ENVIRONMENTAL SYSTEMS RESEARCH INSTITUTE, INC. 2 - 2009

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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS A? °e CERTIFICATE OF LIABILITY INSURANCE DAT DDYYYY) 1 116/20161201 1 2 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT Marsh Ri k & In r n S i NAME: s su a ce erv ces 4695 MacArthur Court, Suite 700 FAX PiAJC. No EMI- HONE A /C No), (949) 3995800 E-MAIL Li ADDRES : cense #0437153 Newport Beach, CA 92660 INSURERS AFFORDING COVERAGE NAIL P A 7700-STND-GAWU-1 1 -12 INSURER A : Travelers Property Casualty Co, Of America 25674 INSURED Environmental S stems NIA INSURER B: NIA y Research Institute, Inc. INSURER C : NIA NIA 380 New Yolk Street NIA NIA R dl d CA 92 73 INSURER D: e an s, 3 INSURER E: NIA NIA INSURER F: NIA NIA J COVERAGES CERTIFICATE NUMBER: LOS-001387884-18 REVISION NUMBER:I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTF TYPE OF INSURANCE ADDL U R POLICY NUMBER POLICY EFF M D YYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY 660013OP85A 1211512011 1211512012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A 7UTEN D 1,000,000 M 10 000 CLAIMS-MADE OCCUR MED EXP An one person) , $ X BLANKET CONTRACTUAL PERSONAL & ADV INJURY $ 1,000,000 X OWNERS&CONTRACTORS GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC ] JFr.T El - $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY Per accident) $ NON-OWNED PROPER D TY AMAGE $ HIRED AUTOS AUTOS Ps, nl $ UMBRELLA LIMB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY HJUB8AB4328711 1211512011 12/15/2012 X wCRSTATU- OTH- YIN _ 1 000 000 ANY PROPR IETOWPARTNENEXECUTIVE F N] NIA E.L. EACH ACCIDENT , , $ OFFICERIMEMBER EXCLUDED? 1 000 000 (Mandatory in NH) E.L. DISEABE EA EMPLOYE , ' $ If yae, describe under 1 800 800 DESCRIPTION OF OPERATIONS below E.L. DISEASE I POLICY LIMIT , , $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) ity of Santa Ana, its offkers, employees, agents, volunteers and representalNes are included as additional insured as respects general liability as their interest may appear.-.? 17, _ .y C'1 11) L ) w CERTIFICATE HOLDER l/ (fix ? `7 __ __ __. CANCELLATION City of Santa Ana Council -:;l 1 L ?' 11 ,r Ann: Clerk of the City THE E EXPIRATION H THE DATE E THEREOF, OF, NOTICE NOTQICE MILL IIE DLLEDBE.WILL AE DELIVERED IN T D IN 20 Civic Center Plaza (M-30) P.O. Box 1988 S ACCORDANCE WITH THE POLICY PROVISIONS.T\ W 00 Santa Ana, CA 92702-1985 AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services John Graef ®198&2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD