PROOF OF INSURANCE (2008) CLOSEDICRMA INDEPENDENT CITIES RISK MANAGEMENT
a Joint Powers Authority
CERTIFICATE HOLDER: NATIONS BUS CORP
ATTN:
AW
AUTHORITY
3780 KILROY AIRPORT WAY, SUITE 470
LONG BEACH, CA 90806
(562) 508 -4400 — Fax (562) 508 -4399
LIABILITY CERTIFICATE OF COVERAGE
CERTIFICATE NUMBER: 2007 - 500
10219 Hawthorne Boulevard
Inglewood, CA 90304
MEMBER and /or
COVERED INDIVIDUALS: City of El Segundo
DESCRIPTION OF COVERED ACTIVITY:
evidencing coverage for the City of El Segundo with respect to the lease of one (1) 2001
Krystal Koach KK24, Serial No. 1 FDWE45F31 HB24195, to be garaged at 150 Illinois Street,
El Segundo, CA 90245, under Master Equipment Lease Agreement No. 60508.
MEMO POLICY NUMBER: ICAPL1026 EFFECTIVE DATE: 7/1/2007
EXPIRATION DATE: 6/30/2008
Self- Insured Retention: $ 400,000
Limits: $ 1,000,000
(per occurrence)
THE FOLLOWING COVERAGE IS IN EFFECT:
General and automobile liability as defined in the master memorandum of liability coverage on file with the member
and /or covered individuals named above.
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 master memorandum of liability coverage.
This is to certify that the coverage listed above has been issued to the "Member and /or Covered Individuals" 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 coverage afforded as described herein is subject to all
the terms, exclusions, and conditions of the master memorandum of liability coverage of the Independent Cities Risk
Management Authority.
Coverage is in effect as stated above and will not be canceled, limited, or allowed to expire except upon 30 days written
notice to the certificate holder.
Date Issued: 6/1112008
Renewal: No
General Manager: