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PROOF OF INSURANCE (2008) CLOSED
CERTIFICATE OF OP ID M LIABILITY INSURANCE HINDS -1 DATE (MMIDD/YYYY) 02/21/07 Acow. 01/01/07 Ol /O1108 _PREMISES (Ea occurence) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ` PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Valley Insurance Service HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License# 0566246 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 861 South Oak Park Road 1 $ 2, 000 , 000- Covina CA 91724 Fax:626- 966 -3895 GENERAL AGGREGATE INSURERS AFFORDING COVERAGE NAIC # _ Phone:626- 966 -3664 INSURER A Safeco Ins. Co. of America 24732 INSURED Hinderliter de Llamas & Asso & - INSURER B: Safeco Ins_. Co. of America 24732 HDL Software, LLC INSURER C: — HDL Coren & Cone 1140 Valley CAs91765 #200 INSURER D: - INSURER E: 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. POLICY NUMBER DATE MMIDD/YY E PDATE MM /DDIYY N LIMITS GENERAL LIABILITY A COMMERCIAL GENERAL LIABILITY 0 2BP4 0 2 2 31- 2 l CLAIMS MADE OCCUR I X J11!11,A EGATE LIMIT APPLIES PERRO JEC T LOC E LIABILITY TO 24CC109957 -2 NED AUTOS ULED AUTOS X� HIRED AUTOS $ I NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR 1:1 CLAIMS MADE I ' DEDUCTIBLE RETENTION $ j WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Al PROPrIE T OR "PtkRTNE. <iEXE:LJT VVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER AliBusiness Property 02BP402231 -2 COMBINED SINGLE LIMIT $1,000,000 01/01/07 01/01/08 Ea accident) BODILY INJURY $ (Per person) BODILY INJURY �$ (Per accident) I PROPERTY DAMAGE $ I (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA A—CC - II $- AUTO ONLY: qGG $ - - -- — EACH OCCURRENCE $ AGGREGATE $ IOTH- _ TORY LIMITS L.. LER _ F.L. EACH ACCIDENT_ E.L DISEASE - EA EMPLOYEE E.L DISEASE -POLICY LIMIT $ 01/01/07 Spec Form $433,000 Deduc /Occ $1,000 )ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROV151UN5 10 days notice of cancellation for non - payment of premium. Certificate holder is named as additional insured per attached endorsement. CERTIFICATE HOLDER City of E1 Segundo 350 Main Street El Segundo CA 90245 ACORD 25 (2001/08) CANCELLATION ELSE 0 0 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILD MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I S. J. 4 �3� ' © ACORD CORPORATION 1988 EACH OCCURRENCE s2,000,000 01/01/07 Ol /O1108 _PREMISES (Ea occurence) $2,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY 1 $ 2, 000 , 000- GENERAL AGGREGATE $ 4 , 000,000 PRODUCTS _COMP/OP AGG ! $ 4 , 000_, 0001 COMBINED SINGLE LIMIT $1,000,000 01/01/07 01/01/08 Ea accident) BODILY INJURY $ (Per person) BODILY INJURY �$ (Per accident) I PROPERTY DAMAGE $ I (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA A—CC - II $- AUTO ONLY: qGG $ - - -- — EACH OCCURRENCE $ AGGREGATE $ IOTH- _ TORY LIMITS L.. LER _ F.L. EACH ACCIDENT_ E.L DISEASE - EA EMPLOYEE E.L DISEASE -POLICY LIMIT $ 01/01/07 Spec Form $433,000 Deduc /Occ $1,000 )ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROV151UN5 10 days notice of cancellation for non - payment of premium. Certificate holder is named as additional insured per attached endorsement. CERTIFICATE HOLDER City of E1 Segundo 350 Main Street El Segundo CA 90245 ACORD 25 (2001/08) CANCELLATION ELSE 0 0 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILD MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I S. J. 4 �3� ' © ACORD CORPORATION 1988 OP ID M DATE (MM /DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE HINDE 71 02/21/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Valley Insurance Service ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License# 0566246 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 861 South Oak Park Road Covina CA 91724 Phone:626- 966 -3664 Fax:626- 966 -3895 INSURERS AFFORDING COVERAGE NAIC # INSURERA: ACE American ins. Co, INSURER B: Hinderliter dq Llamas & Asso & INSURER C: – Valley Vista DiamondBar A991765 2OO INSURER D: INSURER E: 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. — p�pp•Q'�� P LI Y EF E IVE P LIMITS ro .i' L ecru TYPF OF INSURANCE POLICY NUMBER DATE (MM /DD/YY) DATE (MMIDD/YY)N GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JECT n LOC PRO- AUTOMOBILE LIABILITY $ +-- ANY AUTO $ ALL OWNED AUTOS $ SCHEDULED AUTOS HIRED AUTOS $ NON -OWNED AUTOS GARAGE LIABILITY �I ANY AUTO EXCESS /UMBRELLA LIABILITY –7 I OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PA.RTNER /E.XFCIITIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below A !Professional Liabi �CRL129811 02/15/071 02/15/08 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORStMtN I i ortviAL- rm--- *10 days notice of cancellation for nonpayment of premium EACH OCCURRENCE _ -- $ +-- QAMAGETOI�ENTETT PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EACH OCCURRENCE $ AGGREGATE $ E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE' $ E.L. DISEASE - POLICY LIMIT ! $ Each Occ Gen Aqq- 1,000,000 1,000,000 CERTIFICATE HOLDER CANCELLATION ELSE-01 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, Endow City of El Segundo AUTHORIZED REPRESENTATIVE 350 Main Street E1 Segundo CA 90245 -3813 Harold J. Borak © ACORD CORPORATION 1988 ACORD 25 (2001/08) ACOR -0. CERTIFICATE OF LIABILITY INSURANCE HI OP ID M NDE -1 OATE(MMIDDIYYYY) 02/21/07 PRODUCER Valley Insurance Service License# 0566246 861 South Oak Park Road THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY NUMBER P LI Y E FE IV DATE (M MID Covina CA 91724 Phones 626- 966 -3664 Fax:626- 966 -3895 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Preferred Employers INSURER B $ _ INSURER C: HEIL Coren & Cgne 1340 Valley Vista Dr #200 Diamond Bar CA 91765 INSURER D: INSURER E: $ UUVCKAUCO 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. S LTR NSR TYPE OF INSURANCE POLICY NUMBER P LI Y E FE IV DATE (M MID IRA I N LIMITS DATE MM /DD/YY GE NERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE FD PREMISES (Ea occurence` i $ — -- $ $ _ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ $ GENERAL AGGREGATE PRODUCTS - COMP /OP AGG GEN'LAGGREGATE LIMIT APPLIES PER POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS -- — HIRED AUTOS BODILY INJURY (Per accident) $ - -- NON-OWNED AUTOS __ PROPERTY DAMAGE (Per accident) $ — I GARAGE LIABILITY ~� ANY AUTO AUTO ONLY - EA ACCIDENT $ - - - - - -- -- OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ _ AGGREGATE $ OCCUR CLAIMS MADE $ $ -- DEDUCTIBLE $ RETENTION $ A EMPLOYERS' LIABILITY EDP WKN125848 -2 OFFICER/MEMBER CER/ MEMBER COMPENSATION I ANY PROPRIETOR/PARTNEWEXFCUTIVE 01/01/07 X TORY TATUj ER j� — — 01/01/08 F.L. EACHAcCID / ENT $ 1 000 000 – El DISEASE - EA EMPLOYEE $1,000,000 f yes, oescribe under SPECIAL PROVISIONS below El DISEASE - POLICY LIMIT I $ 1 r 000 , 000 i OTHER i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS * 10 days notice of cancellation for non payment of premium and non - reporting payroll. ELSE 0 0 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLVNIPXPI�MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT City of El Segundo AUTHORIzepREP�RESENTATIVE 350 Main Street E1 Segundo CA 90245 Harold J. Borak © ACORD CORPORATION 1988 AUUKU [a tZUU UVO) , i 3 6 -3 2- POLICY NUMBER: 02BP402231 -2 COMMERCIAL GENERAL LIABILITY Hinderliter De Llamas, HDL Software & HDL Coren & Cone THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of El Segundo 350 Main Street El Segundo, CA 90245 (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 II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. CG 20 10 10 93 Copyright, Insurance Services Office, Inc., 1992