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PROOF OF INSURANCE (2008) CLOSED
DATE (MMIDDIYY) ALRD,M CERTIFICATE OF LIABILITY INSURANCE 4/10/2007 Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Sam -il Insurance 3600 Wilshire ce #1014 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Los Angeles CA 90010 INSURERS AFFORDING COVERAGE INSURED INSURER A: 0 INSURER B: PROGESSIVE INSURANCE COMPANY CHAN HEE YANG INSURER c 5170 SEPULVEDA BLVD UNIT 180 INSURER D:-- SHERMAN OAKS, CA 91403 INSURER COVERAGES IN ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - - " INSR TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MMIDD/YY DATE MMIDD/YY LTR EACH OCCURRENCE $ GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY OCCUR MED EXP (Any one person) $ CLAIMS MADE 1 PERSONAL & ADV INJURY t_ $ . - - _ GENERAL_ AGGREGATE $ _ I -- — PRODUCTS - COMPIOP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: ` PRO- LOC AUTOMOBILE LIABILITY f LIABILITY COMBINED SINGLE LIMIT $ lr 000,000 (Ea accident) ANY AUTO X ALL OWNED AUTOS - - -- _ BODILY INJURY $ SCHEDULED AUTOS CA 04317391 -7 B 4/14/2007 4/14/2008 (Per person) - - -- X HIRED AUTOS I( BODILY INJURY $ Per accident ) X NON -OWNED AUTOS i - PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT } $ GARAGE LIABILITY --I EA ACC '� $ ANY AUTO OTHER THA — AUTO ONLYN AGG $ EACH OCCURRENCE ( $ EXCESS LIABILITY OCCUR CLAIMS MADE AGGREGATE I$ t Y II DEDUCTIBLE $ RETENTION $ W TAU TH- TORY LIMITS , ER_ WORKERS COMPENSATION AND _ $ EMPLOYERS' LIABILITY EM E L EACH ACCIDENT E L DISEASE - EA EMPLOYEE $ - E.L. DISEASE - POLICY LIMIT I $ JTJBT20X840050897 IDED $ 1,000 OTHER B 2004 LEXS UT VAN DESCRIPTION OF OPERATION S /LOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS See Supplemental Information Page(s) CERTIFICATE HOLDER 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 City of El Segundo / Public Works Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Its Officials and Employees as IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR "Additional Insured" REPRESENTATIVES. 150 Illinois St AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 © ACORD CORPORATION 1988 ACORD 25 -S (7/97) PF v1.0.1 LP: LPW v1.9.8 on 3/30/07 - 14:41 by UserName LM. LPW v1.9.8 on 3/30107 - 13 :59 by UserName