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PROOF OF INSURANCE (2017) CLOSED!" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 07/25/2016 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 "31RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to ...e 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 endorsernent(s). PRODUCER A X COMMERCIAL GENERAL LIABILITY 6018302277 NAME Marsh USA Inc. --- ..... X PHONE .., .,.. ... FAX 1560 Sawgrass Corporate Pkwy, Suite 300 CLAIMS -MADE OCCUR tAJGY,fdp, Ead1P m,,,, t�1C, .N±1 Sunrise, FL 33323 E-MAIL ADQRE.* Attn: FtLauderdale .CertRequest @marsh.com F:212- 948 -0512 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER FORDING COVERAGE INSURERISAF........., .. ......... .... ... NAIC u 101309-GAWU- PROF -16 -17 PRODUCTS - COMPIOP AG $ INSURER A : Continental Insurance Company T 35289 INSURED ..e.. - ....... American Casualty Company Of Reading Pa INSURER B Am 20427 2 ESI A uisifion Inc E 823 Broad Street X ANY AUTO _ , ,. ,., C .. -- - .. .. INSURER c ;Columbia Casualty INSU, ualty Company . ... . 31127 Augusta, GA 30901 BODILY INJURY (Per accident) $ INSURER D AUTOS AUTOS NON -OWNED PROPPERTeY1DAMAGE $ INSURER E: COVERAGES CERTIFICATE NUMBER: ATL- 003492783 -14 REVISION NUMBER: 14 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 _.--- .......... ..-TYPE OFINSURANCE.,�.�_,,. ............... — u....... .,.. . ,,..,r „�,�... INSR AWL SUBVi POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIpD/YYYY MM /ODI`!1'YV A X COMMERCIAL GENERAL LIABILITY 6018302277 06/3012016 '0613012017 EACH OCCURRENCE $ 1,000,000 --- ..... X , (DAMIAGE"YUR WED— .,_ 1,,,000,000'.., CLAIMS -MADE OCCUR , Inca)....,.. $ XP (Any one person) $ .MEDE , .., 15,000 .,.,.. ........ PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY RO- 1 X LOC PECT PRODUCTS - COMPIOP AG $ 2,000,000. _ OrHER $ AUTOMOBILE LIABILITY 6018302263 '06130/2016 06/30/2017 COMBINED SINGLE LIMIT $ 1,000,000 — 1, X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPPERTeY1DAMAGE $ HIRED AUTOS AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED EI RETENTION $ $ B WORKERS COMPENSATION 6018302294 (ADS) 06/3012016 06/3012017 X PER D rH- 5,1 1r t FR,..... NAND EMPLOYERS' LIABILITY B YIN 6018302280 CA ( ) „„ 06130/2016 06/30/2017 1,000 000 ANY PROPRIETORIPARTNERIEXECUTIVE N I E.L CDENT EACH AC $ N / A OFFICER /MEMBER EXCLUDED ?�� (Mandatory in NH) _ m E L DISEASE EMPLOY_ EE $ ,000 0.0.0 ... If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 C Technology E &O /Cyber Liability 1425573593 06/30/2016 0613012017 Each Claim or Proceeding 1,000,000 Retro Date: 10/1/2002 SIR: $250,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may 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 9 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Carmen Gordona�w ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD