOYERS' LIABILOITY ........_.....���. __--------- � PTAT(,1T ANY YIN. E,L EACH ACCIDENT PROPRIETOR/PARTNER/EXECUTIVE r NIA E,L,DISEASE. .EAmmmmmmmm µµµ µm OFFICER/MEMBER EXCLUDED? IL_ EMPLOYEE mm (Mandatory in NH) If yes, describe under E L. DISEASE - POLICY LIMIT DE„�� RIPTION OF OPERATIONS below _.....A...........................................N" _............... ...._..._ ...... DESCRIPTION OFOPERAT/OS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. The City of El Segundo, Its officials, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED and employees BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE 350 MAIN ST E POLICY PROVISIONS. WITH TH EL SEGUNDO CA 90245 AUTHORIZED REPRESENTATIVE .. 1988-2015 ACORD CORPORATION. O N. Allll rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#; ADDITIONAL REMARKS SCHEDULE Page _.a2 of IT 2 .............................................. ... ......... _.._.. AGENCY NAMED INSURED USAA INSURANCE AGENCY INC/PHS NETFILE .................... POLICY NUMBER ...� _._._. PO BOX 27320 SEE ACORD 25 FRESNO CA 93729 R NAIC CODE SEE ACORD 25 ... ....... ....��................ �............ m. EFFECTIVE lDATE: SEE ACORD 25 ........................ ................................��..... .�.............. A."'kr.........._ f tnNAf_ REMARKS ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD