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CERTIFICATE OF LIABILITY INSURANCE <br />DATO(7/01/20019 VY) <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: If 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 holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk services Northeast, Inc. <br />Boston MA Office <br />53 State Street <br />Suite 2201 <br />CONTACT <br />NAME' <br />(11No. EaQ: (866) 283-]122 aC Np : (800) 363-6105 <br />EMAIL <br />ADDRESS: <br />HOstOn MA 02109 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAICN <br />INSURED <br />WSURERA: NoetiC Specialty insurance Co <br />17400 <br />IDEXX Laboratories, Inc. <br />One IDEXX Drive <br />Westbrook ME 04092-2041 USA <br />IINSURERB: Travelers Property Cas CO of America <br />25674 <br />INSURER C: The Charter oak Fire insurance Company <br />25615 <br />INSURER D: The Phoenix insurance Company <br />25623 <br />INSURER E: <br />INSURER F: <br />COVERAGES L.CIXI1rIL:HIC NUmtltH: otuuttzo4i SZ RFVISIDN NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF 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 />INSRTR <br />TYPE OF INSURANCE <br />INSC <br />MD <br />POUCYNUMBER <br />MIWDDMIYy <br />MMIDDIYYYY <br />LIMITS <br />X <br />COMMERc1ALGENER 1_JABIIJTY <br />L <br />EACH OCCURRENCE <br />$2,000,005 <br />CLAIMS -MADE X❑ OCCUR <br />PREMISES Ea occurrence)$1,000,000 <br />MED EXP(Any one person) <br />$10,000 <br />PERSONAL S AOV INJURY <br />$1,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PR0. <br />POLICY ❑X JECT LOC <br />GENERALAGGREGATE <br />$2,000,000 <br />PRODUCTS-COMP/OP qGG <br />Excluded <br />OTHER: <br />B <br />AUTOMOBILE LIABILITY <br />TC27-CAP-4296L226-TIL-19 <br />06/30/2019 <br />06/30/2020 <br />COMBINED SINGLE LIMIT <br />Ea acaaent <br />$1,000.000 <br />BODILY INJURY (Per person) <br />X ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HRED AUTOS NON4WNED <br />ONLY AUTOS ONLY <br />BODILY INJURY (Per accMenO <br />PROPERTY DAMAGE <br />Per <br />B <br />X <br />OCCUR <br />CUPOL183610 <br />06/30/2019 <br />06/30/2220 <br />EACH OCCURRENCE <br />$10,000,000 <br />JUMBRELLALIAB <br />EXCESS LIAB <br />CLAIM&MADE <br />AGGREGATE <br />$10,000,000 <br />DEDI X <br />RETENTION S1U, No <br />C <br />B <br />WORKERS <br />DYERSOLIABINSA IONAND <br />A NY PROPRIETOR I PARTNER I EXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED' <br />(Myandatory in NM <br />NIA <br />TC20UB430OL42819 <br />(A05) <br />TR7U64300L41619 <br />(MA,WI) <br />2019 <br />06/30/2019 <br />06/30/2020 <br />06/30/2020 <br />X STATUTE OTH- <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASEEPOLICY LIMIT <br />$1,000,000. <br />DESCRIPTION OF OPERATIONS below <br />A <br />Products Liab <br />PE19ME380001 <br />Claims Made <br />06/30/2019 <br />06/30/2020 <br />Aggregate <br />Per Occurrence <br />$10, 000,000 <br />$10,000,000 <br />DESCRIPTION OF OPEMTIONS I LOCATIONS I VEHICLES (ACORD 1D1, Atltlaicnal RemarNs Schedule, may be anachad B more space is required) <br />The City of Santa Ana and their respective officers, employees; agents, volunteers and representatives are included as <br />Additional Insured on the General Liabilit polic but only with respect to liability caused by the acts or omissions of IDEXX <br />Laboratories Inc. in the perfo@� qq��ar y {� connection with premises owned or rented by IDEXX Laboratories <br />Inc. Coverage afforded by the iE} c a9D€ Primary and Non -Contributory for the certificate Holder with <br />respect to work performed by I 'A�L441ENT Cr. <br />CERTIFICATE HOLDER \ kAJ..V/ CANCELLATION <br />SAMAN HA M. LAMB <br />RTSHOULD ANY OF THE POLICIES BE EXPIRATION DATE EREOFO, VE NOTICECRIBED WLL BE DELIVERED IN ACCORDANCE ELLED BEFORE <br />THE <br />POLICY PROVISIONS. <br />The City of Santa Ana, Risk Management <br />20 Civic Center Plaza - M23 Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />cA 92701 USA <br />(�% p ,(/' p <br />lw/ ✓Ls'16 9iLtllw c/%r/L�.lk/ oe JL <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />