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PROOF OF INSURANCE (2007) CLOSED (3)
DATE (MM /DD/YYYY) ACORD,_M CERTIFICATE OF LIABILITY INSURANCE 1 03/22/2006 �IRODUCs R (97`1)812 -9855 FAX (973)812 -9860 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION enc ,Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C &H A 9 Y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 324 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 783 North Riverview Drive Totowa, N7 07512 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: American Home Assurance Co. (AIG 19380 INSURER B: Arch Insurance Company (Hartan) 11150 472 South Salina Street, Suite 400 INSURER C: Syracuse, NY 13202-2481 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDIN, 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. IN R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR GL1773568 03/17/2006 03/17/2007 EACH OCCURRENCE $ 2,000,000 DAMAGETORENTED PRFMISER (Fa GCllrpnr $ 50 000 ) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 11,000100 GENERAL AGGREGATE $ 4,000,00 0 PRODUCTS - COMP /OP AGG $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jECT I 0 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA8262321 03/17/2006 03/17/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000 00 X BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS /UMBRELLA LIABILITY X OCCUR r-1 CLAIMS MADE DEDUCTIBLE RX RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER R/0 ULPOOOS384 -00 03/17/2006 03/17/2007 EACH OCCURRENCE $ 10,000,00 B AGGREGATE $ 10,000,000 $ WC STATU- OTH- $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS E: City of E1 Segundo, Residential Sound Insulation Program - GROUP 8, Contract No. 3545 G2010 (11/85) Additional Insured - Owners, Lessees or Contractors (Form B) (attached) �a "See attached for cancellation clause" E �� �' ' CERTIFICATE HOLDER C CELLATIO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL *)MWM MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of El Segundo MM XKxMOMXX@MKxK1Qi4NdWEX%UXDULIMXXX City Hall X�p{( XiJiKl6i(Rii6K1)IfDfdKXXXXXXXXX 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Michael Cul nen /CARENB l� ACORD 25 (2001108) © ACORD CORPORATION 1988 City of E1 Segundo 03/22/2006 Certificate issued to City of E1 Segundo C&H Agency,Inc. 08/26/2005 **Should any of the above - described policies be cancelled before the expiration dates thereof, the issuing company will mail within 30 days written notice to the certificate holder.'