The URL can be used to link to this page

PROOF OF INSURANCE (2009) CLOSEDDATE (MM /DDIYYYY) ACORD,M CERTIFICATE OF LIABILITY INSURANCE 10/30/2008 PRODUCER Phone: 757- 456 -0577 Fax: 757- 456 -5296 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rutherfoord HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 Central Park Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 1340 Virginia Beach VA 23462 INSURERS AFFORDING COVERAGE JA AIC# _ INSURED INSURERA: Hart ford Casualty Ins. Co. MuniServices, LLC INSURER B: Pennsylvania Manufacturers' Attn: Patricia Dunn ph: 559 - 271 -6852 INSURERC:Westchester Sur lus Lines In -- 7335 N. Palm Bluffs Ave. INSURER D: Fidelity & Deposit Company of Fresno CA 93711 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 EFFECTIVE POLICY EXPIRATION INSR -ADD' POLICY NUMBER LIMITS LTR -TYPE OF GENERAL LIABILITY 14UUNTB8204 10/31/2008 10/31/2009 EACH OCCURRENCE 1$1,000,0Q0 1 ___ 10/31/2008110/31 /2009 10/31/2008110/31 /2009 BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EAACCIDENT $ OTHERTHAN EAACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ E.L. EACH ACCIDENT $ 1 U U U. U U U E.L. DISEASE -EA EMPLOYEE $ 1 , 0 0 0 -O O O E.L. DISEASE - POLICY LIMIT 1 $ l 10/31/2008 10/31/2009 $5,000,000 Limit $25,000 Ded 10/31/2008 10/31/2009 $5,000,000 Limit $25,000 Ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 'ne City of E1 Segundo, its agents, officers, servants and employees are named as additional insureds under the General lability policy with respect to the operations and work performed by the named insured as required by contract. CERTIFICATE City of E1 Segundo Attn: City Clerk 350 Main Street E1 Segundo CA 90245 -09 ACORD 25 (2001108) CANCELLATION 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 j; © ACORD CORPORATION 1988 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) a L $ PERSONA 8 ADV INJURY _L U 1 0 0 0. 0 0 0 r CLAIMS MADE LX_ OCCUR 2 _000 0 0 0 PRODUCTS- COMPIOPAGG $ GEN'L AGGREGATE LIMIT APPLIES PER: I— PRO- F --1 LOC 10/31/2009 COMBINED SINGLE LIMIT $ (Ea accident) POLICY T A AUTOMOBILE LIABILITY 14UUNTB8204 - _ ANY AUTO 1 ALL OWNEDAUTOS AUTOS UTOS LSCHEDULE' WNEDAUTOS I _GARAGE LIABILITY A j LIABILITY tEXCESS/UMBRELLA 14XHUTB6141 �.. CLAIMS MADE f DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION AND 2008076614663 EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below C OTHER EONG21671630005 Professional Liab (E & 0) CCPO062533 D Crime 10/31/2008110/31 /2009 10/31/2008110/31 /2009 BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EAACCIDENT $ OTHERTHAN EAACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ E.L. EACH ACCIDENT $ 1 U U U. U U U E.L. DISEASE -EA EMPLOYEE $ 1 , 0 0 0 -O O O E.L. DISEASE - POLICY LIMIT 1 $ l 10/31/2008 10/31/2009 $5,000,000 Limit $25,000 Ded 10/31/2008 10/31/2009 $5,000,000 Limit $25,000 Ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 'ne City of E1 Segundo, its agents, officers, servants and employees are named as additional insureds under the General lability policy with respect to the operations and work performed by the named insured as required by contract. CERTIFICATE City of E1 Segundo Attn: City Clerk 350 Main Street E1 Segundo CA 90245 -09 ACORD 25 (2001108) CANCELLATION 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 j; © ACORD CORPORATION 1988 MED EXP (Any one person) a L $ PERSONA 8 ADV INJURY _L U 1 0 0 0. 0 0 0 GENERAL AGGREGATE $ 2 _000 0 0 0 PRODUCTS- COMPIOPAGG $ 2 000 000 10/31/2008 10/31/2009 COMBINED SINGLE LIMIT $ (Ea accident) 1,000, 000 10/31/2008110/31 /2009 10/31/2008110/31 /2009 BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EAACCIDENT $ OTHERTHAN EAACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ E.L. EACH ACCIDENT $ 1 U U U. U U U E.L. DISEASE -EA EMPLOYEE $ 1 , 0 0 0 -O O O E.L. DISEASE - POLICY LIMIT 1 $ l 10/31/2008 10/31/2009 $5,000,000 Limit $25,000 Ded 10/31/2008 10/31/2009 $5,000,000 Limit $25,000 Ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 'ne City of E1 Segundo, its agents, officers, servants and employees are named as additional insureds under the General lability policy with respect to the operations and work performed by the named insured as required by contract. CERTIFICATE City of E1 Segundo Attn: City Clerk 350 Main Street E1 Segundo CA 90245 -09 ACORD 25 (2001108) CANCELLATION 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 j; © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001105) POLICY NUMBER: 14UUNTB8204 COMMERCIAL GENERAL LIABILITY CO 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organlzation(s) "Any person or organization from whom you are required by written contract or agreement to be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement." Information required to complete this Schedule, If not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only v respect to liability for "bodily Injury", "prope damage" or "personal and advertising injury" caus in whole or in part, by your acts or omissions or acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; B. In connection with your premises owned by rented to you. CG 20 26 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 �MUNISewvices August 20, 2009 City of El Segundo Attn: Steve Jones Business Services Manager MuniServices, LLC 7335 North Palm Bluffs Avenue Fresno, California 93711 Phone: 800.800.8181 Fax: 559.275.0171 www.MuniServices.com Re: Insurance Certificate for MuniServices, LLC Dear Steve: This is written in response to our conversation of this afternoon with regard to the "Cancellation Clause" wording, specifically the "endeavor" language on the insurance certificate from MuniServices, LLC. We appreciate the reason for the City's requirement as it guarantees the City notice of the cancellation of the policy. MuniServices nationwide insurance broker has informed us no major insurance carrier is guaranteeing 30 -days notice directly to additional insured's. Our insurers will however continue to provide the endorsement that they will endeavor to mail 30 days written notice to the certificate holder, which would include the City but they will not guarantee notice to additional insured's by crossing out the word endeavor. Since we pay for our insurance coverage in advance and our insurer's must give us notice of cancellation, we will accept the obligation to provide no less than 30 -days notice prior to the effective date of cancellation to the City if we receive notice of a policy cancellation. Please don't hesitate to contact me if you have any questions. I can be reached at 559.271.6852 or by email at patricia .dunnamuniservices.com. Sincerely yours,```"- �" ?1,q.? Patricia Dunn Contracts Compliance Manager