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PROOF OF INSURANCE (2016) CLOSED
tle CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 06/17/2015 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. �RTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to :rms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the aficate holder in lieu of such endorsetnent(s), PRODUCER CONTACT Marsh USA Inc. NAME PHONE FAX 1560 Saw grass Corporate Pkwy, Suite 300 Wc. -3a, EXt): Sunrise, FL 33323 E-MAIL Attn: FtLauderdale .CertRequest @marsh.com F:212- 948 -0512 ADDRESS` , w INSURERISI AFFORDING COVERAGE NAIC # 101309 -GAWU- PROF -15 -16 INSURED ESi Acquisition, Inc. 823 Broad Street Augusta, GA 30901 Valle Fore Insurance Co INSURER A : y 9 INSURER B Continental Insurance Company .......... INSURER C American Casualty„ Company .... Of f Reading, ing, Pa INSURER D Columbia Casualty Company _._. 11.. , .,, ,. ....... ....,... _ ........._._- ...._... imciin FG F N/A 31127 COVERAGES CERTIFICATE NUMBER: ATL- 003492783 -05 REVISION NUMBER:13 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, YYVSR. � ®,.� LTR TYPE OF INSURANCE ....... ...• m. , �,...� ,POLICY NUMBER MMIDDIYYYY M ADtSL �`tff�"ix POLICY EFF POLICY' � %�... LIMITS MIDD/YYxY A X '.. COMMERCIAL GENERAL LIABILITY 6018302277 06130/2015 06/30/2016 EACH OCCURRENCE $ 1,000,000 •• X DAMAGI= REWE5 1,000,000 CLAIMS -MADE OCCUR J?R�tytIES,Ip FurrPnrp) ..$ MED EXP (Any one person) $ 15,000 �SPNAL & ADV INJURY $ 1 ,000 ,000 GENT AGGREGATE LIMIT APPLIES PER GENER AL AGGREGATE $ 2,00--- m.,., POLICY X LOC PRO- JECT _._..� PRODU CTS COMPIOP AGG $ - 2,000,000 or HEM EM_ $ JTOMOBILE LIABILITY 6018302263 0613012015 06130/2016 COMBINED SINGLE LIMIT Ea a $ 1 000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED Owned Comp/Coll /Coll Ded.: $1,000 BODILY p INJURY (Per accident) $ .. AUTOS AUTOS NON -OWNED Hired Comp /Coll Ded.: $100/$1,000 Yro't)I�LBtT'w DARRAr f $ HIRED AUTOS AUTOS �tl ai a+^g�iaiep'�9p UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ pED RETENTION $ $ C WORKERS COMPENSATION 6018302294 (AOS) 06/30/2015 06/30/2016 X PER or STATI i ER EMPLOYERS' LIABILITY YIN C ANY PROPRIETORIPARTNERIEXECUTIVE ... -.... _.. 6018302280 (CA) 0613012015 06130/2016 E L EACH ACCIDENT $ •,• „, 1 000 000 OFFICER /MEMBER EXCLUDED? N �. A -- -- - NIA 1.000000 (Mandatory in NH) E L -DISEASE EA EMPLOYEE $ •�„ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 1,000,000 D ',Technology E &O /Cyber Liability 425573593 06130/2015 06/30/2016 Each Claim or Proceeding 1,000,000 Retro Date: 10 /1/2002 SIR: $100,000 Aggregate 1,000,000 DESCRIPTION OF , OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 Additional Remarks Schedule, m ay be attached if more space is required) City of El Segundo, its officials, and employees are included as additional insured with respect to general liability where required by written contract This insurance is primary and non - contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to general liability, 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 El Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Carmen Gordon 09-12 � ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD