MGE UPS SYSTEMS, INC. 1 - 2004 - Laserfiche WebLink

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A CfLRD,. CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 I DATE 06/10/2004 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE willis North America, Inc. - Regional Cart Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. o. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE INSURED MGE UPS Systems, Inc. INSURER A: Federal Insurance Company 20281-005 1660 Scenic Avenue Æ-dÐo't- 0/9 INSURER B: Federal Insurance Company 20281-001 Costa Mesa, CA 92626 INSURER C; Continental Insurance Company 35289-001 INSURER 0: , INSURER E: COVERAGES THE POLICIES OF INSURANCE LlSTEO 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 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~~~ TYPE OF INSURANCE POLICY NUMBER POL.ICY EFFECTIVE POLICY EXPIRATION LIMITS A ~NERAL LIABILITY 35818734 6/1/2004 6/1/2005 EACH OCCURRENCE $ 1 000 000 X CGMMERC¡ALGEN~RALUABILlTY I FIRE DAMAGE (Anyone fire) $ 1 000 000 l CLAIMS MADE W OCCUR MED EXP (Anyone person) $ 10 000 PERSONAL & ADV INJURY $ 1 000 000 - GENERAL AGGREGATE $ 2 000 000 ~'L AGG~EñE LlMIT APñS PER: PRODUCTS. COMP/OP AGG $ 2 000 000 X POLlCY ~B9.; LOC B ~TOMOBILE LIABILITY 73528020 6/1/2004 6/1/2005 COMBINED SINGLE LIMIT 1,000,000 (Eaaccident) $ 1L ANY AUTO - ALL OWNED AUTOS BODILY INJURY {Per person) $ - SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY ~Æ~l $ - NON-OWNED AUTOS -l;¡ fir (Peraccidenl) - PROPERTY DAMAGE $ (Peraccidenl) =rAGE L<ABILITY V t / AUTO ONLY. EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ C ~ESS LIABILITY CUP2076547265 6/1/2004 6/1/2005 EACH OCCURRENCE $ 2 000 000 X OCCUR D CLAiMS MADE AGGREGATE $ 2 000 000 $ =1 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I ,'XÇ¿,ST~T,¥~ I IOJ~- EMPLOYERS' LIABILITY , EL. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ E.L. DISEASE. POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS TH~S VO~DS AND REPLACES PREV~OUSLY ~SSUED CERT~F~CATE DATED: 6/1/2004 W~TH ~D: 4426163 The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701: Its officers, employees, agents, volunteers and representatives are included as additional insured under the above referenced General Liability (for.m attached) and Automobile Liability Insurance policies and the cover~~~ afforded the additional insured under these policies shall be primary and non-contri uto~' insurance to the extent that a ~laim arises from the nenli~en~e of MGE UPS CERTIFICATE HOLDER I x I ADDITIONAL INSURED; INSURER LETTER; CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Building Maintenance Division REPRI=~IV¡:C1;. Attn: Mario Ghizzi P.O. Box 1988 M-11 A¡m/!:~~ Reyy:.ATIV~ Sant,a Ana, CA 92702 ACORD 25-S (7/97) Coll:l015672 Tpl:263777 Cert: 4459'558 @ACORDCORPORATION1988