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<br />OATE(MM/OO/YYYY) <br />0~(9:L~99"~ <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TIllS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />1 ACORa. <br /> <br /> <br />PRODUCER <br />Aon Risk services, Inc. of Illinois <br />200 East Randolph <br />chicago IL 60601 USA <br /> <br />PHO'" " 866 283-7122 <br /> <br />FAX- 847 953-5390 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br />underwriters Laboratories Inc. <br />333 pfingsten Road <br />Northbrook IL 60062 USA <br /> <br />INSURER A: <br />INSURER B: <br /> <br />Federal Insurance company <br /> <br />INSURER C: <br /> <br />INSURER D: <br /> <br /> <br />NAIC# <br />20281 <br /> <br />~ <br />~ <br />:: <br />1: <br />~ <br />"0 <br />- <br />~ <br />~ <br />"0 <br />] <br />- <br /> <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIlE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TInS CERTIFICA IE MAYBE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRlBED HEREIN IS SUBJECT TO ALL 1HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGA IE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD <br />LTR INS <br /> <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY ~lJMBER <br /> <br />POLICY EFFECID' <br />DATE/MM\DDWYl <br />06/01/05 <br /> <br />POLICY EXPIRATION <br />DATE(MMIDD\YYj <br />06/01/06 <br /> <br />EACH OCCURRE~CE <br /> <br />LIMITS <br /> <br />A r'''~ 35815734 <br /> x CO\fMERClAL GENERAL LlABILlTY <br /> CLAI!l1S :\lllDE ~ OCCCR <br /> GES'L AGGREGATE LI:\lIT APPLIES PER: <br /> I2l POLICY D PRO- 0 LOC <br /> SECT <br />A Al'TOMOBILE LL4..BlLlT\' 74982896 <br /> ANY AUTO AOS <br />A 74982897 <br /> ALL OWNED AUTOS TX <br /> SCHEDCLED AUTOS <br /> HlRED AUTOS <br /> r-;or-; O",",'1:D AUTOS <br /> <br />DAMAGE TO RENTED <br />PREMISES rEa occurence) <br />lAnyoru:personj <br /> <br />PERSONAL & ADV INJURY <br /> <br />GENERAL AGGREGATE <br /> <br />PRODUCTS - CO;"fPIOP AGG <br /> <br />06/01/05 <br /> <br />06/01/05 <br /> <br />06/01/06 <br />06/01/06 <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br /> <br />BODILY INJURY <br />(Perper:;on) <br /> <br />BODTL Y INJURY <br />(Peraccidem) <br /> <br />PROPERTY DAMAGE <br />(Peraccidenl) <br /> <br />GARAGE LlABILlT\' <br />B ANY ACTO <br /> <br />EXCESS flTMBRELLA LIABILITY <br />o OCCUR D CLAIMS MADE <br /> <br />AUTO ONLY EA ACCIDENT <br /> <br />OTHER TI-lAN EA ACC <br />AUTO ONLY : <br /> <br />AGG <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />A <br /> <br />DDEDUCTIBLE <br />IDRETENTION <br /> <br /> <br />WORKERS COMPESSA TlOl'\" AJ'I,1) <br />EMPLOYERS' LIABILITY <br /> <br />ANY PROPRIETOR I PARTNER! EXECUTIVE <br />OffiCER/MEMBER EXCLUDED? <br /> <br />If yes. describe under SPECIAL PROVISIONS <br />belo\l,' <br /> <br />E.L. DISEASE-POLlCY LIMIT <br /> <br /> <br />OTHER <br /> <br /> <br />E.L. D1SEASE.EA EMPLOYEE <br /> <br />$1,000.000 <br /> <br />$1,000,000 <br />$8,000.000 <br /> <br />$1.000,000 <br /> <br />.-< <br />"" <br />.... <br />'" <br />~ <br />"" <br />"' <br />.-< <br />o <br />o <br />.... <br />~ <br /> <br />$1,000,000 i. <br />~ <br />OJ <br />~ <br />~ <br />~ <br />~ <br />U <br /> <br />DESCRIPTION OF OPERATIOI\'SILOCA TIOI\"SIVEHICLESIEXCLUSIOI\'S ADDED BY E~DORSEMENTfSPECIAL PROVISIONS <br />Evidence of coverage for testing the Ground Ladders for the Santa Ana Fire Department. The City of Santa Ana, its <br />officers, employees, agents, volunteers and representatives are included as additional insureds under the general <br />liability coverage with regard to liability arising from the operations and uses performed by or on behalf of the <br /> <br />tiJmT <br /> <br />city of Santa Ana <br />Attn: Ms. Laura sheedy, <br />Assistant City Attorney <br />1439 S. Broadway <br />Santa Ana CA 92707 USA <br /> <br />SHOULD ANY OF TIlE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIiE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER ""lLL ENDEAVOR TO MAIL <br />30 DAYS \VRITTEN NOTICE TO THE CERTIFICATE HOLDER !'>lAMED TO THE LEFT, <br />BUT FAILURE TO DO SO SHALL fMPOSE NO OBLIGATIO}; OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGEJ\'TS OR REPRESENTATIVES. <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />