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PROOF OF INSURANCE (2008) CLOSED
A nnQn iriCA i C Ur LIAUILITY INSURANCE )ATE(MM/DD/YYYY) PRODUCER (415) 788 -9810 FAX: (415) 248 -3534 11/15/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF ISU Insurance Services of San Francisco INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 201 California St. , Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES License # 0778092 BELOW. San Francisco CA 94111 -5098 INSURERS AFFORDING COVERAGE INSURED NAIC # 11/20/2007 INSURERA:Hartford Casualty Iris CO 29424 INSURER B: Hartford 00914 mom Peter Sklar INSURER C. 5850 Shellmond Way INSURER D. HIRED AUTOS Emeryville CA 94608 INSURER E: COVERAGES ruc oni ini❑ REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENRT WITH RES ECOTVTO WH CHETHIS ICERTIFIICOATE MAY BEDISSOUED OR MAY PIERTA NY AN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. VSR r-1 I POLICY EFFECTIVE POLICY EXPIRATION F INSURAtVCE POLICY NUMBER DATE MM /DD /YYI DATE MMIDDIYY LIMITS LITY EACH OCCURRENCE $ 1,000,000 AL GENERAL LIABILITY DAMAGE TO RENTED A PREMISES Ea occurrence $ 300,000 MADE X OCCUR 57UUNTL9438 11/20/2007 10/1/2008 MED EXP An one erson $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 TE LIMIT APPLIES PER: V PRO, r � _ _ PRODUCTS - COMP /OP AGG $ 11000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Certificate Holder is named as an Additional Insured with respects to General Liability as their intent my appear. CERTIFICATE City of E1 Segundo City Clerks Office Attn: Patti Kight 350 Main Street Room 5 E1 Segundo, CA 90245 -3895 ACOP.D 25 (2001/08) INS025 (0109) 08a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kelly Kenny © ACORD CORPORATION 1988 Page 1 of 2 AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 57UUNTL9938 11/20/2007 10/1/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ X HIRED AUTOS BODILY INJURY (Per accident) $ X NON -OWNED AUTOS X Comp Ded $1,000 X Coll Ded $1,000 PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY LIABILITY AGG $ EACH OCCURRENCE $ 5 , 000 , 000 tE-XCESS/UMBRELLA CLAIMS MADE AGGREGATE $ 5, 000, 000 $ A $ 10,000 57RHUTL9505 11/20/2007 10/1/2008 X ORSLIMIT ER TORY LIMITS R $ B WORKERS COMPENSATION AND EMPLOYERS'LIABI LIT Y ANY PROPRIETOR/PARTNER /EXECUTIVE Oyes, describe and EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 57WENQ8348 10/1/2007 10/1/2008 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,0001 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Certificate Holder is named as an Additional Insured with respects to General Liability as their intent my appear. CERTIFICATE City of E1 Segundo City Clerks Office Attn: Patti Kight 350 Main Street Room 5 E1 Segundo, CA 90245 -3895 ACOP.D 25 (2001/08) INS025 (0109) 08a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kelly Kenny © ACORD CORPORATION 1988 Page 1 of 2