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<br />ACORD,? CERTIFICATE OF LIABILITY INSURANCE YWT67JDG D03/2 /2010 )
<br />PRODUCER
<br />MARSH USA INC.
<br />ONE STATE STREET
<br />HARTFORD, CT 06103-3187 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW.
<br /> INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED INSURERA:Hartford Fire Insurance Co
<br />AMTECH ELEVATOR SERVICES
<br />1550 S. SUNKIST ST., SUITE A
<br />INSURER B:Ins Co of the State of PA
<br />ANAHEIM, CA 92806 INSURER C:Illinois National Ins Co.
<br /> INSURER D:Chartis casualty company
<br />r-R??? ?? -? - INSURER E:New Hampshire Insurance Co
<br />rnvcoer_c¢
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE 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 /> EFFETIVE
<br />D
<br />PD
<br />Y AN
<br />AT
<br />I TS
<br />LTR SR TYPE OF INSURANCE POLICY NUMBER Y)
<br />TE
<br />MM/D D
<br />E MMID LIMI
<br />A GENERAL LIABILITY 02CSET10004 04/01/2010 04/01/2011 EACH OCCURRENCE $ 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY PREMISES eooourence $ 300,000
<br /> CLAIMS MADE FE OCCUR $2,000,000 general MED EXP (Any one person) $ 10,000
<br /> aggregate per
<br />PERSONALdADVINJURY
<br />$ 1,000,000
<br /> location/project
<br />
<br />i GENERAL AGGREGATE $ 2,000,000
<br />
<br />GEN'L AGGREGATE LIMIT APPLIES PER: cy
<br />$10,000,000 pol
<br />ate
<br />eneral a
<br />re
<br />PRODUCTS-COMP/OP AGG
<br />S 2,000,000
<br /> X POLICY
<br />
<br />PRO. LOC
<br />E]JECT g
<br />g
<br />gg
<br />A AUTOMOBILE LIABILITY 02CSET10000 (A/0) 04/01/2010 04/01/2011 COMBINED SINGLE LIMIT
<br /> 02CSET10019 (HI) (Ea accident) S 1,000,000
<br /> X ANY AUTO
<br /> Hartford Underwriters
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> Ins (Per person) $
<br /> SCHEDULED AUTOS
<br /> S
<br /> HIRED AUTOS Q?$?S
<br />V BODILY INJURY
<br /> Q
<br />(Per accident) S
<br /> NON-OWNED AUTOS
<br />
<br />
<br />S PROPERTY DAMAGE
<br /> ?Q2°a (Per accident) $
<br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E
<br />
<br /> ANY AUTO 2 of A OTHER THAN EA ACC $
<br /> AUTO ONLY:
<br /> AGG $
<br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
<br /> OCCUR ? CLAIMS MADE ????''.• AGGREGATE $
<br /> S
<br /> DEDUCTIBLE S
<br /> RETENTION $ $
<br />B WORKERS COMPENSATION AND 02342: NJ-393, CA-391 04/01/2010 04/01/2011 X W
<br />TORY CCSTAMR OT'-
<br />'-C EMPLOYERS' LIABILITY TX-394, FL-401
<br />E.L. EACH ACCIDENT
<br />$ 11000,000
<br />D ANY PROPRIETORJPARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? MULTI-396 OR-398
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E ITyes,deaaibeunder
<br />SPECIALPROVISIONSbebw MN-395, MULTI-399, 400
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br /> OTHER
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
<br />CT WORKERS COMPENSATION (SIR 2.5MM) EXCESS COVERAGE - NATIONAL UNION FIRE INSURANCE CO - POLICY NO. 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 *f1t) Santa Ana Zoo, 1801 Chestnut Place.
<br />City of Santa7'ba, 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 />!V
<br />C%J
<br />
<br />City of Santa=uia }-?
<br />P1arU
<br />20 Civic Center
<br />Santa Ana, CAI 702('
<br />12
<br />SHOULD ANY OFTHE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORETHE EXPIRATION
<br />DATETHEREOF THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE
<br />CERTIFICATE HOLDER NAMED TO THE LEFT.
<br />AUTHORIZED REPRESENTATIVE
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