PROOF OF INSURANCE (2005) CLOSEDCERTIFICATE R
�'WI'1 1001
1 1. �14�A1f'►1�1A►+► NYC 443604-10
RODUCER
MARSH USA I11C.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
601 MERRITT 7
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
NORWALK, CT 06856 -6010
POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Attn: JODY -MARIE FRANKOVITS PH: 860- 723 -5678
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
597956 - ALL - ALL -04 -05
COMPANY
A ST. PAUL FIRE & MARINE INSURANCE COMPANY
INSURED
GARTNER INC.
COMPANY
ATTN: KAREN GRASSO
B SENTRY INSURANCE A MUTUAL COMPANY
56 TOP GALLANT ROAD
STAMFORD, CT 06904
COMPANY
C
COMPANY
D
Cct RAGE9 his ce1lN Bate sups sectes and replaces any prOvlously issued cel Ipicate for the
THIS
poticy pe ►lad nofed below. 1.�2
IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN
OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
CO
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM /DD/YY) DATE (MM /DD/YY) LIMITS
A GENERAL LIABILITY TE09002078
06/30/04 06/30/05 GENERAL AGGREGRATE
X COMMERCIAL GENERAL LIABILITY
S
1,000,000
CLAIMS MADE � OCCUR
PRODUCTS- COMP /OP AGG $ 1,000,000
OWNER'S & CONTRACTOR'S PROT
PERSONAL & ADV INJURY $ 1,000,000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any one fire) S 1,000,000
A AUTOMOBILE LIABILITY TE09002078
MED EXP (Any one person) $ 10,000
X ANY AUTO
06/30/04 06/30/05
COMBINED SINGLE LIMIT $ 1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person) $
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY $
(per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT S
ANY AUTO
OTHER THAN AUTO ONLY: 77777777777777.1.1
EACH ACCIDENT $
EXCESS LIABILITY
AGGREGATE S
UMBRELLA FORM
EACH OCCURRENCE S
OTHER THAN UMBRELLA FORM
AGGREGATE $
8 WORKERS COMPENSATION AND WC 90- 14954 -01 AOS
( )
EMPLOYERS' LIABILITY
$
06/30/04 06/30/05 X WC STATU- OTH
WC 90- 14954 -02 (ND, OH, OR
06/30/04 06/30/05 TORY LIMITS ER
THE PROPRIETOR/
X INCL WA, WI, WV, WY)
EL EACH ACCIDENT S 1,000,000
PARTNERS /EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE - POLICY LIMIT $ 1,000,000
OTHER
EL DISEASE -EACH EMPLOYEE $ 1,000000
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS
THIS INSURANCE IS FOR THE CITY OF EL SEGUNDO, IT'S OFFICERS, OFFICIALS, EMPLOYEES
AND VOLUNTEERS.
CEATiFICAT NC)(DEA
CANCELLATIr ..
CITY OF EL SEGUNDO
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
OFFICE OF THE CITY CLERK
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ffNN1KVXWXM MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN,
ATTN: PATTI KNIGHT
N �ecyanx
350 MAIN STREET
xxwmxEK> ®ga c�>�asr>c mwxxx xxxx,Xx��Xxxx
EL SEGUNDO, CA 90245
xx�> x x�>Qc �X® 1�91mr0cmwXXXXX
EKWXM)" KXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
MARSH USA INC
BY: Mac D. Nadel
btMt(3 /) VALID AS
OF: 06/30/04 >