The URL can be used to link to this page

PROOF OF INSURANCE (2005) CLOSEDACORD CERTIFICATE OF LIABILITY INSURANCE OP ID W S1 DATE(MNI/DD/YYYY) JONES -3 12/09/04 PRODUCER Schrimmer- Cavanagh THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 120 E. La Habra Blvd. #101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. La Habra CA 90631 REPRESENTATIVES. Phone:562 -691 -6786 Fax:562- 694 -2124 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Fire Inauraace Co. $2000000 Richard D. Jones, A Professional Law Corporation DBA: Jones & Mayer INSURER B: X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 4] OCCUR INSURER C: 07/17/04 3777 N. Harbor Bvd. Fullerton CA 92835 INSURER D: $300000 INSURER E: $ 10000 PERSONAL & ADV INJURY 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. IN5 LTR AIJIJ*� NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY DATE MM/DD� LIMITS REPRESENTATIVES. GENERAL LIABILITY Joan S. Cavanagh ✓' EACH OCCURRENCE $2000000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 4] OCCUR 7 2 SBACR5 7 6 9 07/17/04 0 7/ 17 / 0 5 PREMISES (Ea occurence) $300000 MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $2000000 GENERAL AGGREGATE $4000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $4000000 POLICY P- LOC JECROT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 2 0 0 0 0 0 0 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS 72SBACR5769 07/17/04 07/17/05 A A HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If Yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of E1 Segundo and all of City's officers, employees, agents and volunteers are named as Additional Insureds per the attached SSO4490593. *10 Day Notice of Cancellation for Non - Payment of Premium. L,rK 1IrI9,AIt MULUtK CANCELLATION ELSEGUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of El Segundo DATE THEREOF, THE ISSUING INSURER WILL EMAIL *30 DAYS WRITTEN Cathy Domann, CMC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 94MURG=CKX LSHALL Deputy City Clerk 350 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR El Segundo CA 90245 -3895 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Joan S. Cavanagh ✓' AI.UKU LD tZUUi/UU) © ACORU"CORPORATIOW1988