PROOF OF INSURANCE (2006) CLOSEDM7CO)NFE
ERTIFICATE 18 IS SUED AS A MATTER OF INFORMATION ONLY AND
PRODUCER
RS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
WILDIS OF NEW YORK, INC. LIC.#BR- 721845
NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
7 HANOVER SQUARE
ES BELOW.
NEW YORK, NY 10004 -2594
COMPANIES AFFORDING COVERAGE
(212) 344 -8886
INSURER A: Travelers Indemnity Company of Illinois 25674 -002
INSURED
INSURER B: Travelers Indemnity Company of Connecticut 25682 -001
VIACOM INC.
Viacom Outdoor Inc.
INSURER C:
3150 S. 48th Street, Suite 200
Phoenix, AZ 85040
INSURER D:
��ll
-C 5d'xt -,,i'a P' '. yq� • .. �'N'1. RR:tl r� "'' * v.uy G
....,. Y�4",' { 4?it[ f, .hi °'!�'`� -...k �A'.;T �ht,luM."+i. u"Y;. _ I�^ �, w '4 �.. ..,. '�t^ �, -.:.n .. .�. _. y ..
x.�; ar r ( ,,yy
ANY
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
THE INSURANCE
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER
LTR
EFFECTIVE EXPIRATION LIMITS
DATE DATE
A
GENERAL LIABILITY
TJGLSA 280T402 -5 -TIL -05
01101/2005
01101/2006
GENERAL AGGREGATE
$ 15,000,000
PRODUCTS- COMPIOP AGG
$ 5,0()0,000_
X COMMERCIAL GENERAL LIABILITY
PERSONAL & ADV INJURY
$ 5,000,000
CLAIMS MADE ❑X OCCUR
EACH OCCURRENCE
5,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any One Fire)
$ 5,000,000
MED EXP M One person
TECAP26OT398- 1- TCT-05
01101/2D05
01/0112008
COMB�IN�D SINGLE LIMIT
Me
$ 3,000,000
B
AUTOMOBILE LIABILITY
BODILY INJURY
A
TJCAP260T396 -8 -TIL -05
01/01/2005
0110112006
X ANY AUTO
(Pet Person)
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per Accident)
HIRED AUTOS
PROPERTY DAMAGE
NON -OWNED AUTOS
AUTO ONLY —EA ACCIDENT
GARAGE LIABILITY
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
EXCESS LIABILITY
AGGREGATE
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
A
WORKERS COMPENSATION AND
TJUB260T392 -0 -TIL -05
01/0112005
01101/2006
X
STATUTORY
OTHER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
$ 1,000,000
EL DISEASE- POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
Re: City's Advertising But Shelter Program. Evidence of Insurance.
1.021 T
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City Or El Segundo
EXPIRATION DATE THEREOF, THE ISSUING INSURER YNL1 61100 MOOR TO MAIL .� DAYS
Attention: City Clerk /Patty Kight
Att
Att
Z
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU FAIL SC
North Main Street
El Segundo, CA 90245
AUTHORIZED REPRESENTATIVE
161 4 = RD CORPORATION 1998
ACORD 2" (7197)
wary ungev
Au�-16 -2006 11:34as From -CITY OF EL SEGUNDO +3106400460 T -6T4 P.002/003 F -280
GENERAL LIABILITY
ADDITIONAL INSURED ENDORSEMENT
CiTY OF EL SEGUNDO
In consideration of the premium endorosement now or ereafter attached thereto, it statement s agreed so follows:
endorsement rich this
endorsement is attached y
1. ADDITIONAL INSURED. The City of Ei Segundo, its officers agents and employees are included as additional
if of the
insured with regard to Ilablilty and defense of suits arising from your work" Performed by or on bshel! of
named insured regardless iof whether liability is attributable to the named insured or a combination of the named
and the additional insured.
Z. CONTRIBUTION NOT REQUIRED. Any other insurance maintained by the city of El Segundo is excess of tN $
insurance and will not Contribute with it.
3. SEygRABILITY Oi' INTEREST. This Insurance applies separately to each Insured against whom claim is
made or suit is brought except with respect to the company's limits' of liability. The Inclusion of any parson or
organization as an insured does not affect any right which such person or organization would have as a
claimant if not so Included.
4, CANCEU ATION NOTICE. With respect to the interests of the City of El Segundo, � is insurance tmnodo t by
canceled, reduced In coverage or limits or non - renewed. except after thirty ( ) days pd
or
RISTERen OR CERnEM MALI. has been given to the Public Works D11*Mr of El Segundo addmeW as
follows: Public WOrits Department, M Segundo City Hail, 360 Main Street, to Segundo, CA 90246
all
S. APPLICABILITY. The insurance pertains to the operations checked tenancy of the ) yin which caseunde the
written agreements in force with the City of El Segundo unless
following s Wma agreements with the City of El Segundo are covered:
6. MAILING ADDRESS: Completed endorsements shall be Issued to the City of EI Segundo as follows:
PUBUC WORKS DEPAR'T'MENT
El Segundo City Hall
350 Main Street
El Segundo, CA 90243
T. CLAIMS: Underwriter's representative for claims pursuant to this Insurance:
rp vcle:r s - 1- $oo - b' 3 L - 8 2 ._.__ ..
Fxcgpt no as the policy to which herein aMll be tenths to alter or. extend any of the" limits, condition$. agreements, or
Ca dnflt " name), wamnt that I have authority to bind the baba -hated tneuranaa
company and by'1`4 h end biAd this company to this andomement.
MomChlative
(original
tna1d 0 ft City Auomey) �Ry
TrTLE• viskA Vice- P /GsiJCW}
S. oltoMIZATION- W; 111S of New-
ADORESa:, ? 1ialloycr S�vcR✓C
Ncw York, NY 15>004
8
(eyes a0W) (telephone number)
Page 1 of 2
ft R.. ,ftw v.o.1 a! pt-nml
Aug-16 -2006 11 :34om From -CITY OF EL SEGUNDO
+3106400488 T -674 P.003/003 F -280
10. Includes (check so applicable):
(road Korm Liability endro m m•nt
(road Form Property
( *not injury
independent Contractors
0
- f1miaea and OPeratione
(�%piosion Hazard
v laiiso"iund*Mround Hasard'
Produnn/Completed Operations
() Waterawk Liability
() tiarage beeper's Legal U 814111ty
Im:100"I Medical M'tantractuml1ablift Malpractice
() owned AU10 01311"
O
Non-Owned Aulomob tles
((dr' r l-epa U bully
,f I
11. Type Coverage: - oco A!69506
12. Limits of Llebillty: 5 rwo, OW
EOO-
'13. Paley period: From:
it, to � -- TO.
/ OOI�
14. (+1 Qoductible ( ) Getf4nsured mention (chock which)
■ppiles w
Coventge- ( ) Per Claim tfPsr 000urrancs
15. Other provletens•
Vca .
1R. Names insured and Address= .�_._ �
3150 tiz � s}gd
&oe-v►ix, A rprfo
17, InsurSOCe company: TiAvq..1cr5 �l�O�t --I
a � cry
1S, Policy Number: T"S S COT 5'fl LOS
Endorsement Number: I
Eff**Ws Date of Endorsement: 8 � 15 Ina
Page 2 of 2
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