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r <br />MARSH <br />CERTIFICATE OF INSURANCE <br />ISSUE DATE <br />03/20/2008 <br />PRODUCER <br />MARSH USA INC. <br />ONE STATE STREET <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 />HARTFORD, CT 06103 -3187 <br />COMPANIES AFFORDING COVERAGE <br />Company Hartford Fire Insurance Co <br />A <br />INSURED <br />AMTECH ELEVATOR SERVICES <br />Company Ins Co of the State of PA <br />B <br />1550 S. SUNKIST ST., SUITE A <br />ANAHEIM, CA 92806 <br />Company <br />C Illinois National Ins Co. <br />Company National Union Fire Ins Co Pa <br />D <br />Company New Hampshire Insurance Co <br />E <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 <br />LT <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE <br />EXPIRATION <br />LIMITS OF LIABILITY <br />A <br />GENERAL LIABILITY <br />® Commercial General Liability <br />❑ Claims Made ® Occurrence <br />02CSET10004 <br />$2,000,000 general aggregate per <br />04/01/2008 <br />04/01/2009 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />FIRE DAMAGE <br />$ 300,000 <br />MEDICAL EXPENSE <br />$ 10,000 <br />❑ Owners' and Contractors' Protection location <br />/project <br />PERSONAL & ADVINJURY <br />1,000,000 <br />❑ <br />GENERAL AGGREGATE <br />1 2,000,000 <br />❑ <br />$10,000,000 policy general <br />PRODUCTS - MP/ P A G. <br />2,000,000 <br />General Aggregate Limit applies per: <br />® Policy ❑ Project ❑ Location <br />aggregate <br />A <br />AUTOMOBILE LIABILITY <br />® Any Automobile <br />❑ All Owned Automobiles <br />02CSET10000 (A/O) <br />02CSET10019 (HI) <br />Hartford Underwriters Ins <br />04/01/2008 <br />04/01/2009 <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />BODILY INJURY Per person) <br />$ <br />BODILY INJURY Per accident <br />$ <br />❑ Scheduled Automobiles <br />1AGE <br />$ <br />❑ Hired Automobiles <br />❑ Non -owned Automobiles <br />❑ <br />COMPREHENSIVE <br />COLLISION <br />B <br />C <br />D <br />WORKERS'COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />1928748(MA),1928751(CA) <br />1926750(FL) <br />1928752(CT ex.SIR $2,500,000) <br />04/01/2008 <br />04/01/2009 <br />WC Statutory Limit X❑Other <br />EL EACH ACCIDENT <br />$ 1,000,000 <br />EL DISEASE (Each employee) <br />$ 1,000,000 <br />E <br />1928742 <br />1928744 1928745(MN) <br />1928746(TX) <br />(F) <br />1928749(NJ) <br />American Int'I South Ins Co <br />EL DISEASE (Policy Limit) <br />$ 1,000,000 <br />1928743 <br />1928747(OR) <br />EXCESS LIABILITY <br />❑ Occurrence ❑Claims Made <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$Yard, <br />This certificate only applies to City Hall, 20 Civic Center Plaza - Santa Ana Library, 26 Civic Center Plaza, City Hall Annex, 24 Civic Center Plaza - Corporat 215 S. Center Street <br />- City Hall, 20 Civic Center Plaza (Wheelchair Lift) and Santa Ana Zoo, 1801 Chestnut Place. <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured to the extent required by contract. The coverage afforded is primary and non- <br />contributory to the extent required by contract, <br />contract number: DVB -06416 <br />CERTIFICATE HOLDER <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 />City of Santa Ana <br />20 Civic Center Plaza <br />MARSH USA INC <br />BY: �,—� <br />