PROOF OF INSURANCE (2008) CLOSED DATE(MMItDD/YYYYy
AC CERTIFICATE OF LIABILITY INSURANCE 8/11/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MCLURE INSURANCE BROKERAGE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
17671 Irvine Blvd. Suite 101 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tustin, CA 92780
(714)664-8911 INSURERS AFFORDING COVERAGE NAIL#
INSURED INSURERA. TOPA INSURANCE CO.
10-8 RETROFIT i INSURER W. EXPLORER INSURANCE
1911 MCKINLEY AVE I INSURER C: STATE COMPENSATION INS. FUND
LA VERNE, CA 91750 {INSURER D:
I I INSURER E:
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.
om LTR N6RD TYPF OF ISURANCE POLICY NUMBER Pn ICY F I I DATEQ MP()D�IYVON LIMITS
GENERA!.LIABILITY EACH OCCURRENCE $ 1,000,000
LAPMUt Sa" uX COMMERCIAL GENERAL LIABILITY PRREMISE (Eoa:rence) 50,000
=CLAIMS MADE ®OCCUR MEDEXP(Zomperwn)
S 2,000
A X DED:1,000 GP 3397194 10/22/07 10/22/08 (PERSONAL&ADvIumy s 1,000,000i
X DED:1,000 i GENERAL AGGREGATE s 2,000,000
GEMLAGGREGATE LIMIT APPLIES PER, iPRODUCTS-COMIP/OPAGG S 1,000,000
POLICY n JEC 17 LOC i
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
X ANYAUTO (Eeacckimt) $ 1,000,0001
ALL ONMED AUTOS BODILYINJURY
_ SCHEDULED AUTOS (Per paw) S
B X HIRED AUTOS CBU 2026587 01/01/08 01/01/09 BODILYINJURY
NON-OWNEDAUTOS (Peracckimt) S
PROPERTY DAMAGE S
(PeraceitlaM)
GARAGE LIABILITY AUTOONLY-EAACCIDENT $ 1,000,000 (
�ANYAUTO GP 3397194 10/22/07 10/22/08 DTHRTNAN EAAcc s 1,000,0001
A AUTOONLY: AGG S 1,000,000 i
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ i
OCCUR CLAIMSMADE iAGGREGATE $ i
DEDUCTIBLE
RETENTION S S I
WORKERSCOMPENSATIONAND WCSIAII TSS I IUERH
EMPLOYERT LIABILITY W/G-1766419-2007 12/01/07 12/01/08 E.L.EACH ACCIDENT s 1,000,0001
ANY PROPRIETOMPAR'1'NEMEMCUTh E
C OFFI EsMLWEeD? I E.L.DISEAS -EA EMPLOYEI:$ 1,000,000
i
W6 AL PROVISK)NS bebw E.L.DISEASE-POLICY LIMIT $ 1,000,000
OTHER
B PROPERTY GP 3397194 10/22/07 10/22/08 CONTENTS:30,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
*10 DAY NOTICE OF CANCELLATION IN THE EVENT OF NON-PAYMENT OF PREMIUM* THE CITY
OF EL SEGUNDO IS NAMED AS ADDITIONAL INSURED.
GARAGEKEEPERS LIMITE:$200,000
CERTIFICATE HOLDER CANCELLATION
THE CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
ATTN• CITY CLERIC DATE THEREOF,THE ISSUING INSUR WAO DAYS WRITTEN
350 MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,0111111;FN'—"FM 90
EL SEGUNDO., CA 90245-0989 #dWKf:;
-1 -OR
NN
AUTHORIZED REPIP T A
ACORD26(2001/08) ACORD CORPORATION 1980
POLICY NUMBER: GP 3397194 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM 13)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
CITY OF EL SEGUNDO
350 MAIN STREET
EL SEGUNDO, CA 90245
OFFICIALS AND EMPLOYEES
(If no entry appears above information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the
Schedule,but only with respect to liability arising out of"your work"for that insured by or for you,
PRIMARY INSURANCE: It is agreed that such insurance as is afforded by this policy for the benefit of
the persons or organizations as listed above shall be primary insurance as respects any claim, loss or
liability arising directly or indirectly from the insured's operations, and any other insurance or self-
insurance maintained by such persons or organizations shall be noncontributory with the insurance
provided hereunder.
CG 2010 1185 Copyright, Insurance Services Office, Inc. 1984