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<br />ACORD
<br />CERTIFICATE OF LIABILITY INSURANCE D
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<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />MARSx usA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />oNE STATE STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />HARTFORD, CT 06103-3187 ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED
<br />AMTECH ELEVATOR SERVICES INSURER A:Hartford Fire Insurance Co
<br />1550 S. SUNKIST ST. , SUITE A INSURER B: ins Co of the State of PA
<br />ANAHEIM, CA 92806
<br />INSURER C:Illinois National Ins Co.
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<br />~ INSURERD:Chartis Casualty Company
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<br />^~R~/vlQ'~ ~ INSURER E: New Hampshire Insurance Co
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITWSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> POLICY EFFECTNE POLICY EXPIRATION
<br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS
<br />A GENERAL LIABILITY 02CSET10004 04/01/2010 04/01/2011 EACH OCCURRENCE $ 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 300,000
<br /> CLAIMS MADE ~ OCCUR $2, 000, 000 general
<br />MED EXP (Any one person)
<br />$ 10 , 0 0 0
<br /> aggregate per
<br /> PERSONAL&ADVINJURY $ 1,000,000
<br /> location/project
<br /> $10
<br />000
<br />000
<br />olic GENERAL AGGREGATE $ 2,000,000
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<br /> GEN'L AGGREGATE LIMIT APPLIES PER: general aggregate PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> X POLICY PRO LOC
<br />A AUTOMOBILE LIABILITY 02CSET10000 (A/0) 04/01/2010 04/01/2011
<br />
<br />X ANY AUTO
<br />02CSET10019 (HI) COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1, 000, 000
<br /> Hartford Underwriters
<br /> ALL OWNED AUTOS BODILY INJURY
<br />
<br />
<br />SCHEDULED AUTOS
<br />Ins
<br />(Per person) $
<br /> ,~y
<br /> HIRED AUTOS ~St$$ V
<br />' RY
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<br />e ny
<br />P
<br />r
<br />d
<br />( $
<br /> NON-OWNED AUTOS ~~~~ 1~'~ 1
<br />, e
<br />acc
<br />e
<br /> [[ ujO~~d
<br />` ~~^
<br />a ~ PROPERTY DAMAGE
<br /> D
<br />~Qa3. ~ - (Per accident) $
<br /> GARAGE LIABILITY + ^~~. ,'- AUTO ONLY - EA ACCIDENT $
<br /> ANY AUTO I
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<br />'d QD ` r OTHER THAN EA ACC $
<br /> I V AUTO ONLY: AGG $
<br /> EXCESS/UMBRELLA LIABILITY ~.,t~® EACH OCCURRENCE $
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<br /> OCCUR ^ CLAIMS MADE AGGREGATE $
<br />
<br /> DEDUCTIBLE $
<br /> RETENTION $ $
<br />B WORKERS COMPENSATION AND
<br />' 02342: NJ-393, CA-397 04/01/2010 04/01/2011 X TORYLI4MITS ER
<br />C EMPLOYERS
<br />LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE TX-394, FL-401
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />D OFFICERIMEMBEREXCLUDED? MULTI-396 OR-398
<br />E.L. DISEASE-EA EMPLOYEE
<br />$ 1,000,000
<br />E If yes, describe under MN-395, MULTI-399, 400
<br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1,000,000
<br /> OTHER
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
<br />CT WORKERS COMPENSATION (SIR 2.SMM) EXCESS COVERAGE - NATIONAL UNION FIRE INSURANCE CO - POLICY N0. 0910567
<br />This certificate only applies to City Hall, 20 Civic Center Plaza - Santa Ana Library, 26 Civic Center Plaza, City
<br />Hall Annex, 24 Civic enter Plaza - Corporate Yard, 215 S. Center Street - City Hall, 20 Civic Center Plaza
<br />(Wheelchair I1~Ft) Santa Ana Zoo, 1801 Chestnut Place.
<br />City of Sant~a'~Yta, fficers, employees, agents, volunteers and representatives are additional insured to the
<br />extent requilr~ by act. The coverage afforded is primary and non-contributory to the extent required by
<br />(continued next a
<br />I.tKIIt II.AIt Utf,(,.,., 5•...-' GANGtLLAIIUN
<br />•'~ •°°~" SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION
<br />(~ _ DATETHEREOF,THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE
<br />N ~- Y CERTIFICATE HOLDER NAMED TO THE LEFT.
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<br />- LJJ
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<br />City of SantaCAha ~
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<br />20 Civic Cent~~ P1a~U
<br />Santa Ana, CA 92702(„) AUTHORIZED REPRESENTATIVE
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<br />ACORD 25 12001/081
<br />n ACORD CORPORATION 1988
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