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ACORDTM PRODUCER Aon Risk Services, Inc. of Illinois 200 East Randolph chicago IL 60601 USA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE-(866 283-7122 FAX- 847 953-5390 INSURERS AFFORDING COVERAGE INSURED underwriters Laboratories Inc. 333 pfingsten Road Northbrook IL 60062 USA INSURER A: Federal Insurance Company NAIC # 20281 "" <\I 5 ë <\I "0 - "" <\I "0 Õ :c INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIACA TE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY lHE 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. INSR ADD' L TR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATEO'''MIDD\YY) DATE(MMIDD\YY) 06/01/04 06/01/05 LIMITS A ~E~~~I~::~~~::ENERAL LIABILITY j CLAIMS MADE ~ OCCUR D 35815734 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occureoce) MED X (Am one person) $1,000,000 I.D "- N I.D r-f (j> 0 r-f 0 0 "- LJ"I PERSONAL & ADV INJURY $1,000,000 $8,000,000 $1,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: m POLICY D PRO- D LOC L.:J JECT PRODUCTS - cmlP/oP AGG A Al'TOMOBILE LIABILITY A x ANY AUTO ALL OWNED AUTOS 74982896 AOS 74982897 TX 06/01/04 06/01/05 06/01/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 c Z <\I " <:J 5 t: <\I U 06/01/04 SCHEDULED AUTOS BODILY INJURY ( Per person) HIRED AlïOS NON OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per aœidenu GARAGE LIABILITY B ANY AUTO EXCESS ¡UMBRELLA LIABILITY D OCCllR D CLAIMS MADE Ic~ AUTO ONLY - EA ACCIDEi\'T {:t. /(/ / ' I OTHER THAN AUTO ONLY: EA ACC AGG EACH OCCURRENCE AGGREGATE DDEDUCTIBLE DRETET\'TION WORKERS COMPENSA TION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCU'DED' OTH- ER A If yes. describe uoder SPECIAL PROVISIONS beltw.- LL DISEASE-POLICY LIMIT $1,000,000 = $1,000,000 = $1,000,000 iiÏ:Iïi ~ ;:!t 0l:..,Il ~ a.....:.. ~---- ~ oibi ~ ~ -=-= ~ ::FJ: ~ --.-I ~ ~ ;;¡¡:-.,¡ ~ iiii.::;;¡¡ LL DISEASE-EA EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS!\'EHICLES/EXCLt:SIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of coverage for testing the Ground Ladders for the Santa Ana Fire Department. The city of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insureds under the general liability coverage with regard to liability arising from the operations and uses performed by or on behalf of the City ot Santa Ana Attry: Ms. L~ura sheedy, Asslstant Clty Attorney 1439 S. Broadway Santa Ana CA 92707 USA SHOVLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSl'ING INSl'RER WILL ENDEAVOR TO MAIL >" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAIlXRE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KI"-iD UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES, AVTHORIZED REPRESENTATIVE - ì.'" . }.; -¡, tl('...: