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4� o® CERTIFICATE OF LIABILITY INSURANCE
<br />DATD7/OJ/P018YYY)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate hostler in lieu of such endorsement(s).
<br />PRODUCER
<br />AOn Risk Services Northeast, Inc.
<br />BoaOn MA OfficeINC.M
<br />53 State Street
<br />suite 2201
<br />CONTACT
<br />NAME:TRT_
<br />Est): (866) 283-7122 PAX (B00) 363-0105
<br />wc. N°J:.._._.,_,_
<br />E-MAIL
<br />Boston MA 02109 USA
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC III
<br />INSURED
<br />INSURERA: The Travelers Indemnity Co.
<br />25658
<br />IDEXX Laboratories, Inc.
<br />One IDEXX Drive
<br />Westbrook ME 04092-2041 USA
<br />INSURER B: The Phoenix Insurance Company
<br />25623
<br />INSURER C: Travelers Property Cas Co Of America
<br />25674
<br />INSURER D: NoetiC Specialty Insurance Co
<br />17400
<br />INSURERS: The Charter Oak Fire Insurance Company
<br />25615
<br />INSURER F:
<br />THIS IS TO CERTIFY THAT THE POLICIES F INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INBC
<br />POLICY NUMBER
<br />MMIDO VY
<br />MMID
<br />LIMITS
<br />B
<br />X
<br />COMMERCIALGENERALLIABILITY
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE X❑OCCUR
<br />R MI E
<br />S RENT nce
<br />.me
<br />$1,000,000
<br />MED EXP(An, one per son)
<br />$10,000
<br />PERSONAL B ADV INJURY
<br />$1,000,000
<br />GENTAGGREGATE LIMITAPPLIES PER:
<br />X PRO X LOD POLICY
<br />JECT
<br />GENERALAOGREGATE
<br />$2,000,000
<br />PRODUCTS -COMPIOP AGO
<br />Excluded
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />810 - 9K7 4778 - 18
<br />06/30/201806/30/2019
<br />COMBINED SINGLE LIMIT
<br />l accidenll
<br />.-.��.
<br />$1,000,000
<br />BODILY INJURY ( Per person)
<br />ANY AUTO
<br />X OWNED GCHEDULED
<br />AUTOS ONLY AUTO.
<br />HIREDAUTOS F INON-OWNED
<br />ONLY AUTO.ONLY
<br />X Comp Ded: $1,000 X CoIIDeLL $1A00
<br />BODILY INJURY(1aracclden1)
<br />PROPERTY DAMAGE
<br />Per eccldenl
<br />C
<br />X
<br />UMBRELLALIAS
<br />X
<br />OCCUR
<br />CUPOL1836 01
<br />06/30/2018
<br />0 30/2019
<br />EACH OCCURRENCE
<br />$10,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$10,000,000
<br />DED I X
<br />RETENTION$10, 000
<br />E
<br />r'
<br />WORKERSCOMPBILITY ON AND
<br />EMPLOVERS'LIABILItt IN
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE E
<br />OFFICEWMEMBER EXCLULIEDi '4
<br />(Mandatory in NH) LLL��JJJ
<br />Use, describe undo,
<br />DESCRIPTION ?,.PEbelow
<br />NIA
<br />(ADS) 4300L42818
<br />(RJUB
<br />TR]U84300L41618
<br />(MA,WI)
<br />06/30 18
<br />06/30/2018
<br />06/30 1
<br />06/30/2019
<br />PER OTH-
<br />X BTAT TE
<br />E.L EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />D
<br />E&O-PL-Primary
<br />El ME380001
<br />SIR applies per policy ter
<br />06 30/2018
<br />is & condi
<br />06/30/2019
<br />ions
<br />Aggregate
<br />Per Occur
<br />i
<br />S5,000,000
<br />$5, OD0, 000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 10, Additional Remarks Schedule, may be attacked X more apace Is required
<br />The City of Santa Ana and their respective officers, employees, agents, volunteers and r �3-So ti afe ' cluded as
<br />Additional Insured on the General Liability policy, but only with respect to liabili Bed h c r omissions of IDEXX
<br />Laboratories Inc. in the performance ongoing operations of or in connection with pr s ow r e IDEXX Laboratories
<br />Inc. Coverage afforded by the General Liability policy shall be Primary and Non _Con ributo �Sq�' £ate Holder with
<br />respect to work performed by IDEXX Laboratories Inc.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />The City Of Santa Ana
<br />20 Civic Center Plaza - M23
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92701 USA
<br />©1988.2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />a
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