PROOF OF INSURANCE (2010) CLOSED�Q,M CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYW)
5/29/2009
PRODUCER THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION
EX @CUtiV@ Strategies, , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
g HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1246 Berkshire Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Grosse Pointe Park, MI 48230 -1035
(313) 881-8069 INSURERS AFFORDING COVERAGE NAIC #
INSURED Two Roads Professional Resources INSURER A: SPARTA Insurance Company
INSURER B: Lloyd's of London
5122 Bolsa Ave, Suite 112 INSURER C: Mt. Hawley Insurance Co.
Huntington Beach, CA 92649 INSURER D: Federal Insurance Company
INSURER E:
nnVFQAn=Q
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.
INSR
L
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM /DD/YY
POLICY EXPIRATION
DATE MM /DD/YY
LIMITS
ORIZED REPRESEN ATIVE
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
UAMAUt lu RTE
PREMISES (Ea occurence)
$ 100 000
COMMERCIAL GENERAL LIABILITY
X TY
CLAIMSMADE CI OCCUR
MED EXP (Anyone person)
$ 5,000
PERSONAL B ADV INJURY
$ 1,000,000
A
Blanket Contra
009CP00027
06/01/09
06/01/10
X
cutal liability
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGG
$
PRO-
POLICYFI JECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
ANYAUTO
(Ea accident)
BODILY INJURY
$
ALLOWNED AUTOS
SCHEDULED AUTOS
(Per person)
A
HIRED AUTOS
009CP00027
06/01/09
06/01/10
BODILY INJURY
X NON -OWNED AUTOS
(Per accident)
$
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EAACCIDENT
$
OTHER THAN EAACC
$
ANYAUTO
$
AUTO ONLY: AGG
EXCESS /UMBRELLA LIABILITY
EACH OCCURRENCE
$ 5,000,000
X I OCCUR CI CLAIMSMADE
AGGREGATE
$ 5,000,000
$
0311520
06/01/09
06/01/10
$
C
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
X TORY LIMITS ER
EMPLOYERS' LIABILITY
00900022
06/01/09
06/01/10
E.L. EACH ACCIDENT
$ 11000,000
ANY PROPRIETOR /PTORIPARTNER/EXECUTIVE
E.L.DISEASE- EAEMPLOYEE
$
A
OFFICER/MEMBER EXCLUDED?
Ifyes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER Staffing
$1,000,000 per claim
B
Services E &O
MPL1010722.08
10/10/08
10/10/09
$2,000,000 Aggregate
D
Crime Incl 3rd Pty
6801 -6690
11/29/08
11/29/09
$1,000,000
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
The City of El Segundo, its officials and employees are additional insureds
under general and auto liability as respects work done by the insured for the
certificate holder. General liability coverage is primary and non contributory
over the insurance the City of E1 Segundo may have.
CERTIFICATE HOLDER CANCELLATION
ACORD25 (2001108) / I V ACORD CORPORATION 1988
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 _110_ DAYS WRITTEN
Attn : Maryam Jonas
NOTICE TO THE CERTIFICATE HOLDER NAMED HE LEFT, BUT FAILURE TO DO SO SHALL
MJonas@elsegundo.org
1 OSE NO OBLIGATION (ABILITY IND UPON THE INSURER, ITS AGENTS OR
350 Main Street
R RESENTATWES.
El Segundo, CA 90245
ORIZED REPRESEN ATIVE
ACORD25 (2001108) / I V ACORD CORPORATION 1988