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<br />7149396524
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<br />AM TECH Elevator Se VI
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<br />10:39:49
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<br />06-27 -2006
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<br /> MARSH 1 CERTIFICATE OF INSUF~NCE I ISSUE DATE
<br /> 0612012006
<br />PRODUCER This certificate is i66ued 86 a matte' of information only and ronfers no rights
<br /> MARSH USA INC. upon ttle Certificate Holder. This C miflcate does not amend, extend or alter the
<br /> ONE STATE STREET coverage afforded by the policies tulow.
<br /> HARTFORD. CT 06103-3187 COMPANII,S AFFORDING COVERAGE
<br /> Company Hartford Fire Insurance Co
<br /> A
<br />INSURED Company Ins Co of the StatE of PA
<br /> AMTECH ELEVATOR SERVICES B
<br /> 1550 S. SUNK 1ST ST., SUITE A Company
<br /> ANAHEIM, CA 92806 American Horne A ~surance Co
<br /> C
<br /> Company National Union Fim Ins Co Pa
<br /> It - d--oOG- fie D
<br /> Company
<br /> E New Hampshire Insurance Co
<br />COVERAGES This certifica Ie supersedes and replaces any previously 166ued certificate fe r 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. Nolwlltlstandilg
<br />any requirement, term or condition of contrac: or other document with respect to which this cartl1lcate may IB issued or may pertain, the insurance afforded IlY
<br />the policies described herein is subject to all he terms, conditions and exclusions of such policies. Limits st awn may have been reduced by paid claims.
<br />CO TYPE OF INSURANCE POUCY NUMBER EFFECTIVE EXPIRATION LIMITS OF LIABIUTY
<br />LT
<br />A GENERAL LIABILITY 02CS ::T10004 04/01/2006 04/0112007 E 'lCH OCCURRENCE S 1,000 000
<br /> IX! Commercial General Liability F RE DAMAGE $ 300 000
<br /> o Claims Made IKI Occurrence $2,00 l,ooo general aggregate per " EDICAL EXPENSE $ 5000
<br /> o Owners' and Contractors' Prolection localll,n/project S 1,000 000
<br /> 0 P:RSONAL & /IoDV "JURY
<br /> 0 $10,0 lO,OOO policy general aggregate G ENERAL AGGREGATE $ 2,000000
<br /> General Ag gregale L1mil applies per. P ~UCTS - COMf'lOP AOO. $ 2,000 000
<br /> o Policy 0 Project DLcx:ation
<br />A AUTOMOBILE LIABILITY 02CS ,T10000 (AlO) 04/01/2006 04/0112007 c JMBINED SINGLE UMlT $ 1,000000
<br /> 00 Any Automobile 02CS ,T10019 (HI) B:lOR. y INJU~Y (Per pnon)
<br /> o All Owned Automobiles Hartle'd Underwriters Ins ~:lOIL Y INJURY (Per accldenl)
<br /> o Scheduled Automobiles
<br /> o Hired Automobiles P_IDPERT'f DAMAGf
<br /> o Non-own ad Automobiles C'lMPREHENSlVE
<br /> 0 C'llUSION
<br />B WORKERS' COMPENSATION 4763013 (CA) 04/01/2006 04/0112007 ....::: S1a1Uory u"",1 x I other I I
<br />C AND EMPLOYERS' LIABILITY 4763014 (Fl)4763626 (MA) EL EACH ACCI)ENT $ 1,000, )00
<br />D 47632l27(CT ex. SIR $2,500,000) EI. DISEASE (Each elTllll""",,' $ 1,000, JOO
<br />E 47630 l2l4763004 (mulli) El _ DISEASE (Policy UmiI) $ 1,000, )00
<br /> 47630 l3 (MN) 476325 (NJ)
<br /> F=47E 3012* 4763015(OR)'
<br /> F=AM ,RICAN INrL SOUTH INS CO
<br /> EXCESS LIABILITY EI.cH OCCURRENCE
<br /> o Occurrence DClaims Made A(;GREGATE
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<br />This certif_icate on,y applies to City Hall, 20 Civic Cent .r Plaza - Santa Ana LIbrary, 26 Civic Center Plaza, City Hall Annex, 24 Civic Center Plaza _ Corporete Yard, 215 S. Center
<br />Slr....l - City Hall, 20 CiVIC Center Piau (Wheelchair L -It) and Santa Ana Zoo, 1801 Chestnut Place.
<br />e1The City of Santa Ana, its offICers, agents, employe<'S, volunteers and representatives are adddional insured to !he extent" quired by contract.
<br />contract number. DVB-ll6416
<br />CERTIFICATE HOLDER
<br /> SHOULD ANY OF THE ABOVE DESCRIBE D POLICieS BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, THE INSU~ER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE
<br /> CERTIFICATE HOLDER NAMED TO THE I.EFT.
<br /> . 'dP'~ " ,. ": '-
<br /> ,
<br />City of Santa Ana MARSH USA INC (J~ ~. #7JB{
<br />20 Civic Cenler Plaza ll~ BY:
<br />Santa Ana, CA 92702 ~__~t1\ () .. 01 j / -
<br /> -,~.-- ~, CertifICate 10: DFF3L3JY
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