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PROOF OF INSURANCE (2014) CLOSED CLEOCOM-01 RPIERRE CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIODIYYYY) 12/30/2013 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. 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 endorsement(s). CONTACT PRODUCER E: P . PO Box 5466 PHONE EIII(8'15)398$800 C PAX,Nl) (815 398-1733 „ Williams-Manny,Inc AML Rockford,IL 61125-0466 ADDRESS, INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Hartford Insurance Group 22357 INSURED INSURER B:Philadelphia Insurance Co. 23850 Cleo Communication Holdings,LLC INSURER C; P.O.Box 15835 INSURER D: Loves Park,IL 61132-5835 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. INSR TYPE OF INSURANCE . "ADDL'SUBR' /�6ticY Ei'i POLL,ICY Pr'XR LIMITS LTR INSI�.,WVD POLICY NUMBER IPAPAIDDIYYYYIi IMMIDL"IV'MYYYN GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A COMMERCIAL GENERAL LIABILITY X 83SBAPY2883 06/01/2013 06101/2014 PREMISES(Ea occurrence) $ 1,000,000 CLAIMS-MADE I X I OCCUR MED EXP(Anyone person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ITY �,.O ION 1 000,000 1 PRO IhVC'n�t.,N�6'.INdd $ Y� , AUTOMOBILE LIABILITY LOC C✓m�c�i5'oL,)' A ANY AUTO 83SBAPY2883 0610112013 06/01/2014 soolLY if ALL OWNED SCHEDULED JURY(Per accident) $ X HIRED AUTOS X AUTOS �,P'N•"R' (M)NI'l,MC .. . AUrOS AU ti�'_)P °. r NON-OVVNED (" nr,Y' r„aa BIIri n_la. . . I $ X II UMBRELLA LAB X OCCUR �4 EACH OCCURRENCE $ 10,000,000 A EXCESS LAB B CLAIMS MADE "83SBAPY2883 06/0112013 06/0112014 AGGREGATE $ 10,000,000 y[)ED I X II RETENTION$ 10,00 I $ WORKERS COMPENSATION I X TORY I1I IT I 1 FIR AND EMPLOYERS'LIABILITY „TOR„'r',N.IiFIIAT:G FR A ANY PROPRIETOR/PARTNERIIXECUTIVE Y'� 83WBCBM1490 06/01/2013 06/01/2014 E L EACH ACCIDENT $ 500,000 Y (Mandatory OFFICFRIMEMBER in NH)EXCLUDED? I N/A .POLICY LIMIT $ 500,000 (Mandatory describe in NH) DISEASE 1 000 000 SEASE A EMPLOYEE $ 500,000 If yes, OF OPERATIONS below Each Claim E B Errors&Omissions PHSD763527 07/13/2013 07113/2014 m , B PHSD763527 07/13/2013 07/13/2014 Deductible 15,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of El Segundo is named as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City f El Se THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y Segundo ACCORDANCE WITH THE POLICY PROVISIONS. Attn:City Clerk 350 Main St El Segundo,CA 90245-0989 AUTHORIZED REPRESENTATIVE I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD