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A - a-i)ctn - i q -1 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE' Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF IINNF'Oj1RRMAAIjTIIONFONLY F��AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFIGE AFFORDED BYTHE POLICIES BELOW. ATE DOES NOT THIS HIS CERTIFICATE OF NSTIVELY U RANCE DOESATSCSi Qbl7STFfR'%T�jAT Ea7 O T BE THE ERTHE �ISSU ISSUING NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. "TRACT IMPORTANT: If the certificate holder is an N,'AL.1NBliRE( tjle p i (ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certai(n� s, mlaysegUi I, n ement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementlt(( ' t I F,'.J PRODUCER ONTACT MARSH USA INC. NAME: ONE STATE STREET PHONE HARTFORD, CT 06103-3187 E MAIL - -1�--- -" - - ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # 19682 INSURERA-Hartford Fire Insurance COTparly�. INSURED OTIS ELEVATOR COMPANY INSURER B :The Insurance Com an�' Y of the State Of Pennsylvania ----_P _ 19429 INSURER C :Illinois National Insurance Co. _ -'-- _-__-- - —-------- ONE FARM SPRINGS ROAD FARMINGTON, CT 06032 23817 INSURER —Charts Casualty Company 40258 23841 INSURER E :NeW Hampshire Insurance Company _ - _ 19445 INSURER F :National Union Fire Insurance Company of Pittsbur h, PA r�rIVFIJ Ar�FC r�COTICIr`ATC wll l\IIOCO., �vaonnvo r"��i�c��• �,� •��e�_ 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 CONTRACTOR 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. INSR- _- ADOL UBR -__._. -_ - _ _ POLICY EFF POLICY E%P LTR TYPE OF INSURANCE rN R D POLICY NUMBER MM/DD/YW YMMIDDNYW LIMITS A GENERAL LIABILITY 02CSET10004 04/01/2011 04/01/2012 EACH OCCURRENCE $ 1,000, 000 x COMMERCIAL GENERAL LIABILITY $2.00Q000 eneraI a re ate g gg g per b RSNTED - - PREMISES jEa occurrence) - 300,000 $__ CLAIMS � OCCUR location/prO�eCt $10,00.% _. ____ _ 10,000 -MADE policy general a re ate 99 9 MED EXP (Any one person ) $ PERSONA_L_B ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC S A AUTOMOBILE LIABILITY 02CSET10000 (A/O) 04/01/2011 04/01/2012 COMBINED SINGLE LIMIT 02CSETJ 0019 HI) (Ea accitlent S 1,000,000 X ANY AUTO Hartford Underwriters Ins _ BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS $ BODILY INJURY(Per accident) HIRED AUTOS NON -OWNED AUTOS -PROPERTY DAMAGE Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE EXCESS LIAB- _ CLAIMS -MADE $ DED RETENTION $ $ B WORK E RS COMPENSATION 061967:CA-369 04/01/2011 04/01/2012 X WC STATU- OTH- TQRYJ.I_MU ER C AND EMPLOYERS' LIABILITY YIN N FL-370 TX-371 E.L.EACH ACCIDENT E D E ANY PROPRIETOR/PARTNER/EXECUTIVE MULTI-368 $ 1.000,000 F OFFICER/MEMBER EXCLUDED. (Mandatory in NH) N / A MA367;MN375;NJ374;MULTI372,373 CT WC (SIR 2.5MM) EX COV- - - - S 1.000,000 - — - E.L. DISEASE - EA EMPLOYEE If es. describe under 1192382"----__- - -- ---- -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 1p1, Additlonal Remarks Sohed,le, If mor¢ space Is raq ulrad) 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 �..�rtlrr------vw ort L.AIVI..0 IIVm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE �Ij i�� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I_ Iy_� f_8 AS O Ff � , v ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE 20 of Center Plaza Santa Ana, CA 92701 Page 1 of 1 © 1938-2010 ACORD CORPORATION. All riahts reserved. ACORD 25 (2010/05) The ACORD naime and logo are registered marks of ACORD