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PROOF OF INSURANCE (2010) CLOSED
DATE (MM /DD /YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 11/17/2009 v vaopuceR fI11S CERTIFICATE IS ISSUED AS A MATTER OF INFORM1IA "f10N ONLY Aon Ri sk Services Northeast, inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Parsippany NJ office CERTIFICATE. DOES NOT AMEND, EXTEND OR ALTER TIIE 10 Lanidex Center west P.O. Box 608 COVERAGE .AFFORDED BY'fIIE POLICIES BELOY . Parsippany NJ 07054 -0608 USA NAIL 4 INSURERS AFFORDING COVERAGE PHONE -(866) 283 -7122 FAX- 847 953 -5390 INSURER National union Fire Ins Co of Pittsburgh 19445 y INSURED ( cellco Partnership dba Verizon Wireless INSURER 180 Washington valley Road ° d Bedminster NJ 07921 USA INSURER 'O L INSURER D v 9 O INSURER E: COVERAGES BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. MAY MAY BE ISSUED OR THE POLICIES OF INSUKANCE LISTED BELOW HAVE WHICH THIS CERTIFICATE MAY BE ISSUED OR OR OTHER DOCUMENT WPPFI RESPECT TO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT R POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE "PERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. PERTAIN. THE INSURANCE AFFORDED BY THE HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED AGGREGATE LIMITS SHOWN MAY INSR ADDS POLIC \' NUMRER TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM /DDIYYYY DATE(MM /DDIYYVY LTR INSR 0907415 06/30/2009 06/30/2010 EACH OCCURRENCE 52 +000+000 A G NERALLIABILITY DAMAGE TO RENTED $2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS MADE © OCCUR D (Anv one person) to N PERSONAL. ADV INJURY E2,000,000 M GENERAL AGGREGATE 52 , 000 , 000 m GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2 , 000, 000 M O O D POLICY PRO- ❑ LOC n IECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) o Z y ANY AUTO R ALL OWNED AUTOS BODILY INJURY ( Per person) 4" 't SCHEDULED AUTOS d HIRED AUTOS BODILY INJURY (Per accident) NON OWNED AUTOS PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT GARAGE LIABILITY ANY AUTO OTHER THAN EA ACC AUTO ONLY. AGO EACH OCCURRENCE EXCESS I UMBRELLA LIABILITY ❑ OC(�UR ❑ CLAIMS MADE AGGREGATE BDEDUCTIBLE RETENTION WC STATU- OTH- OR LI IT WORKERS COMPENSATION AND Y N E.L. EACH ACCIDENT EMPLOYERS' LIABILITY ANY PROPRIETOR/ PARTNER/ EXECUTIVE E.L. DISEASE -EA EMPLOYEE OFFICER/MEMBER EXCLUDED'! (Mandatory in NH) E.L. DISEASE- POLICY LIMIT Ryes. describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS El Segundo, CA. City of E1 Segundo is included as - RE: site Name: Posa Park, Site Address: 400 Lomita respect to the General Liability Street, policy where required by written contract. Additional Insured with CANCELLATION CERTIFICATE HOLDER City Of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL -� Attn: City Clerk DATE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SO SHALL IMPOSE NO OBLIGATION OR LIABILITY _ y Jack wayt , city Manager BUT FAILURE. TO DO OF ANY KIND UPON TI IF. INSURER, ITS AGENTS OR REPRESENTATIVES. 350 Main Street El Segundo CA 90245 USA AUTHORIZED REPRESENTATIVE J 5v. 01988 -2009 ACORD CORPORATION. All rights reserved= ACORD 25 (2009/01) The ACORD name and logo are registered marks of ACORD