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I e.1 u b'9 .m- I Lvo <br />)1A9395S24 NMIECH I Irva101 Bel vl <br />' t <br />ISSUE DATE <br />MARSH —j CERTIFICATE OF INSURANCE <br />PRODUCER This afg9cnte A issued as a matter of information omy and corlrers no rights <br />MARSH USA INC, upon the CertiTcete Holder. This CarfiSCate does not ammo ez:end pr alter Itra� <br />ONE STATE STREET coverage afforded by the pdicies below. <br />HARTFORR CT 05103-3137 COMPANIES AFFORDING COVERAGE <br />Company Hartford Fire Insurance Co <br />INSURED Company Inc Cc of the State of PA <br />AMIECH ELEVATOR SERVICES e <br />1550 S. SU14KIST ST., SUITE A Cdnpany Amencan Home Assurance Cc I <br />ANAHEIM, CA 92806 <br />c, ^n/ . // D Company National Union Fire Ins Cc Pa <br />� A- �(LfLI(Q O , D <br />A - <br />02w(o - /i8-off <br />Company Nw+Hampehira Nnunlue Co I <br />III— E <br />COVERAGES This certtTwata supercedem and replaces any preAOusly issued certficatr Ea the poky Period noted below. <br />This a :o carob that the pdicies of Insurance Described herein have been issued to the Insured named heroin for the policy period indicated. Nohill andinq <br />any raquiremeni. leml or condition of contract or olhe r cocinnorI with respect to which this widiCate may be issued or say pertain, the Insurarcei afforded by <br />Ina policies dasaibed herein is subject to all the terms, conditions and eaclus"s of such policies. Limas shown may have been oadured by paid claims. <br />CO TYPE OF INSURANCE POLICYNUMaER EFFECTIVE EXPIRATION LIMITS OF LasBLL1TV <br />A <br />LT GENERAL LU181LITY �o2CSETtdW4 twrotfz007 04/0720D5 EACH OLCUARENCE $ 1'000, <br />YIRED CC S 30D'�D <br />,Bl ltpvrerUlCalemi LaYl ry anaral• ra ma ar ` S 10,000 <br />❑Oairiu Meee ®ucurnno 32,t.,!PDg 99 9 P 1 MEDICUi FY& M, -MR ❑pxnars am CoNracara'arexdnn ioPehdr!prwxt I �— 1090 <br />iy��uF 2,000,000 <br />j ❑ $10.000 -0W Pducy general I IP f $ 2,ppp,000� <br />r wn1A 10LnwaodWIW: .99regala <br />rAUTOMOBILE LIABILITY OZCSET I NOD (AM) I 00612007 64/012605 OONearEO BINDLE <br />x wY�Mm . u2CW1D01%010 110011 INJURY <br />All deed A. b 111 IAHMra U ^delwrders ire i IWL <br />Suave. ed Aimrabrn <br />❑ Nlred AwdmaGb COMPPENEN9VE <br />��Na'4aened A,[craow <br />j G cowsloN <br />yB WORKERS'COMPENSATION 292t261(CL au61noD7 Oarot2008 Ac sal Lma'1 <br />C AND EMPLOYCITS' LIA81L1TY i92ue2 (P1�2921265 (M 0.000 EL EAG +AOGDENT <br />;) 2921266(CT as SIR 32.SO) <br />t 29212592521257 imulIC EL deEA9E rEach a <br />12921255 (MN)292126C(N :) EL dSEASEfalEgi <br />F-292I MO* 2921 MWORl' <br />F +AMERICAN INTL SOUTH INS i <br />E XCESS LIABILITY _ <br />,]Occunnrr []Dam AUa. I AOGAEOATE <br />_ f <br />I ji I I <br />Halt, <br />City dr Santa Ana. is OMPam, ampby"'. Agwis, vowrl"ra ant: <br />Im.corl,cu ory m the 49101 red =t%d by wnt9 t. <br />I ronlvtl numWr DVa-06116 <br />L — <br />C ERTIFICATE HOLDER <br />PROVILD AS <br />City of Sarta Ana ::Gi A <br />.n 51;1(/ <br />I 20 Civic Center Plaza ;ta'Ir l ly <br />Santa Ana, CA 92702 <br />C'dy Hal Anr.AX, 2aCmc CenMr Plaza - CuPwale YartL 275 S CaMr Steal <br />'adldomrlinsuvdtolee MontraeuiMbyc VW. Thawramgealbrdedapnmaryand <br />-- SNWI D ANr OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EAP: RATION GATE THEREOF, THE INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO <br />THE CERTIFICATE HOLDER MANED TO THE LEFT. <br />TO FQRM <br />13 jy MARSH USA INC <br />�y`vl�— {1 / ✓ \/j /� cennule ma 1015CDKC I <br />pace of 1 <br />