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PROOF OF INSURANCE (2012) CLOSED
Client #: 6145 URBALAN ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/22/2011 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 cartilicate holder. ". "anADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subjec tto 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 CONTACT NAME: Armfield Harrison & Thomas Inc PHONE' "' i PAK— fvc to EXIT 70,3 777 - 2341 llIC Al _..__.......... Non Profits E.r�lAlk 20 s u 9g VA St. Chubb/The Federal Insurace Com _m in "Alc a ADDR�ws Leesburg, VA 20175 n INSURED Urban Land Institute 1025 Thomas Jefferson Street NW Washington, DC 20007 COVERAGES CERTIFICATE NUMBER: INSURER A . .. - .- .- .- ........- --------- INSURER ER B : Chubb Group of Insurance Compan INSURER-C: INSURER D: INSURER E : INSURER F: REVISION NUMBER:'. 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 CONTRACTOR 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. 9NSR .. .... ......--- ADDL,SUBR. - ._._.,.. NUMBER POLICY EFF ....POLICY EXP .,., -...,. ,.. _....... .... LIMITS. ............. LnTF ..... POLICY .... M I � TYPE OF INSURANCE __ M� R :'�Yt? A GENERAL LIABILITY X 35761252 7/31/2011 07/31/2012 EACH OCCURRENCE $1000000 A ANDEMPLO ERS'LABILI LIABILITY YIN ... 71702453 ......... 0 7/31/ .. .............. ._ .,'. . .... „ -.. DED �,RETE .,...... ... .... $' 2011 07/31 /201 X �WCSTATU- r_I6TH T�?PYITS 1 lV R ANY PROPRIETOR /PARTNER /EXECUTIVE E L EACH N ACCIDENT O OFFICER/MEMBER EXCLUDED? J N/A - - - - -- - $111 1,. OO m OO( - -- (Mandatory in NH) ' E L DISEASE EA EM" "' PLOYEE $1 OOOOO( If yes, describe under " DESCRIPTION OF OPERATIONS .below , " " " " " " "" " " " " " " "w,w E.L. DISEASE POLICY LIMIT $,1000,00( ...............--- - ...........- .........__ B Errors & Omission 68031591 7/31/2011 07/31/201 $1,000,000 Ded: $50,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Event: Technical Assistance Panel for City of El Segundo held January 27, 2012 City of Sequndo, its officials, and employees are included as additional insured with respects to General Liability per the policy terms City of Sequndo Attn: City Clerk 350 Main Street EI Segundo, CA 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) 1 of 1 The ACORD name and logo are registered marks of ACORD #S237082/M224796 CAR ..... _ _ ,....... "' , , ... 5 ............._8� ,(Ea. a CLAIMS -MADE 4 "a, OCCUR M MED EXPS , $10,000 _ ,,,ww P PERSONAL & ADV INJURY $ t- ....... - . G GENERAL. AGGREGATE $ $Z, 9,99( GEN'L AGGREGATE LIMIT APPLIES PER: P PRODUCTS - COMP /OP AGG $ $ Included POLICY. ..._. . ....... , ,,,.. - - -._... _ ..... ..... ......m.mm.. .... . . . . . . . . . . . . . . .. .. . ............- . ....._ -. . A A AUTOMOBILE LIABILITY 7 73553707 0 0 7/31/2011 0 07/31/201 L L, afflB6NE:D SINi�LE LIMY 1 .... ......... ANY AUTO B BODILY INJURY (Per person) $ $ - ALL OWNED SCHEDULED SCHEDULED B BODILYINJURY ( AUTOS „____....,.' AUTOS (Peraccident) $ $" X HIRED AUTOS X $ OAMAGE $ �...�..�. ' ( O A i i..,X E ........^ . .......... 7 79860488 ........... - - 7/31/2011 0 07/31/201 1 1'AGGREGA E EXCESS L ABIAB I EOCCURRENCE $ $ O ( U DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Event: Technical Assistance Panel for City of El Segundo held January 27, 2012 City of Sequndo, its officials, and employees are included as additional insured with respects to General Liability per the policy terms City of Sequndo Attn: City Clerk 350 Main Street EI Segundo, CA 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) 1 of 1 The ACORD name and logo are registered marks of ACORD #S237082/M224796 CAR Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company Date Issued 1=7= Who Is An Insured JULY31,2011 TO JULY31,2012 JULY 31, 2011 GREAT NO RT14ERN INSURANCE COMPANY maffjl"�„ .�� Scheduled Person Or Subject to all of the to is and conditions of this insurance, any person or organization shoran in the Organization Schedule, acting pursuant to a written contract or agreement between you and such person or organization, is an insured, but they are insureds only with respect to liability arising out of your operations, or your premises, if you are obligated, pursuant to such contract or agreement, to provide there with such insurance as is afforded by this policy. I assuinfition offiability by thein ina contract or agreement, This limitation does not apply to damages arising out of their sole negligence, Schedule Refi�rence C o )), Liabilay Insumoce Adchbonal Insured - Sowduloff Flemon 01� 0#garjj71.k61) wrPtiptiod Formt 80-02-2267 (Rev. 8-04) Endorsement Page I Liability Endorsement (continued) All other term and conditions remain unchanged. Aiwhofwo,�,,J Roww;wUWpve �11 r Reftence, 4��7opy LAWAV Insurance Ad&d6nalinsured - Scheduled Pamn (),, Iasi page . . . .. ........... . . . .... . . . . ........... ... Form 80-02-2367 (Rev. 8-04) Endorsement Pao 2