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A-a0001 -11 ACORD CERTIFICATE OF LIABILITY INSURANCE A FLG7NWNR /(MWDD�) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ONE STATE STREET HARTFORD, CT 06103-3187 III►n Air. 10 1m 2- 23 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSUOT SSEELEVATOR COMPANY � �( CI T iC ,�- CITY �� ;-x, A NA INSURER A Hartford Fire Insurance Co INSURER B:Ina Co of the State of PA FARMINGTON, GN TONE FARM PRCTG060B2D C1� r ti .. ? U N C I L INSURERC:Illinois National Ins Co. INSURERD:Chartis Casualty Company INSURERE:New Hampshire Insurance Co O COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR SA TYPE OF INSURANCE POLICY NUMBER DAB EFFECTIVE POLICY EXPIRA Laws A GENERAL LIABILITY 02CSET10004 04/01/2010 04/01/2011 EACH OCCURRENCE $ 1,000,000 PREMISES EaocwrLwce $ 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F`i] OCCUR $2 , 000 , 000 general MED EXP (Any one person) $ 10, 000 aggregate per location/project $10,000,000 policy PERSONAL 3ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 general aggregate A AUTOMOBILE LIABILITY ANY AUTO 02CSET10000 (A/O) 02CSET10019 (HI) 04/01/2010 04/01/2011 COMBINED SINGLE LIMIT (EaaocideM) $ 1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS Hartford Underwriters Ins BODILY INJURY (Per Per—) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS APPRO V Eil A. TO FOR PROPERTY DAMAGE (Per acddent) $ GARAGE LIABILITY _ AUTO ONLY - EA ACCIDENT $ Sh Y orney OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO Laura SI:,t Assistant Cit $ EXCESSRIMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND 02342: NJ-393, CA-397 04/01/2010 04/01/2011 X WCSTATUIM - OTH- ER C D EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFRCER/MEMBER EXCLUDED? TX-394, FL-401 MULTI-396 OR-398 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E Myes deacnbeunder SPECIAL PROVISIONS below MN-395, MULTI-399, 400 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CT WORKERS COMPENSATION (SIR 2.5MM) EXCESS COVERAGE - NATIONAL UNION FIRE INSURANCE CO - POLICY NO. 0910567 City of Santa Ana Police and Holding Facility, Santa Ana, CA 92702. The City of Santa Ana, its officers, agents, volunteers, and employees are additional insured on the above Commercial General Liability as required by contract. The liability coverage afforded is primary and non-contributory. contract number: SAN 05208 City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 1:A1Y4:tLLA1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. AUTHORIZED REPRESENTATIVE Paqe 1 of 1 l 25