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PROOF OF INSURANCE (2013) CLOSED
A�`��+ DATE (MWDD /YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/27/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polidy(les) must be endorsed, It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C MEt, HCC Specialty Pa n �N 401 Edgewater Place, Suite 400 ADDRESS PR l Wakefield, MA 01880"�5�? "r" - - - -- , ..,,.,, ,..m_____,,,,,,,,,,,,,,,,,,,,,, -. ........... .......e ........ .,,. ,............. ....,......,�........... 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 INSURER(S) AFFORDING COVERAGE ,. NAIC # INSURED GENERAL LIABILITY X �g LIABILITY OCCUR IT_. COMMERCIAL CLA CLAIMS-MADE JIN ER A: � .. ....�.� ......... m shire Company New Ha...,. ........... ... 23841 Michelle Weitz 06/17/201 eCH OCCURRENCE -OA - 'RENT - ° ° °••• - XP _P. 11=XP lAnv one p9MDD „Insurance _ .. ----_LL . PERSONAL & ADV INJURY 338 Savoy Ct. INSURER B: : ....,,,,,..... Oak Park, CA 91377 INSURERC: .......... INSURER D m GENERAL A_GGREGA_TE_, $ 22000,000 INSURER E GEN'L AGGREGATE LIMIT APPLIES PER: INSURER F: Ta UCTS - COMP /OP AGG nnVFReGtnFA f FRTIFIr ATF NIIMRFR- RFVISIOM NIIMRFR- THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR SUBR F.�.�.,. T6•CY- d'FffXP' �...._ ................. LTR TYPEOFINSURANCE I WV '., POLICY NUMBER ! MM /DD/YYY MM /DD /YYV LIMITS A GENERAL LIABILITY X �g LIABILITY OCCUR IT_. COMMERCIAL CLA CLAIMS-MADE SEL082845607 04/08/2013 06/17/201 eCH OCCURRENCE -OA - 'RENT - ° ° °••• - XP _P. 11=XP lAnv one p9MDD $ 1 ,000,000-' . - ,.w�_�..m.�.a�,_.... PERSONAL & ADV INJURY $ 1,000,000 Host Liquor A m GENERAL A_GGREGA_TE_, $ 22000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Ta UCTS - COMP /OP AGG $ 1,000,000 PRO POLICY JEC7 LOC ............�.. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person -� .$ ................................... ............................... ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) ............... $ NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR ''.. EACH OCCURRENCE $ EXCESS LIAB CLAIMS - MADE ''..., AGGREGATE ..... $......... ..._........_ ................. DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROP RI ETOR/PARTNE R/EXEC UTIVE TS -ER E.L.. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? .. ,..............� (Mandatory in NH) E.L DISEASE - EA EMPLOYE ' S If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The Certificate Holder is added as Additional Insured with respects to our Insured's operations only.,. This insurance is primary and non - contributory as required by written contract„ This coverage is with respect to El Segundo Summer Concert Series event to be held 6/16/2013 - 6/16/2013 at Library Park El Segundo CA 1117t1111G \tip City of El Segundo, its offic fi, ficials, employees, agents, and volunteers 350 Main Street El Segundo, CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD