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PROOF OF INSURANCE (2017) CLOSEDOP ID: SMP ACORO DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/1712016 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 'EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ,MPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsoment(s). PRODUCER N'A'ME: ` ' Michelle A Nowell Alliance Mgt. & Insurance Sery PHONE PAX -471- 7116 760-471-9378 355 Via Vera Cruz #7 (p, rt)a760 CA 737966 mn mr1ISCO..... @a rp,com M San Marcos, CA 92078 PRODUss:, PRODUCER TRAUB Michelle A. Nowell '..� INSURER .AFFORDING COVERAGE NAIC p INSURED Norman A Traub Associates INSURER A: Acceptance Casualty Ins Comp 10349 5409 Via Fonte WWW.. W .................................................................. W.. WW........................ .........W.................... Yorba Linda, CA 92886 -5006 INSURER.. .,..SU RERB :-------------------- - - - - -- — — ....._ - - -_ INSURER C INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. '..,..�.... m� ,. .... ....» ...... ............................... INsR I5 ' 90 ...IMMIDfYY Ye...,...._ LTR TYPE OF INSURANCE POLICY YNUMBER MPAPDCONY"YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CP00960667 04/07/2016 04/07/2017 DAMA EacccuErrOance $ 100,00 . CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 '... X Errors & Omiss PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,00 PRO- LOC X POLICY $ ,. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ''... $ - - - -- (Ea accident) ............ ANY AUTO ........_����� ,_, —... BODILY INJURY (Per person) ......... . ................... $ .. ...., ALL OWNED AUTOS BODILY INJURY (Per accident) ( t .......................... .... $ -. SCHEDULED AUTOS PRO......... .... ....,. PERTY DAMAGE ..........._.... ... ... .... HIREDAUTOS (PER ACCIDENT) $ NON - OWNEDAUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE A GATE GGRE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION U H - ' AND EMPLOYERS' LIABILITY YIN RX TS R _ ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? '......, NIA E.L. EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE - (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, if more space is required) City of E1 Segundo its officials,officers, agents,employees and volunteers are named as additional insured. Lsandoval @elsegundo.org Investigation, CA -- CERTIFICATE HOLDER CANCELLATION CITYEL1 SHOULD 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 El Segundo City Clerk's Office ''.. Lill Sandoval AUTHORIZED REPRESENTATIVE 350 S Main Street OLUU.1of E) 'e undo CA 90245-3895 © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CP00960667 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organk zations) 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 your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 Q