PROOF OF INSURANCE (2008) CLOSEDTILI -2
ACORD UTI CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD
05/13/08
NSR
X
TYPE OF INSURANCE
GENERAL LIABILITY O I
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
THIS CERTIFICATE IS ISSUED AS A MATTER
OF INFORMATIO
PRODUCER
LIMITS
EACH OCCURRENCE
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Der Manouel Ins &Fin Svcs Inc
PREMISES(Eaoccurence)
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Der Ma nouel Insurance Group
$ 5000
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
7405 First Street
-" _ -- - -
Fresno CA 93720 -2823
INSURERS AFFORDING COVERAGE
NAIC #
Phone: 559 - 447 -4600
PRODUCTS - COMP /OPAGG
$2000000
INSURED
INSURER A: Allied Insurance
GEN'L AGGREGATE LIMIT APPLIES PER:
INSURER B: EMloyers Compensation Ins Co.
LC
INSURER C: National Union Sire Ins. Co.
Palm Ave. suite 105
�
INSURER D:
Fresno CA 93704
INSURER E:
LIABILITY
COVEK,AUL5
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.
LTR
NSR
X
TYPE OF INSURANCE
GENERAL LIABILITY O I
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
POLICY NUMBER
ACP78122036862
LI Y EFF IV
DATE MMIDDNY
12/13/07
O CY XPIRATION
DATE MMIDDIYY
12/13/08
LIMITS
EACH OCCURRENCE
$ 1000000
A
PREMISES(Eaoccurence)
$ 300000
MED EXP (Any one person)
$ 5000
PERSONAL & ADV INJURY
$ 1000000
-" _ -- - -
GENERAL AGGREGATE
$ 2000000
PRODUCTS - COMP /OPAGG
$2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
JECT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
$ 1000000
X
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
(Per person)
$
A
A
X
X
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ACP7822036862
ACP7822036862
12/13/07
12/13/07
12/13/08
12/13/08
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS /UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR EI CLAIMS MADE
DFDUCTIBLF
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?
FN32700203
02/04/08
02/04/09
X I TORY LIMITS
E.L. EACH ACCIDENT
000000
JER
E.L. DISEASE - EA EM000000
E.L. DISEASE - POLIC000000
If es, describe under
SPECIAL PROVISIONS below
OTHER
C
Prof Liability
6263195
05/23/07
05/23/08
1000000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
*10 day notice of cancellation for non - payment of premium. City of E1
Segundo, its officials, and employees are hereby named additional insured
per form PB60030101 attached.
r��wr
CtK111 -IUAIC nVLUr_M
- -- —
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
ELSEG -1
City of El Segundo,
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
Public Works
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn : Lauren Mahakian
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
350 Main Street
REPR SENTATIVES.
El Segundo CA 90245
ED PR T (E
Qfi
in ernRn cnRPORATION 1
ACUKU -L5 (LUUl /ua)
988
Re: Utility Cost Management, LLC
Policy no.: ACP78122036862
EFFECTIVE DATE: 12:01 AM Standard Time,
(at your principal place of business)
BUSINESSOWNERS
PB 60 03 (01 -01)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - MUNICIPALITIES OR PUBLIC AGENCY -
INSURED PROVIDING PROFESSIONAL SERVICES
This endorsement modifies insurance provided under the following:
PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM
SCHEDULE
Municipality and /or Public Agency:
City of El Segundo, its officials, and employees
350 Main Street
El Segundo, CA 90245
The following is added to Section II. WHO IS AN IN-
SURED:
The municipality and /or public agency designated in
the Schedule of this endorsement is also an insured,
but only with respect to liability arising out of your
operations, other than the rendering of or the failure
to render professional services, advice of instruc-
tion, subject to the following additional exclusion:
This insurance, including any duty we have to de-
fend "suits ", does not apply to "bodily injury ",
"property damage" or "personal and advertising in-
jury" that arises out of, in whole or in part, or is a
result of, in whole or in part, the active or primary
negligence of the municipality and /or public agency
designated in the Schedule of this endorsement,
whether or not such negligence has assumed by you
in a contract or agreement.
All terms and conditions of this policy apply unless modified by this endorsement.
PB 60 03 (01 -01)