Loading...
PROOF OF INSURANCE (2011) CLOSED.. . CERTIFICATE OF LIABILITY INSURANCE 11 /08/20 o PRODUCER (559)436 -0833 FAX (559)256 -6590 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & Co. Ins. Brokers of CA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 45 East River Park Place West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Suite 408 Fresno, CA 93720 INSURERS AFFORDING COVERAGE NAIC # .......... INSURED Fin alncial Credit Network, Inc. INSURERA: Golden Eagle Insurance Corp 10836 P.O. Box 3084 INSURERB: The Netherlands Insurance Co Visalia, CA 93278 INSURER C ITmmmmm ... .... .... _ ..................... INSURER D: ....... .. .. ............................. INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ._....... ; ._ - - - - °_- _.._.__ _ _ ......... .... ... ._. .......... ...._ RR ADD1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CBP8018054 03/31/2010 03/31/2011 EACH OCCURRENCE $ 1,000,04 X COMMERCIAL GENERAL LIABILITY t)AMAGE TO RENTED $ 100 ,04 CLAIMS MADE d - I OCCUR MED EXP (Any one person) $ A PERSONAL & ADV INJURY $ Excluded GENERAL AGGREGATE .... _..... ... $ 2 OOO OOU GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,00C ..... POLICY PRO - PRO- LOC ........ �..�., � ..... AUTOMOBILE LIABILITY BAS017554 03/31/2010 03/31/20le COMBINED SINGLE LIMIT $ ANY AUTO W.. -.._ (Ea accident) . l,000,00a ............ ALL OWNED AUTOS BODILY INJURY $ B X SCHEDULED AUTOS ( Per person) ..... ........ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) ....................... PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC ... . . . . . . . . . . . $ t2 NLY: AGG $ ............... _ ..... _ EXCESS /UMBRELLA LIABILITY CUS017854 03/31/2010 03/31/2011 EACH OCCURRENCE $ 3, 000, OOU OCCUR �..� CLAIMS MADE _.._ AGGREGATE ............... $ 3IT .... OHO, OOU , � A ........... _...... �.._........_..... ...0 $ DEDUCTIBLE ......................._ $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- kX (J)1AlTS EMPLOYERS' LIABILITY ............. �_ ..... .................... ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under -• ----- - - - - -- SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER *10 Day Notice of Cancellation for Non - Payment of Premium Applies DES MPTfON OF OPERATIONS I LOCATIONS/ VEHICLES/ EXCLUSIONS ADOE BY ENDORSEMENT/ SPECIAL PROVISIONS f:e't ficated Holder is Included as an Addi'tfonal Insured as per policy endorsement CG 20 10 07 04 required by the terms of a written agreement between the parties or in the case of a verbal agreement for liability arising out of the insured's negligent acts. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL, &YXXYJM MAIL City of El Segundo It Officers, Officials 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Employees, Agents and C ' tified Volunteers 350 Main Street I M XXX El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ITracqkv Donaldson /TRACEY ACORD 25 (2001/08) © ACORD CORPORATION 1988 POLICY NUMBER; COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ izati on (s): Locations Of Covered Operations City of El Segundo" 350 Main Street Its Officers, Officials, Employees, Agents El Segundo, CA 90245 and Certified Volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 13 CERTHOLDER COPY NE P.O. BOX 420807, SAN FRANCISCOXA 94142 -0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 11 -05 -2010 GROUP: POLICY NUMBER: 1723780 -2010 CERTIFICATE ID: 92 CERTIFICATE EXPIRES: 05 -17 -2011 05- 17- 2010/05 -17 -2011 CITY OF EL SEGUNDO NE 350 MAIN ST EL SEGUNDO CA 90245 -3813 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy fisted hereln. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the Insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. 0004 V,4,�O-J thoriaed Representative Interim President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE, ENDORSEMENT #1600 - ALICIA SUNDSTROM PRES,SEC,TRES - EXCLUDED. ENDORSEMENT #1901 - ALICIA SUNDSTROM - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05 -17 -2006 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER FINANCIAL CREDIT NETWORK INC AND /OR CUSTOMER CARE NETWORK LLC PO BOX 3084 VISALIA CA 93278 [B14,NE] (REV.1.2010) PRINTED : 11 -05 -2010 CERTIFICATE OF LIABILITY INSURANCE ANCI� DATE (MM / ° °'"Y;"' 11/08/2010 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 policy(les) must be endorsed. If 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 CONTACT NAME: ... ,,,. (AIC No .,_ ...., AON RISK SERVICES CENTRAL, INC ......... 