PROOF OF INSURANCE (2004) CLOSEDNov 01 2004 4:16PM Columbia Development Grou 310 - 546 -7676 p•2
Jun 21 04 04:33p John L Jim Wintemute 805.499.2518 p.2
CERTIFICATE OF LIABILITY INSURANCE DATE 6/22//200200"'
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PMMJCM WINTEMUTE INSURANCE AGENCY THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION
44 Cabrillo Cr. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Thousand Oaks CA 91320
(805) 376 -1338
INSUREO
612 TWIN HOLDINGS LLC
1141 HIGHLAND AVE SUITE 203
1. IMANHATTAN BEACH
CA 90266
INSURERS AFFORDING COVERAGE
INSURERA: FIREMANS FUND INSURANCE CO
INSURER R:
INSURER r.
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REG NWAIENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMlCH THIS CERTIFICATE MAY BE ISSUED OR
AIRY PERTAIN. THE INSURIMICE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES- AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD M A US.
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7 TYPi OF SlSURAIN;E 1 POLN Y NUlw•SR
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GNrSRALUABRITY
NOTICE TO THE CERTIFICATE HOLM MAN= TO THE LEFT. BUT AAxA E TO DO SO SHALL
PUBLIC WORKS DEPARTMENT
EACH OCCURRENCE 1 S 11000,000
� Co umiAL GEf1EAAL LN13E.I7Y I
Er ATIVE
FIRE OAMAOE Wy WW fnl I f 1,000,000
CLAtlK AMOE ::� OCCUR '
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PIED E" (Any onA Pnsonl f 5,000
A AZC 8073 86 36
12/8/2003
12/8/2004
PERSONALSADNINJURY I f 1,000,000
GENERALAGGREGATE S 2,000,000
GENt AGGREGATE UMIT APPLSIS PSR .
POWOM75 - COMP /OP AOG I S 1,000,000
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THE CITY OF EL SEGUNDO, IT OFFICIALS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSUREDS, SUCH
INSURANCE WILL BE DEEMED PRIMARY.
CFRTIFICA.TF HnI nF2 1 I Anrwvmn u wYtl n. --mes, a-e P ■ II,-C1 1 .TN^u
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® AGORD GORPORAT1I7N Isis
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SHOULDANYOFTMABOVEDESCREEDPC JCIESSECYIC .LLEEDBEFDRSTMSEXPIRATION
CITY OF £L SEGUNDO
0^11E THEREOF. THE MHUMS INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
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NOTICE TO THE CERTIFICATE HOLM MAN= TO THE LEFT. BUT AAxA E TO DO SO SHALL
PUBLIC WORKS DEPARTMENT
MOVES NO 0OLMMI1 OR LMS&I7V OF ANT KIND UPON THE NSWER. ITS AGENTS OR
350 MAIN STREET•TNEf:
Er ATIVE
BL SEGUNDO CA 90295 -3895
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