PROOF OF INSURANCE (2001) CLOSED�•rKwrrn
PAGE 1
TR I U 5" V.
CERTIFICATE OF LIABILITY INSURANCE TODB/03/00
POLICIES OF INSURANCE LISTED BELOW
REQUIREMENT, TEAM OR CONDITION
PERTAIN, THE INSURANCE AFFORDED
AGOREEGATE LIMITS SHOWN MAY
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIALGENERAL LIABILITY
CLAIMS MADE a OCCUR
PRODUCER
Armstrong /Robitaille Bus &InsSV
680 Langsdorf Drive, Suite 100
PO Box 34009
Fullerton, CA 92834 -9409
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
H�� THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED
STRADLING YOCCA CARLSON RAUTH APC
P. 0. BOX 7680
Newport Beach, CA 92660
INSURERA: Chubb - Vigilant
INSURER B: Chubb- Federal
INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE
ANY
MAY
POUCIES.
POLICIES OF INSURANCE LISTED BELOW
REQUIREMENT, TEAM OR CONDITION
PERTAIN, THE INSURANCE AFFORDED
AGOREEGATE LIMITS SHOWN MAY
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIALGENERAL LIABILITY
CLAIMS MADE a OCCUR
HAVE BEEN ISSUED TO THE INSURED
ION OF ANY CONTRACT OR OTHER DOCUMENT
BY THE POLICIES DESCRIBED HEREIN
HAVE BEEN REDUCED BY PAID CLAIMS.
POLICYNUMBER
35327003
35327003
NAMED ABOVE
WITH RESPECT
IS SUBJECT TO
POLICYE F C I E
05/01/00
05/01/00
FOR THE POLICY PE
TO WHICH THIS
ALL THE TERMS, EXCLUSIONS
ATE EXPIRATION
A
05/01/01
05/01/01
IOD INDICATED. NOTWITHSTANDING
CERTIFICATE MAY BE ISSUED OR
AND CONDITIONS OF SUCH
LIMITS
EACHOCCURRENCE $1,000,000
S
A
FIRE DAMAGE (Anyone firs)
$1.000,000
MED EXP(Anyone person)
S 10,000
PERSONAL &ADVINJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OPAGG
$2,000,000
GEN'LACiGREBATELIMITAPPLIESPER:
POLICY PRO LOC
AUTOMOBILE LIABILITY
ANYAUTO
ALLOWNEDAUTOS
SCHEDULEDAUTOS
X HIREDAUTOS
X NON- OWNEDAUTOS
COMBINED SINGLE LIMIT
(Ee ecclden I)
$l OOO OOO
I I
A
BODILYINJURY
(Per person)
S
BODILYINJURY
(Per ecclden I)
$
PROPERTYDAMAGE
(Per eccldenl)
$
GARAGE LIABILITY
ANYAUTO
AUTOONLY- EAACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGG
$
S
B
EXCESS LIABILITY
7 7( OCCUR FI CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
79726620
05/01/00
05/01/01
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000,000
S
S
WCSTATU- IOTH -
I ER
S
E.L. EACH ACCIDENT
S
BL.DISEASE -EA EMPLOYEE
S
E.L.DISEASE-POLICYLIMITI
S
OTHER 10 day NOC
non -pay
DESCRIPTION OF OPERATIONSJLOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of E1 Segundo
City Clerk's Office
350 Main Street
El Segundo, CA 90245
SHOO L D ANYOF TH E ABOV E DESCRIBED POLICIES B E CANCEL LED B EFORE TH E EXPIRATION
DATETHEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3.0_ DAYS WRITTEN
NOTICETOTH E CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DOSOSHALL
IMPOSE NO OBLIGATION OR LIABIL17YOFANYKIND UPON THE INSURER,ITS AGENTS OR
TIVE
it Tag n ar%mn r mPrmATirW lam
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 SUBROQATION 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.
ae,mn OR.Q #71071') —F '7 O c• i i A i. w w — I — — .