PROOF OF INSURANCE (2013) CLOSED NAGEME ICRMA INDEPENDENT a CITIES
Joi t RISK
a sAA thor ity NT AUTHORITY
1100 West Town and Country Road,Suite 1550
Orange, CA 92868
(714)426-8503 cretama@brsrisk.com
LIABILITY CERTIFICATE OF COVERAGE and
ADDITIONAL COVERED ENTITY ENDORSEMENT
CERTIFICATE NUMBER:2012- 410
CERTIFICATE HOLDER: Southern California Edison
ATTN: Katie Sanchez
2131 Walnut Grove Ave.
Rosemead, CA 91770
MEMBER and/or
COVERED INDIVIDUALS: City of El Segundo
DESCRIPTION OF COVERED ACTIVITY:
As respect the City of El Segundo's use of SCE property to display banners/signs from March
2013 to February 2018 under contract no. 9.4991, Certificate Holder, its officers, agents and
employees are included as Additional Covered Parties with regard to any negligent acts or
omissions of the Member, its employees, and its elected or appointed officials.
MEMO POLICY NUMBER: ICAPL1026 EFFECTIVE DATE: 7/1/2012
EXPIRATION DATE: 6/30/2013
Self-Insured Retention: $ 400,000
Limits: $ 1,000,000
(per occurrence)
THE FOLLOWING COVERAGE IS IN EFFECT:
General and autornobile liability as defined in the memorandum of liability coverage on file with the member and/or
covered individuals namea-Fove.
This is to certify that the coverage listed above has been issued to the Member and/or Covered Individuals 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 coverage afforded as described herein is subject to all the terms,
exclusions, and conditions of the memorandum of liability coverage of the Independent Cities Risk Management Authority which
is available for your review upon request.
Pursuant to the definition of "Member and/or Covered Individuals"in the memorandum of liability coverage, the certificate
holder named above is an additional covered entity for covered claims arising out of the covered activity stated above and is
subject to the limits stated above.
Coverage is in effect as stated above and will not be canceled, limited, or allowed to expire except upon 30-days written notice
to the certificate holder.
Date: 2/26/2013 General Manager:er: " � �� " .
Renewal. No
arc'
SK MANAGEME ICRMA INDEPENDENT alJoi t Plowe s A thor�NT AUTHORITY
1100 West Town and Country Road,Suite 1550
Orange, CA 92868
(714)426-8529 cretama®brsrisk.com
LIABILITY CERTIFICATE OF COVERAGE and
ADDITIONAL COVERED ENTITY ENDORSEMENT
CERTIFICATE NUMBER:2012- 69
CERTIFICATE HOLDER: Southern California Edison
ATTN: Katie Sanchez
2131 Walnut Grove Ave.
Rosemead, CA 91770
MEMBER and/or
COVERED INDIVIDUALS: City of El Segundo
DESCRIPTION OF COVERED ACTIVITY:
Evidencing coverage for the City of El Segundo for contract 9.4991.
MEMO POLICY NUMBER: ICRMA 2012-1WC EFFECTIVE DATE: 7/1/2012
EXPIRATION DATE: 6/30/2013
Self-Insured Retention: $ 350,000
Limits: $ 1,000,000
(per occurrence)
THE FOLLOWING COVERAGE IS IN EFFECT:
General and automobile liability as defined in the memorandum of liability coverage on file with the member and/or
covered individuals named above.
This is to certify that the coverage listed above has been issued to the Member and/or Covered Individuals 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 coverage afforded as described herein is subject to all the terms,
exclusions, and conditions of the memorandum of liability coverage of the Independent Cities Risk Management Authority which
is available for your review upon request.
Pursuant to the definition of "Member and/or Covered Individuals"in the memorandum of liability coverage,the certificate
holder named above is an additional covered entity for covered claims arising out of the covered activity stated above and is
subject to the limits stated above.
Coverage is in effect as stated above and will not be canceled, limited, or allowed to expire except upon 30-days written notice
to the certificate holder.
Date: 2/26/2013
Renewal: No
General Manager: