PROOF OF INSURANCE (2018) CLOSED A4C CERTIFICATE OF LIABILITY INSURANCE 006/08/2017D,YYYY)
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
OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
,ESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
JRTANT: 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)
PRODUCER... CONTACT
1560 Sawgrass Corporate Pkwy,Suite 300 �a g...............................r......................... ^^m m.. 1 L
Marsh USA Inc. P �...._ _. .. ......0,
No:
Sunrise,FL 33323 MAIL
Attn:FtLauderdale.CertRequest@marsh.com F:212-948-0512 wADDRES INsuRER(s)AFFORDINGCOv
ERAGE NAIC#
101309-GAWU-PROF-17-18 INSURER A:Continental Insurance Company 35289
ESi Acquisition,Inc _ INSURER 8:Columbia Casualty Company_ _..._._.__g'Pa 30427
q Casualty p
_',
INSURED823 Broad Street INSURER„C.American.Casualty
Ity Company any
Of Reading,
Augusta,GA 30901 INSURER D:
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: ATL-003492783-17 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 'OLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
ILTR LI......
NSR, TYPE OF INSURANCE AD t) 90#9...p.._....._............POLICY
NUMBER IMM DDAY1rYY! IMMIDD/YYYY!
POLICY EFF POLICY EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY 6018302277 06/30/2017 06/30/2018 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE ... OCCUR Pt?FMS . .) aab� 1...............$ 1,000,000
XUAWAdEfb
MED EXP(Any oneperson) 15,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000
POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $ 2,000,00
_..._.. 0
OTI IE
JTOMOBILE LIABILITY 6018302263 0613012017 06130/2018 COMBINED SINGLE LIMIT $ 1,000,000
ANY AUTO BODILY INJURY(Per person) $
mm ALL OWNED SCHEDULED BODILY' INJURY
(Per accident) $
AUTOS AUTOS
NON-OWNED fOPRfAMAG $HIRED AUTOS AUTOS ko .J..
$
UMBRELLA L
EXCESS ABIAB.......... J
,..C,LAIMS-MADE ..AGGREGATE RENCEmmm .....,. ,^$
DED RETE ... .
I OCCUR _........................................ ........................... .
NTION$ $
B WORKERS COMPENSATION 6016302294(AOS) 06/30/2017 06/3012016 X I PER OTH-
B AND EMPLOYERS'LIABILITY YIN N/A 6018302280 CA 06/30/2017 06130/2018 _STATUTE FR 1,000,000
ANY If FFICE /M M under
EXCLUDE EXECUTIVE ( ) E L EACH L DISEASE EMPLOYEE $ 1,00
IDENT $
OFFICER/MEMBER EXCLUDED
yes
ibe
(Mandatory in NH) E. 0,000
DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,000
C Technology E&O/Cyber Liability 425573593 06/30/2017 06/30/2018 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 EI 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 EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
'egundo,CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Carmen Gordon
II
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD