PROOF OF INSURANCE (2006) CLOSEDCERTIFICATE OF LIABILITY INSURANCE OP ID
ACORD B COM3 -1
DATE(MMIDD/YYYY)
111"/04
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Acordia, Inc.
3000 Town Center Suite 1900
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
Southfield MI 48075
Phone:248- 353 -5800 Fax:248- 353 -1875
INSURED
INSURER A: Federal Insurance Co. (Chubb)
20281
INSURER B:
01/01/06
EACH OCCURRENCE
INSURER C:
PREMISES (Ea occurence)
Team One Advertising
Publicis Groupe SA
1960 East Grand Avenue
El Segundo CA 90245
INSURER D:
$ 10,000
INSURER E:
$1,000,000
1. V V CRAUC.7
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.
- "' - - - -- - - - - --
ELSEGiTN
TYPE OF INSURANCE
POLICY NUMBER
DATE MM/DD/YY
DATE MM/DD/YY
LIMITS
Attn : Patti Knight
7GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑ OCCUR
35830963
01 / 01 / 0 5
01/01/06
EACH OCCURRENCE
$ 1,000,000
PREMISES (Ea occurence)
$1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
JECT
PRODUCTS - COMP /OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
73524820
01/01/05
01/01/06
COMBINED SINGLE LIMIT
(Ea accident)
s2,000,000
X
BODILY INJURY
(Per person)
$
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 F-1 CLAIMSMADE
DEDUCTIBLE
RETENTION $
79637473
01/01/05
01/01/06
EACH OCCURRENCE
$ 9,000,000
AGGREGATE
$ 9,000,000
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
_
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
•
OTHER
Personal Property
Special Form /Theft
35830963
01/01/05
01/01/06
Limit $5,000,000
Ded $25,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The City of E1 Segundo is named as an Additional Insured on the General
Liability of the Named Insured as their interest may appear.
el.�Jl wzmWeuel:
t,CRI Ir IVAIG f7VCVG1�
- "' - - - -- - - - - --
ELSEGiTN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of El Segundo
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Office of the City Clerk
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn : Patti Knight
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
350 Main Street
El Segundo CA 90245 -3895
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
John Roberts
A nATif1a1 Anoo
ACORD 25 ( 2001 /08) ......... ... .. .• ... ---• • -•- •___
3w:/ 302 gq