PROOF OF INSURANCE (2007) CLOSEDACORD CERTIFICATE OF LIABILITY INSURANCE Dog /08/2006
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis of Illinois, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
10 S. LaSalle St., Ste. 3000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Chicago IL 60603
Helen Chen Ph:312- 621 -4908 Fx:312 -621 -6866
THYSSENKRUPP ELEVATOR CORPORATION
6048 TRIANGLE DRIVE
LOS ANGELES CA 90040 -3641
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Lexington Insurance Company 19437
INSURER B:
Wausau Business Ins Co & Wausau 26069/26042
.. .. ._ _ .. _
INSURER C: Indemnity Ins Co of NA & ACE American Ins Co
INSURER D:
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.
ITO INS
ADD'
R
TYPE OF INSURANCE
GENERAL LIABILITY
POLICY NUMBER
1436830
POLICY EFFECTIVE
10/0112006
POLICY EXPIRATION
10/01/2007
LIMITS
EACH OCCURRENCE
S $2.000,000
FIRE DAMAGE (Any one fire
S
rA
X COMMERCIAL GENRL LBLTY
LAIMS MADq_LPCCUR
MED EXP (Any one person)
t
PERSONAL & ADV INJURY
3 12 n0l[11()00
GENERAL A
S
t Included
GEN'
REG ITA S PER:
OLI PRO
X C LO
B
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SKY91438879016 (AOS)
SJY91438879036 (PR)
10/0112006
10/01/2007
COMBINED SINGLE LIMIT
(Ea accident)
S $2,000,000
BODILY INJURY
(Per person)
3
SCHEDULED AUTOS
BODILY INJURY
S
HIRED AUTOS
(Per accident)
PROPERTY DAMAGE
S
NON -OWNED AUTOS
(Per accident)
i
AGE LIABILITY
ANY AUTO
OTHER THAN
AUTO ONLY:
;
�
S
EXCESS LIABILITY
f(—JI CLAIMS
OCCUR MADE
t
S
S
C
DEDUCTIBLE
ARETENTIONS
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIV
OFFICERIMEMBER EXCLUDED?
If yes, describe under
WLRC44343436 (AOS)
WLRC44343381 (CA)
SCFC44343447 (AZ, WI)
10/01/2006
10/01/2007
STATU- OTH
ACCIDENT
S 1,000,000
PELDISEASE I
SE - EA
$ 1,000,000
DESCRIPTION OF OPERATIONSILOCATIONSNEiHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: ELEVATOR MAINTENANCE JOB# 041 -34010 EL SEGUNDO CITY HALL
CITY OF EL SEGUNDO
ATTN: LARRY BROWN
160 ILLINOIS STREET
EL SEGUNDO CA 90246
ACORD 26 (2001/08)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOIS
DATE THEREOF, THE ISSUING INSURER WILL,109000M MAIL 30.. DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
Representative
rn wnnnn nnoonoATlnhl �04t1
ADDITIONAL INFORMATION
Date
09/08/2006
CITY OF BL SEGUNDO
12:00:00 AM
!PRODUCER
Company
Willis of Illinois, Inc.
E
10 S. LaSalle St., Ste. 3000
Company
Chicago IL 60603
F
INSURED
Company
THYSSENKRUPP ELEVATOR CORPORATION
G
6048 TRIANGLE DRIVE
Company
LOS ANGELES CA 90040 -3641
H
TEXT
The Adaltional Insureatsl Ilsiea oeiow are aaucu as an wuuivaina il�ulu � .. — r� ........ ..... ....
and General Liability policies, but only to the extent required by written contract and only to the extent
that coverage is afforded under these policies.
CITY OF EL SEGUNDO
The insurance shall be primary and non -contributing with respect to the Additional Insured where
required by written contract.
CERTIFICATE HOLDER
Serial #: BHOR- 6TGCJ3
CITY OF BL SEGUNDO
ATTN: LARRY BROWN
150 ILLINOIS STREET
EL SEGUNDO CA 90245