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PROOF OF INSURANCE (2013) CLOSED
BUCK&AS -01 WARDCH CERTIFICATE OF LIABILITY INSURANCE � DAT2(IIAM,DD/YYYY 5 0 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. ...._ — ...... ...m _ ..... .._ —..._ ............ ....._._ .. .. .. .... . ... . . ...... . ............ ........ IMPORTANT: 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 endorsements) _. , .... ......... __._ ................ .. ......... .- . ._......... PRODUCER 66NTACT. . --_....-.----............._.-- NAME: Willis Insurance Services of California, Inc. P11ON " FAX - -- .....,., ) (...... 8 c/o 26 Century Blvd. 4 „,"0;077)"945-7378 �A4t n No 888 467 237 P.O. Box 305191D E-MAIL ss..._ ,... Nashville, TN 37230 -5191 "”" - -- INSURER(S) . . . AFFORDING COVERAGE NA IC # a Y __ INSURER Travelers Property Company of America ......... .......__ ^ INSURED INSURER B : Continental CaSUaItV'OmpanV .20443 Bucknam & Associates, Inc. INSURER C; 25004 La Plata Drive INSURER D: Laguna Niguel, CA 92677 INSURER E: ...... ......... .... -- - - - -- ---- ........_._ _ _ . ,,., .,., ......- -------- ,_ - -,_ . ... ........... .... ................ — ------------ ...... 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. tLTR TYPE OF INSURANCE Aisl';. _.. ....... __ POLICY, .! IN$R ..4.![% ,_....�.�...... NUMBER., PoLICv f MM /DD/YYYY .... __ ..... .._._. EFF POL6�..Y FXP) ... TS , _ ). Ii4)Mddd�OffyyY, ............ ,. GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X 6804880L652TIL12 MCLA 9/1/2012 9/1/2013 iANIA "r;F TD FITS $ - ..9'000 000 X�IABILITY PREMISES, (Ea occurrence,) ...... , - _ ..m CLAIMS-MADE OCCUR MED EXP (An one person $ _ ) 10,000' ........ ....... m .... ... -- ---- - ---_. PERSONAL & ADV INJURY $ 1,000,00o , GENERAL AGGREGATE $ 2 000 000 AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $ 2,000,000 QQ PRO. POLICY I LN L $ AU AUTOMOBILE LIABILITY GMBINEDSINGLE LIMIT Ea accrd_nt ... ... ........ $ A ANY AUTO 680488OL652TIL12 9/1/2012 9/1/2013 BODILY INJURY (Per person) $ _— ............... ALL OWNED SCHEDULED AUTOS AUTOS ..__ ------ _", ..... BODILY INJURY Per accident $ ( ) ....., ............... NON -OWNED X X PR06t�'ddYDAIukAG£' $ ... HIRED AUTOS AUTOS SLR A ND,L,N) _ ----- . ....... _ - - CSL incl in GL $ .......... - -- ................... X X ..,. .. .....- --- -- ___ , OCCURRENCE 0, A LIABAB...,... CLAIMS -MADE CUP- 7637Y444 -12.47 .... 9/1/2012 9/1/2013 AGGREGATE $ _ .- ...._ 4,000,000 . -..... MEXCESS DED..� RETENTION $ ... ..M ............. ...--- -- - ---.......,........�..�.. ._.......— .....__. ....m., AND YIN RY_ MlID _FIR' ,. ----._ A ANY OFOFRCEROPRIETOEREXCLUER /E ECUTIVE N ''..N,A XJUB7110Y58Al2 1 9/1/2012 9/1/2013 $ vX�64CUDENN 1,000,000. (Mandatory in NH) ''.. E.L. DISEASE -EA EMPLOYEE;' $ 1,000,000 y der TIONS below __ — DESCRIPTION OF OPERA. . - -- —......_ .�... ... .._..,,..... -- E.L. DISEASE -POLICY LIMIT $ 1 000 000 B Professional Liab AEH113988680 .........._ 1/2/2013 112/2014 See attached .._, DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 10 o n e �..le, if re s ... e i 1, Additional Remarks Schedule, if more space is required) ALL OPERATIONS OF NAMED INSURED. _.......... _.... �... . _..mw_ CERTIFICATE HOLDER ....... ......... .... CANCELLATION ,,. ..... 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 AUTHORIZED REPRESEN TATIVE ATTN: MARYAM JONAS 350 MAIN ST. El Segundo CA 90245 0000 A „_�. .............. .. ........ _ .... ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE