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7149396524 AM TECHEIevatorServl 15:38:14 07-13-2009 214
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<br />ACORD„ CERTIFICATE OF LIABILITY INSURANCE °"'~("'~°°~^'~
<br />pRppOC~ RE5035J9 03/21/2009
<br />MARSx vsA Lxc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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<br />L€ 6 ONLY AND CONFERS NO RKiNTS UPON THE CERTIFICATE
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<br />RTIFICATE GOES NOT AMEND, EXTEND OR
<br /> ALTER THE COVERAGE AFFORDED BYTNE POLICIES BELOW.
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<br />~ I INSURERS AFFORDING COVERAGE
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<br />AMTBCH E4EYATOR SERVLCt((
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<br />s INSURER A: Hartford Fire Inouranca Co
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<br />1550 5. SrIN1CIST ST., SUITE A
<br />ANAHEIM, CA 92806
<br />~INSURERB~Ina Co of the 8tata of PA
<br /> INSURER C:Illinoi• rational In• Co.
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<br /> I INSURER D:Aaerican International South Ina Co
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<br />COVERAGES IWSURERE:Nev xsspahire Lnauranc• Ca
<br />THE POLIGES Of INSURANCE LISTEO BELOW HAVE BEEN 183UED TO THE INSURED
<br />NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANplNG
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM
<br />ENT WITH RESPECT TO WHICH THlB CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN !
<br />S SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE L1MIT3 SHOWN MAY HAVE BEEN REDUCED 8Y
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<br />POLICY MUMrOt
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<br />A ~ OENIMLLUgL1ry 02CSST10004 LIMITS
<br />04/OI/2009 04/01/2010 EACH OCCURRENCE 7
<br />
<br />X COMMERCULGENERALLWILITY 1,000,000
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<br />51,000,000 eneral
<br />cLAIM~ MAC ~ occuR 3 ^u s 300,000
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<br />aggzegats per AAEDE7(P(AnyanaPnaon) i 10,000
<br />location/project PaRSONAL~ADVINJURY f 1,000,000
<br />
<br />GEN'LAGGREM LSMTAP-LIESPER: 510,000,000 policy OEMERALAOORlOATE S 1,000,000
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<br />X POLICY PRO• LOC ODUCTS•COMPA7pA0p S 1,000,000
<br />A A{11pMOrLELMSS,Iry 02CSST10000 (A/01 04/01/2009 04/O1/20I0
<br />X ANY AUTO 02C3ET10019 (HI} ~D~~E
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<br />SINGLELIMIT
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<br />ALL OWNED AUT08 Hartford UnderWri tars ~
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<br />= 1,000,000
<br />SCHEDULED AUT08 InB BODILY BVJURY
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<br />HIRED AUTOS
<br />NON-OWNED AUTOS _,!`~~~i l~D.LY~;RY
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<br />GARAGE LIASB.ITY .:..
<br />ANY AUTO / '~ ( : ~ ' ; AUTO ONLY • EA ACCIDENT S
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<br />OCCUR ~ CLAIMS MADE ~~~.
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<br /> AGGREGATE :
<br />DEDUCTIBLE _
<br />RETEHTIOFI S
<br />8 WORKEIISCOM-SNSATgNAND 35669:MA, NJ-20, CA-14
<br />EMPLdYSRS' 61AM,RY
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<br />04/01/1009 04/01/7010 X
<br />TX-21, FL-23
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<br />~ ICER/MELISE
<br />MULTI-13, OA-25 E•L.EACMACCIDENT >i 1,000,000
<br />S M daaeAheundv L414-22, MULTI-2E, 17 E.L.WSEASE-EAEMPLOYEE i 1,000,000
<br />OTNlR E.L.OISEABE-POUCYLIMIT S 1,000,000
<br />DcsCRpTIDR oP OPSRATRx1/ r LOCATIONS! VSMNS.ES I E)<CLUSIDNS ADDED BY ENDORSeMBNT 1 sPeeuu, PROVISIONS
<br />CT WORKERS COi4pENSATION (SIR 2.51~M1 EXCESS COVERAGE - NATIONAL UNION FIRE INSURANCE CO - POLICY N0. 4301324
<br />Thi• certificate only applies to City Hall, 20 Civic Center Plaza - Sants Ana Library, 26 Civic Center Plaza, city
<br />Ha12 Annex, 24 Civic Center Plaza -Corporate Yard, 115 9. Center Street - City Hall, 20 Civic Center Plaza
<br />(Wheelchair Lift) and Santa Ana Zoo, 1301 Chestnut Place,
<br />City of Santa Ana, its officers, employees, agents, volunteers end representatives are additional insured to the
<br />extent required by contract. The coverage afforded ie primary and non-contributory to th• extant required by
<br />(continued next a e)
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD AMY oP TIIt ASOVB DrBerwED PDLICIEB N cANCeLLaD assts TWE ExrNt4n
<br />wn n~REOr, rNa NISYMO slSURSR MIR-. MAIL >e DAYS MIRnTlN NDTICe TD TtNi
<br />ClRTiPICATB NOLpaR NAMED TO TN! LSPT.
<br />Clty of Santa Ana
<br />20 Ci+:ie Center Plaza
<br />Santa Ana, CA 92?02
<br />ACORD 25 I200~lDet
<br />AUTHORQlD REPRESSNTATM
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