8 38__37 _IL 8300 NORMAN CENTER ST STE 1000 DRE s rlskmana eMe!l leacalnter 9 952 _ n/c No Ext (952) 926 6547 ADORES .............. mnatlonal or � 7 MINNEAPOLIS, MN 55437-3844 INSIIRFRMAFFf1Rnuurzr.nVFRAf F MAIP 'PHIS 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. 1'99R ADDL SUE POLICY EFF .- POLICY .. ,. LTR TYPE OF INSURANCE IIDD WVD POLICY NUMBER MM /DD MM /DD LIMITS GENERAL LIABILITY EACH OCCURRENCE ''. $ COMMERCIAL GENERAL LIABILITY _UAMAA'GE'70 RENIETT" PREMISES occurrence) $ CLAIMS 1:1 OCCUR -MADE MED EXP ( An o'n'e pe rson) $ PERSONAL & ADV INJURY _....._, ..... ......... ................ -- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG - - ----- $ PRO POLICY JECT LOC $ AUTOMOBILE LIABILITY CO accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS (Per accident) BODILY INJURY P... ............. idt ) ( $ .......... NON -OWNED AFi�C;E ........... $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR _. EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE - --- - _ _ .. m, ......... . ......... AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION - AND EMPLOYERS' LIABILITY YIN N ____ .LIMITS _ ER TQRY, —..— _, __ ..._, ..., .._ ... ... ...... OFFICER/MEMBER EXCLUDED? E LEACH ACCIDENT $ ANY PROPRIETOR /PARTNER/EXECUTIVE NIA ... .... If yes, describe under E L DISEASE EA EMPLOYE $ — - -.. ..., ... .......... DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A an a ory in 506JB8044 02/01/2010 02/01/2011 PER CLAIM AGGREGATE $3,000,000 OTHER ERRORS & OMISSIONS DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) IN REFERENCE TO POLICY 506JB8044 CITY OF EL SEGUNDO AND ANY OTHER PERSON OR ORGANIZATION REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT WITH YOU SHALL BE DEEMED AN INSURED BUT ONLY AS RESPECT TO THEIR BEING A CLIENT OR CUSTOMER OT THE INSURED ORGANIZATION, IN ACCORDANCE WITH POLICY TERMS AND CONDITIONS. CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. EL SEGUNDO, CA 90 AUTHORIZED REPRESENTATIVE 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Travelers 1st Choices"" for Credit and Collection Professionals Cancellation and Nonrenewal 11. This Policy terminates upon the Expiration Date of the Policy Period set forth in Item 2 of the Declarations. The Company shall not be required to renew this Policy upon such Expiration Date. If the Company elects not to renew this Policy, the Company will mail to the Insured Organization, and/or agent of record, if any, at the address last known to the Company, written notice of non renewal at least 90 days before the Policy Period Expiration Date set forth in Item 2 of the Declarations. 12. The Company may cancel this Policy by delivering or mailing to the Insured Organization, and/or agent Of record, if any, at the address last known to the Company, written notice of cancellation at least 90 days before the effective date of cancellation. If cancellation is a result of a nonpayment of premium the Company shall give written notice of cancellation at least 10 days before the effective date of cancellation. The mailing of such written notice shall be sufficient proof of notice and this Policy shall terminate at the date and hour specified in such notice. In such event, the earned premium shall be computed in accordance with the customary pro rate table and procedure. 13. The Insured Organization may cancel this Policy by surrendering the Policy to the Company, and/or agent of record, or by mailing to the Company written notice stating when thereafter, but no later than the Policy Period Expiration Date set forth in Item 2 of the Declarations, such cancellation shall become effective. In such event, the earned premium will be computed in accordance with the customary short rate table and procedure. 14. Premium adjustment may be made either at the time cancellation is effective or as soon as practicable After cancellation becomes effective, but payment or tender of unearned premium is not a condition of cancellation. 15. If the period of limitation related to the giving of notice is prohibited or made void by any law controlling the constitution thereof, such period shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law.