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"� �" CERTIFICATE OF LIABILITY INSURANCE
<br />°"T0�Ok' V'g
<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 />Ann Risk Services Northeast, Inc.
<br />BOstop MA Office
<br />53 state Street
<br />Suite 2201
<br />CONTACT
<br />P
<br />(AIC. b.ed: (866) 283-]122 (800) 363-0105
<br />EIANL
<br />ADDRESS:
<br />Boston MA 02109 USA
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC R
<br />INSURED
<br />IDEXX Laboratories, Inc.
<br />One IDEXX Drive
<br />Westbrook ME 04092-2041 USA
<br />INSUREBA: Noetic specialty insurance CO
<br />17400
<br />INSURER B: 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 />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 />TYPE OF INSURANCE
<br />NSO
<br />SX1D`1
<br />POLICY NUMBER
<br />MMI00lYYYY
<br />FOLI
<br />LIMITS
<br />X
<br />COMMERCULGENEMIJABILITY
<br />L
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIMS -MADE EOCCUR
<br />PREMISES Ea Accvmnm
<br />$1,000,000
<br />MED EXP(My one penon)
<br />$10,000
<br />PERSONAL a AW INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PR0.
<br />GENERALAGGREGATE
<br />$2.000.000
<br />PRODUCTS-COMPMPAGG
<br />Excluded
<br />POLICY JECT LOC X
<br />OTHER:
<br />B
<br />AUTOMOBILE LVIBILRY
<br />TC2J-CAP7296L 226-TIL-19
<br />G6/30 2Dl906/30/2020
<br />COMBINED SINGLE UMM
<br />Ea accuent,
<br />S1,000,000
<br />BODILY INJURY(Pe,penen)
<br />X AWAUTO
<br />OWNED SCHEOULEO
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Par9edtlan)
<br />PROPERZY AMAGE
<br />F.,acdtlenl
<br />HIRWAUTOS NONOWNED
<br />ONLY AUTOS ONLY
<br />B
<br />X
<br />UMBRELLA "AB
<br />H
<br />OCCUR
<br />CUP L183610
<br />06 30/2019
<br />06 30/2020
<br />EACH OCCURRENCE
<br />$10,000.000
<br />EXCESS LIAB
<br />CLAIMS4MDE
<br />AGGREGATE
<br />S10,000,000
<br />ICED
<br />I X JRETENTION$10,000
<br />C
<br />B
<br />MAKERSOOMPENSATIONAND
<br />EMPIAYERS' LIABILITY
<br />ANY PROPRIETOR I PARTNER IEXECDTNE YIN
<br />OFFICERIMEMBEREXCLUOEOI E]
<br />(L4ndatmym NH)
<br />II ee, deacdbe mde,
<br />DESCRIPTION OF OPERATIONS babes
<br />NIA
<br />TC20UB430OL42819
<br />(A05)
<br />TRIUS430OL41619
<br />(mA,WT)
<br />O6 30 2019
<br />06/30/2019
<br />0 3 /2020
<br />06/30/2020
<br />X STATUTE OTH-
<br />FR
<br />E.L EACHACCIOENT
<br />$1,000,000
<br />EL OISEASEEP EMPLOYEE
<br />$1, 000,000
<br />EL.DISEASE-POLR:YLIMn
<br />S1,000,000
<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 />S10,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddiUonal Remrks Schedule, my be aMch.d emam a Re. Is mgw.d)
<br />The City of Santa Ana and their respective officers, employees) agents, volunteers and representatives are included as
<br />Additional insured on the General Liabilityolic but only Nn th respect to liability caused by the acts or omissions of IDEXX
<br />FF connection with prenn ses owned or rented by IDI= Laboratories
<br />Laboratories Inc. in the perfo@ q�� r NA)
<br />Inc. Coverage afforded by theA 9� 1 c ' MS Primary and Non -Contributory for the certificate Holder with
<br />respect to work performed by Ilk 'Af1UMNT IVISION
<br />CERTIFICATE HOLDER k A A_V j CANCELLATION
<br />SAMAN HA M. LAMB
<br />O{SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />�l � EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE NTH 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 />cJCYaas ✓L�h c/aLEEmed c/Y�tCfmagG Jiut
<br />@1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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