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PROOF OF INSURANCE (2009) CLOSED
ACORD- CERTIFICATE OF LIABILITY INSURANCE MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 1 /20 /M/DD/YY) 1 1DATE 11 /20/2008 PRODUCER FRENKEL & CO., INC. 350 Hudson Street -4" Floor New York, NY 10014 Phone No. (212)- 488 -0200 Fax No. (212)- 488 -0220 THIS CERTIFICATE IS ISSUED AS A ONLY AND CONFERS NO RIGHTS HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED BY MATTER OF INFORMATION UPON THE CERTIFICATE NOT AMEND, EXTEND OR THE POLICIES BELOW. POLICY EFFECTIVE INSURERS AFFORDING COVERAGE NAIC # INSURED Cassidy & Associates A Subsidiary of the Interpublic Group of Companies, Inc. 700 13th Street NW - Suite 400 Washington, DC 20005 -3960 INSURER A: Continental Casualty Company TYPE OF INSURANCE 20443 INSURERS: National Union Fire Insurance Company 19445 INSURER C: American Home Assurance Company 19380 INSURER D: New Hampshire Insurance Company 23841 INSURER E: Insurance Company State of Pennsylvania 19429 INSURER F: Travelers Insurance Company 19038 INSURER G: ACE American Insurance Company ( NYFTZ) DAMAGES TO RENTED PREMISES Ea Occurrence COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSIPID TYPE OF INSURANCE POLICY NUMBER DATE MM/DD /Y DATE MM/DD /Y LIMITS A X GENERAL LIABILITY 2088124057 1/1/2008 1/1/2009 EACH OCCURRENCE $ 1,000,000 DAMAGES TO RENTED PREMISES Ea Occurrence $ 1,000,000 COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 10,000 CLAIMS MADE ®OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,000 - POLICY JECPRO T LOC A A X AUTOMOBILE LIABILITY ANY AUTO 2088124060 -AOS 2086859267 -MA 1/1/2008 1/1/2008 1/1/2009 1/1/2009 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ HIRED AUTO PD $50.000 MAX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EACH AC $ ANY AUTO AUTO ONLY: AGG B EXCESS /UMBRELLA LIABILITY BE 9835425 1/1/2008 1/1/2009 EACH OCCURRENCE $ 10,000,000 OCCUR ❑ CLAIMS MADE AGGREGATE $ 10,000,000 DEDUCTIBLE RETENTION $ C C WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY 5145368(AOS) 5145369 -CA 1/1/2008 1/1/2008 1/1/2009 1/1/2009 Z WC STATJ - TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 C E D C ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 5145370 -FL 5145371 -MA, MI, TN, VA 5145372 -NY, WI 5145373 -OR 1/1/2008 1/1/2008 1/1/2008 1/1/2008 1/1/2009 1/1/2009 1 /1 /2009 1/1/2009 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 C 5145374 -TX 1/1/2008 1/1/2009 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER F PROPERTY KTJ CMB 545D361 1 08 1/1/2008 1/1/2009 Replacement Cost "ALL RISK" A AUTOMOBILE PHYSICAL DAMAGE 2088124060 -AOS 1/1/2008 1/1/2009 $1,000 Deductible A COMPREHENSIVE & COLLISION 2086859267 -MA 1/1/2008 1/1/2009 $1,000 Deductible B OTHER NON - ADVERTISERS LIABILITY EON G21639734 007 10/1/2008 10/1/2009 $1,000,000 ERRORS & OMMISSIONS DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of El Segundo is named Additional Insured only as required by a written contract or agreement, solely with respect to claims arising out of the negligence of the Named Insured, as their interest may appear, except as regards Workers' Compensation and Advertisers' Liability and subject to the policy terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION City of El Segundo Office of the City Clerk 350 Main Street - Room 5 El Segundo, CA 90245 -3895 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. AUTHORIZED REPRECSNTATIV POLICY NUMBER: 2088124057 COMMERCIAL GENERAL LIABILITY CG 20 26 11 85 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: City of El Segundo Office of the City Clerk 350 Main Street, Room 5 El Segundo, CA 90245 -3895 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section ll) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. CG 20 26 11 85 © Insurance Services Office, Inc., 1984