Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PROOF OF INSURANCE (2003) CLOSED
ACORDM CERTIFICATE OF LIABILITY INSURANCE 08/29/2003 ' PRODUCER (805)585-6111. FAX (805) 585 -6200 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tolman & Wi ker Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIF4GATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR TWD Insurance Services ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 196 S. Fir Street Ventura, CA 93002 -1388 Attn: Linda G. Hunt INSURERS AFFORDING COVERAGE NAIC # .. ._.. .. INSURED INSURERA: Hartford ACC & Indemnit Y Co. DataProse, Inc. INSURER B: 1451 N. Rice Avenue, Suite A INSURER C: .......... __ ..... ... .......... .- ............... _ Oxnard, CA 93030 -1100 INSURER D: INSURER E: rr7r1,T11 q__MTwT«3;:1 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINI 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ .... .... INSR ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 72UUVIL4396 09/18/2002 09/18/2003 EACH OCCURRENCE $ 1, 000, 000 X COMMERCIAL GENERAL LIABILITY OAM 9 E(SE70 REc7 ED _ $ 300,000 CLAIMS MADE 'Xj OCCUR MED EXP (Any one person) $ 10,000 A PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC AUTOMOBILE LIABILITY 72UUVIL4396 09/18/2002 09/18/2003 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1.000.000 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) A HIRED AUTOS BODILY INJURY $ NON - OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ E AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE Is RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ under If SP CIALSPrROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER 72UUVIL4396 09/18/2002 09/18/2003 $250 Comp Deductible uto Physical Damage A $500 Coll Deductible I DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS 0 Day Notice of Cancellation will be given for non - payment of premium. L: Certificate Holder is Additional Insured as respects to operations of the Named Insured. City of E1 Segundo Attn: Mr. Gil Busick 350 Main Street El Segundo, CA 90245 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Gre.q Anderson RLM © ACORD CORPORATION 1988 d