PROOF OF INSURANCE (2010) CLOSEDICRMA
INDEPENDENT CITIES RISK MANAGEMENT AUTHORITY
CERTIFICATE HOLDER: Windsor Rentals, LLC
ATTN: Insurance Manager
319 Main St.
El Segundo, CA 90245
MEMBER and /or
COVERED INDIVIDUALS: City of El Segundo
DESCRIPTION OF COVERED ACTIVITY:
a Joint Powers Authority
3780 KILROY AIRPORT WAY, SUITE 470
LONG BEACH, CA 90806
(562) 508 -4400 — Fax (562) 508 -4399
LIABILITY CERTIFICATE OF COVERAGE and
ADDITIONAL COVERED ENTITY ENDORSEMENT
CERTIFICATE NUMBER: 2009 364
As respect lease of office space at 333 Main St., El Segundo, CA 90245, Certificate Holder is
included as an Additional Covered Party with regard to any negligent acts or omissions of the
Member, its employees, and its elected or appointed officials.
MEMO POLICY NUMBER: ICAPL1026 EFFECTIVE DATE: 7/1/2009
EXPIRATION DATE: 6/30/2010
Self- Insured Retention: $ 400,000
Limits: $ 1,000,000
(per occurrence)
THE FOLLOWING COVERAGE IS IN EFFECT:
General and automobile liability as defined in the master memorandum of liability coverage on file with the member and /or
covered individuals named above.
This is to certify that the coverage listed above has been issued to the Member and /or Covered Individuals 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 coverage afforded as described herein is subject to all the terms,
exclusions, and conditions of the master memorandum of liability coverage of the Independent Cities Risk Management Authority
which is available for your review upon request.
Pursuant to the definition of "Member and /or Covered Individuals" in the master memorandum of liability coverage, the certificate
holder named above is an additional covered entity for covered claims arising out of the covered activity stated above and is
subject to the limits stated above.
Coverage is in effect as stated above and will not be canceled, limited, or allowed to expire except upon 30 -days written notice to
the certificate holder.
Date: 7/30/2009 -r"" t
Renewal: No
General Manager: gb�e+l, /�-O
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