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PROOF OF INSURANCE (2016) CLOSEDAC CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) �1 3/4/2016 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the ficate holder in lieu of such endorsement(s), �. jCER C, NTACT AME, Dina Corsi N Alandale Insurance Agency (A/C. PHONN FYf1 (562) 493 -3521 FAX !A /C. Nol: (562) 430 -5300 11022 Winners Circle, Ste. 100 EMAIL Dina Corsi INSURER(S) AFFORDING COVERAGE NAIC # Los Alamitos CA 90720 _. INSURER A Flartford Insurance Co. 00914 wsuRE° INSURER B :Sentinel Insurance Company LTD 111000 Legacy Long Distance International, Inc. INSURER C:T''raVelers Insurance Company 25658 DBA: Legacy Inmate Communications INSURER D: 10833 Valley View #150 INSURER E: Cypress CA 90630 INSURER F: COVERAGES CERTIFICATE NUMBER:Master 16 -17 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 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 . POLICY EFF •POLICY EXP LTR TYPE OF INSURANCE mico mn n /nnnyvvi lMMIDD/VWVI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREkp 3 R¢ar�TE n�,y, $ 300,000 A CLAIMS -MADE OCCUR 72UUNJH9452 7/10/2015 /10/2016 MED EXP A!k one rsor) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 -- GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY P��- t(",)C $ AUTOMOBILE LIABILITY I.OMBINED SINGLE, LIMIT !Fa arcirianFl $ 1.000.000 - ANY AUTO BODILY INJURY (Per person) $ ALL (�VWN'L D SCHEDULED AUTOS AUTOS 72UECGZ1156 7/10/2015 17/10/2016 BODILY INJURY Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS PROPERW DAMAGE, lP— ­,0— , O- $ Hiredlborrowed $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE A ,,, _......,,_ AGGREGATE $ DEn X RETENTION$ 10,00( 72RHUJH9759 7/10/2015 7/10/2016 $ C WORKERS COMPENSATION WC STATU- ''OTH- AND EMPLOYERS' LIABILITY Y / N ,mm„ -. TOSY 1 IMITR FR ,...�, ANY PROPRIETOR/PARTNER /EXECUTIVE E L _EACH ACCIDENT $ ER EXCLUDED? N / A` 1,000.000 (Mandatory in NH) B8G25872916 /6/2016 3/6/2017 (Mandatory in E.L. DISEASE - EA EMPLOYE $ 1 000 000 If yes, describe under . DESCRIPTION OF OPEIb4TIONS below E,L DISEASE - POL,ICY LIMIT $ .. _..•_.. �. 11000,000 A Business Property 72vUNJH9452 7/10/2015 7/10/2016 Limit 157,000 W A Business Income 72UUNJH9452 7/10/2015 7/10/2016 Limit 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate holder is named as additional insured per attached endorsement 30 days notice of cancellation unless for non payment of premium then 10 days notice applies CERTIFICATE HOLDER NCELLATION HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "'THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of E1 Segundo Att: City Clerk 350 Main St AUTHORIZED REPRESENTATIVE E1 Segundo, CA 90245 -0989 Dina Corsi /DINA ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 (201005),01 The ACORD name and logo are registered marks of ACORD