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OTIS ELEVATOR COMPANY 1A - 2004
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OTIS ELEVATOR COMPANY 1A - 2004
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Entry Properties
Last modified
1/3/2012 2:29:14 PM
Creation date
1/25/2005 10:42:30 AM
Metadata
Fields
Template:
Contracts
Company Name
Otis Elevator
Contract #
A-2003-268-01
Agency
Finance & Management Services
Expiration Date
12/31/2006
Insurance Exp Date
4/1/2008
Destruction Year
2010
Notes
Amends A-2003-268
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<br />~, <br /> <br />MARSH <br /> <br />I <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />PRODUCER A 0017 003 <br />MARSH USA INC. -~ /- <br />ONE STATE STREET I <br />HARTFORD, CT 06103-3187 A -- c2.00J{ ... ,xJ b <br />A-- ~003 .. ~'!l <br />A _ --"'\(11- ,2~t oJ 0/ <br />INSURED A - p(IQ 03 - ~103 - ~ <br />OTIS ELEVATOR COMPANY <br />ONE FARM SPRINGS ROAD <br />FARMINGTON, CT 06032 <br /> <br />I <br /> <br />ISSUE DATE <br /> <br />03/19/2007 <br /> <br />This certificate is issued as a matter of information only and confers no rights <br />upon the Certificate Holder. This Certificate does not amend, extend or alter the <br />coverage afforded by the policies below. <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />Company <br />A <br /> <br />Hartford Fire Insurance Co <br /> <br />COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. <br />This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding <br />any requirement, term or condition of contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by <br />the policies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. <br />CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS OF LIABILITY <br />LT <br />A <br /> <br />GENERAL LIABILITY <br /> <br />IX] Commercial General Liability <br />D Claims Made IXI Occurrence <br />o Owners' and Contractors' Protection <br /> <br />D <br />D <br /> <br />General Aggregate Limit applies per: <br />IXI Policy D Project D Location <br /> <br />A AUTOMOBILE LIABILITY <br /> <br />IXI Any Automobile <br />D All Owned Automobiles <br />D Scheduled Automobiles <br />D Hired Automobiles <br />D Non-owned Automobiles <br />D <br /> <br />B <br />C <br />D <br />E <br /> <br />WORKERS' COMPENSATION <br />AND EMPLOYERS' LIABILITY <br /> <br />EXCESS LIABILITY <br />D Occurrence DClalms Made <br /> <br />02CSET10004 <br /> <br />$2,000.000 general aggregate per <br />location/project <br /> <br />$10,000,000 policy general <br />aggregate <br /> <br />02CSET10000 (A10) <br />02CSET10019 (HI) <br />Hartford Underwriters Ins <br /> <br />2921261 (CA) <br />2921262 (FL) 2921265 (MA) <br />2921266(CT ex. SIR $2.500,000) <br />2921259/2921257 (multi) <br />2921258 (MN) 2921264 (NJ) <br />F=2921260* 2921263(OR)* <br />F=AMERICAN INT'L SOUTH INS <br /> <br />Company <br />B <br /> <br />Ins Co of the State of PA <br /> <br />Company <br />C <br /> <br />American Home Assurance Co <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />!l: <br /> <br />$ <br />$ <br />$ <br />$ <br /> <br />I I $ <br />$ <br />$ <br />$ <br /> <br />$ <br />$ <br /> <br />1$ <br />!l: <br />i!l: <br />$ <br />$ <br /> <br />1,000,000 <br />300,000 <br />10,000 <br />1,000,000 <br />2,000,000 <br />2,000,000 <br /> <br />1,000,000 <br /> <br />1,000,000 <br />1,000,000 <br />1,000,000 <br /> <br />City of Santa Ana Police and Holding Facility. Santa Ana, CA 92702. <br />The City of Santa Ana, its officers. agents, volunteers, and employees are additional insured on the above Commercial General Liability as required by contract. The liability coverage <br />afforded is primary and non-contributory. <br />contract number: SAN 05208 <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />Company <br />D <br /> <br />National Union Fire Ins Co Pa <br /> <br />Company <br />E <br /> <br />New Hampshire Insurance Co <br /> <br />04/01/2007 <br /> <br />04/01/2008 <br /> <br />EACH OCCURRENCE <br />FIRE DAMAGE <br />MEDICAL EXPENSE <br />PER"""'A & A"""'IN " 'RY <br />"'I=N"O^, <br />pRonl ,rOT" _ r.OMP/OP A"''''. <br /> <br />04/01/2007 <br /> <br />04/01/2008 <br /> <br />COMBINED SINGLE LIMIT <br />BODILY INJURY (Per nerson' <br />BODILY INJURY 'Per accident' <br /> <br />COMPREHENSIVE <br /> <br />COLLISION <br /> <br />04/01/2007 <br /> <br />04/01/2008 <br /> <br />WC Statutory Limit [R] Other <br />EL EACH ACCIDENT <br /> <br />EL DISEASE (Each employee) <br />EL DISEASE (Policy Limit) <br /> <br />- ~,,- -., I .' ') A~ rra FOR llll'CHOCCURRENCE <br />Ai.. ..l.'lU t, L.. '. ~ 1 AGGREGATE <br /> <br />A ./? /J <br /> <br />'1 ~ d~ ,j.l~ / /::z <br />7" ~a-~i~J 'Itfy:'~cJY <br />As iSW ,1~UV Attcf',ey <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO <br />THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br /> <br />MARSH USA INC <br />BY: (/~ <br /> <br /> <br />Paae 1 of 1 <br /> <br />-;;:- <br /> <br />.d7/~7:-r) <br /> <br />Certificate 10 # <br /> <br />XQRED9S5 <br />
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