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PROOF OF INSURANCE (2009) CLOSEDACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDI08 10 30 2008 PRODUCER Phone: 757- 456 -0577 Fax: 757- 456 -5296 Rutherfoord 222 Central Park Avenue THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 1340 pOLICYNUMBER POLICYEFFECTIVE DATE Virginia Beach VA 23462 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Hart ford Casualty Ins. Co. 10/31/2009 MuniServices, LLC Attn: Patricia Dunn ph: 559 - 271 -6852 7335 N. Palm Bluffs Ave. INSURER B: Pennsylvania Manufacturers' A EE PREMISES Eaoccurenca w suRERC:Westchester Surplus Lines Ins '�X COMMERCIAL GENERAL LIABILITY INSURER D: Fidelity & Deposit Company of _ Fresno CA 93711 INSURER E: CnVFRAGFS 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. INSR ALTR bD'', I pOLICYNUMBER POLICYEFFECTIVE DATE POLICY EXPIRATION LIMITS A I- GENERAL LIABILITY 14UUNTB8204 10/31/2008 10/31/2009 ENC EAACHHOCCURRN $ 1, 000,000 EE PREMISES Eaoccurenca $300,000 '�X COMMERCIAL GENERAL LIABILITY AUTHORIZED REPRESENTATIVE -J7 CLAIMS MADE F—XI OCCUR MED EXP (Anyone person) $10, Q Q Q PERSONAL & ADV INJURY $ 1 000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 GEML AGGREGATE LIMIT APPLIES PER. � PRO - �— POLICY LOC A'i AUTOMOBILELIABILITY ANY AUTO 14UUNTB8204 10/31/2008 10/31/2009 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 0 0 0 BODILY INJURY (Per person) $ r- !I ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) — $ III X I-X_ HIRED AUTOS NON - OWNEDAUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHERTHAN EAACC $ _ ANYAUTO $ AUTO ONLY: qGG A I EXCESS /UMBRELLA_ LIABILITY 14XHUTB6141 10/31/2008 10/31/2009 EACH OCCURRENCE $ 1Q QQQ QQQ AGGREGATE $ 10, QQQ 000 }{ j OCCUR r —� CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND 2008076614663 10/31/2008 10/31/2009 X I WCSTATU- 0TH- I ER E.L. EACH ACCIDENT $ 1,000, 000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE -- E.L. DISEASE - EA EMPLOYEE - $ 1 Q Q Q Q Q Q OFFICERWEMBER EXCLUDED? E.L. DISEASE= POLICY LIMIT _ $ If yyes, describe under SP ECIAL PROVISIONS below OTHER C Professional Liab (E & 0) crime CCP006671630005 CCP0062533 10/31/2008 10/31/2008 10/31/2009 10/31/2009 5,000,000 Limit $25,000 Ded $5,000,000 Limit $25,000 Ded DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS The City of E1 Segundo, its agents, officers, servants and employees are named as additional insureds under the General Tdability policy with respect to the operations and work performed by the named insured as required by contract. rFRTIFIrATF FIAT nFR n CANCELLATION ACORD 25 (2001108) © ACORD GURPORATIDN 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of E1 Segundo WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Attn: City Clerk CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 350 Main Street SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON E1 Segundo CA 90245 -09 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) © ACORD GURPORATIDN 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 (2001/08) POLICY NUMBER: 14UUNTB8204 COMMERCIAL GENERAL LIABILITY CG 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 Organization(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 organizations) shown in the Schedule, but only v "` respect to liability for "bodily injury", "prop 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 © ISO Properties, Inc., 2004 Page 1 of 1 QMuNISERVicEs 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.dunnnmuni services. com. Sincerely yours, Patricia Dunn Contracts Compliance Manager