Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PROOF OF INSURANCE (2008) CLOSED
ACORD CERTIFICATE OF LIABILITY INSURANCE U01 /07 / °Dm) -- '" 05/01 /07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SUITE 400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1255 23RD STREET, N.W. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WASHINGTON, Attn: SHARON HE NNING ING - T- 202 - 263 -7600 COMPANIES AFFORDING COVERAGE COMPANY 500625 -- GAUW -07 -08 A HARTFORD FIRE INSURANCE COMPANY INSURED COMPANY MAXIMUS, INC. AND ALL SUBSIDIARIES B TWIN CITY FIRE INSURANCE COMPANY 11419 SUNSET HILLS ROAD - COMPANY RESTON, VA 20190 C HARTFORD CASUALTY INSURANCE COMPANY COMPANY D COVERAGES This certificate supersedes and replaces any previously issued certificate. 6 THIS IS TO CERTIFY THAT 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. TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE �DATE(MM/DDIYY) LICY EXPIRATION LIMITS DATE (MM /DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY 10 LIEN TE5891 05/01/07 05/01/08 PRODUCTS - COMP /OP AGG $ 2,000,000 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 1,000,000 EACH C CURRENC E $ 1,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY A X ANY AUTO 10 UUN TE6206 05/01/07 05/01/08 COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000 C X UMBRELLA FORM 10 RHU TE5713 05/01/07 05/01/08 AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM Is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X ORY LIMITS ER B 1OWBRMF5811 (WI) 05/01/07 05/01/08 EACH ACCIDENT $ 1,000,000 C THE PROPRIETOR/ X INCL PARTNERS /EXECUTIVE 1 OWNMF5810 (AOS) 05/01/07 05/01/08 DISEASE - POLICY LIMIT $ 1,000,000 DISEASE -EACH EMPLOYEE $ 1,000,000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS CITY OF EL SEGUNDO IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE GENERAL AND AUTOMOBILE LIABILITY AS REQUIRED BY CONTRACT WITH THE NAMED INSURED. CERTIFICATE HOLDER CLE-001044414 -17 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL AKM MAIL CITY EL SEGUNDO 30 CL CITY CLERK'S OFFICE DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN: PATTI KNIGHT pfili41Q�Q(XIX�gi6�df�C 350 MAIN STREET EL SEGUNDO, CA 90245 -3895 X%V XxKV X AUTHORIZED REPRESENTATIVE A IN� —' Timothy M. Sasser " ACORD 25 (111/06) © ACORD CORPORATION 1888 (M� D� YYYY ) DATE05 02 2007 ACORDM , COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE. (866) 283 -7122 FAX- 847 953 -5390 INSURERS AFFORDING COVERAGE NAIC# INSURED I INSURER A: American international Specialty Lines 2 26883 d INSURER B: �