ACCO ENGINEERED SYSTEMS, INC. 4F - 2010

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01-�a-i�1 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDKVYY) x/30/2011 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 amD 1 D, policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, eye in ji'biic es may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER "- - Aon Risk Insurance Services West, Inc. Los Angeles CA Office [, ';.__ _ .. ' 707 Wilshire BIVd., Suite 6000 -CONTACT NAME: PHONEExtl- (866) 283-7122 ac Nc , (847) 953-5390 ADDRESS: INSURERS AFFORDING COVERAGE NAIC X Los Angeles, CA 90017 INSURER A, Gres nWlCh InsU ; C. Company 22322 INSURED INSURER B: Foramens Fund Ins Co 21873 ACCO Engineered Systems, Inc. 6265 San Fernando Road INSURER c : XL Specialty Insurance Co 37885 D : Glendale, CA 91201INSURER INSURER E - INSURER F: COVERAGES CERTIFICATE NUMBER: 296452 REVISION NUMBER: 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. LUII'1'ti SIiOW'N AFi)4 AS REQ(.!15S"1't?Il INT R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP LIMITS A GENERAL LIABILITY RGD500015004 10/1/2011 10/1/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXj OCCUR MED EXP (Any one pe—r)$ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Contractual GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 $ POLICY F PRO X LOC A AUTOMOBILE LIABILITY RADS00014904 10/1/2011 10/1/2012 COMBINED SINGLE LIMIT 2,000,000 X BODILY INJURY (Per parson) $ ANY AUTO X ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ HIRED AUTOS X NON -OWNED AUTOS $ B UMBRELLA LIABX OCCUR SUO 00014847776 10/1/2011 10/1/2012 EACH OCCURRENCE $ 1,000,000 X AGGREGATE $ 11000,000 EXCESS LIAB CLAIMS -MADE DED I RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NTORY ANYPROPRIETOR/PARTNER/EXECUTIVE Fp4-] OFFICER/MEMBER EXCLUDED? (Mendetory in NH) MIA RWD500014804 10/1/2011 10/1/2012 X I WC STATU- OTH- J EB E.L. EACH ACCT DENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 11-12 MASTER Casualty Pollution/Prof- Service This Insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. Additional Insured Endorsement attached. Where required, the policies evidenced herein are primary and non-contributory. _.. i+ AS TO FORM Additional Insured Endorsements) Attached. / CERTIFICATE HOLDER CANCELLATION ;_:tura MILE City of Santa Ana Building Maintenance Superintendent SHOULD ANY THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 CiVlc Center Plaza (M-11) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92702 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ® 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD i