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PROOF OF INSURANCE (2012) CLOSEDClient #: 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