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`? Q CERTIFICATE OF LIABILITY INSURANCE
<br />DATEt0MMiDONMM12008 YY)
<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 />IMP TNT., If the certificate holder is an ADDITIONAL INS RED, the policypes) must have ADDITIONAL INSURED provisions or be en -reed.
<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 />ADO Risk
<br />BostonsMASOffices Northeast, Inc.
<br />53 State Street
<br />Suite 2201
<br />BOStOn M4 02109 USA
<br />CONTACT
<br />ry
<br />a
<br />NJC-1-S,): 3 ar, o.; �_�—
<br />N (866) 26 -7122 {g00)363-0106
<br />----� u
<br />_
<br />E-MAIL _
<br />ADDRESS;
<br />INSURERS) AFFORDING COVERAGE
<br />NAICN
<br />Laboratories, Inc.
<br />EXX Drive
<br />ook ME 04092-2041 USA
<br />IWURERA: The Travelers Indemnity Co.
<br />25658
<br />INSURER B: The Phoenix insurance Company
<br />25623
<br />iNSUREAC: Travelers Property Cas Cc of Amer ca
<br />2567
<br />INSURER-: Noetic Specialty Insurance Co
<br />17400
<br />INSURER E: The Charter Oak Fife Insurance Comoanv
<br />2S614
<br />THIS IS TO C 5 RTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THit POLICY PERIOD
<br />INOICATED 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 AMC) CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />TYPE OF INSURANCE
<br />Roof
<br />r9
<br />�UUK
<br />0
<br />POLICYNUMSER
<br />MMI
<br />MINDDYYYIn
<br />LIMITS
<br />X
<br />COMMERCIALGENEMLIADILITY
<br />CLAIMS -MADE x OCCUR
<br />L
<br />EACHOCCURRENCE
<br />S110001000
<br />P ISES a rN cs
<br />S1,000,000
<br />MEDEXP(Anyonapenan)
<br />SI0,000
<br />PERSONAL a ADV INJURY
<br />S110001000
<br />GEN'LAGOREOATE LIMGAPPLIES PER:
<br />PBO- �LOC
<br />POLICY EIJECT
<br />GENERALAGGRSGATE
<br />S2,000,00
<br />PRODUCTS-COMPIOPAGG
<br />Excluded
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />810 - 9K7047 6 - 16
<br />06/30/2018
<br />06/30/20 9
<br />COMBINED SINGLE LIMIT
<br />ecdw I
<br />S1,000,000
<br />BODILY INJURY(Parpanon)
<br />ANYAUTO
<br />% OWNED SCHEDULED
<br />AUTOSONLY AUTOS
<br />NON-OWNED
<br />ONLY AUTOS ONLY
<br />HIRE-AUTOSHxClIcal:
<br />% CaMPN,1 Sl.mm 51.000
<br />BODILY INJORY(PerscUdre
<br />—PROPERTY
<br />DAMAGE
<br />Peroaltl nt
<br />0
<br />X
<br />UMBRELLAUAB
<br />X
<br />OCCUR
<br />CUP L18 6 01
<br />6 30 2 16
<br />2019
<br />MHOCCURRENCE
<br />S10.000,0M
<br />excess M
<br />CLAMS -MADE
<br />AGGREGATE
<br />S10,000,000
<br />OE- I %
<br />IRETENTION S10, coo
<br />E
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYEM LIABILITY 1
<br />OFFMERMEMSERAN IE aLUDEB? I� N
<br />(Mantlatoryin NH)
<br />If yeA EescnbA uncer
<br />DESCRIPTION OFOPEPATION5 balow
<br />NIA
<br />TC 0UB4 6OL42818
<br />(ADS)
<br />TRJU8430OL41618
<br />(MA,WI)
<br />81JU14U19PEB
<br />O6/30/2018
<br />06/30/2019
<br />OTN-
<br />X TA UT
<br />E.L EACHACgDENT
<br />31,000, 000
<br />E.L. DISEASE -EA EMPLOYEE
<br />S1,000,000
<br />EL. DISEASE -POLICY LIMIT
<br />1,000,000
<br />0
<br />E -PL-Primary
<br />EISME3800 1
<br />SIR applies per policy ter,
<br />06 30( 018
<br />s & condi
<br />0/ 01
<br />ions
<br />Aggregate
<br />Per occurrence
<br />$,0 , UO
<br />s5,000,000
<br />DESCRIPTION OF OPEPATION91 LOCATIONS/ VENICLES (ACOR-10i, AtltliNanal RemaMe SaM1aquls, may be albcMtl a nwm fpaca N,pWnU{,,�,`
<br />The City of Santa Ana and their respective officers, employees agents, volunteers and r 'S'en ti a 'eluded as
<br />Additional Insured on the General Liability policy, but only with respect to liabili sed h r omissions of IOEXX
<br />Laboratories Inc. in the performance ongoin4 operations of or in connection with pr s O r e IDEXX Laboratories
<br />Inc. Coverage afforded by the General Liability policy shall be Primary and Non -Con ributoLL pate Holder with
<br />resp_e_cttc work Perf_ormed_ttY-SDEXX. La6Dratori Seine.___— _——__......_ ..............._ G.....
<br />CERTIFICATE HOLDER 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 />POLICYPROVISIONS,
<br />The City Of Santa Ana
<br />20 Civic Center Plaza - M23
<br />AUTHORIZED REPRESENTARVE
<br />Santa Ana CA 92701 USA
<br />alGeG/6 R/IICBlVIl V/IaGA�fO�L llGl
<br />C1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 28 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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