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Client#: 635151 <br />IDEXYLAB <br />ACORN- CERTIFICATE OF LIABILITY INSURANCE DAT 11 /ov02f2o1DO/Y0 <br />0 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement_ A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />USI Insurance Svcs of NE, Inc. <br />10 Donald B. Dean Drive, Suite 3 <br />South Portland, ME 04101 <br />N,1,ME, Betsy Sesock <br />PHONE 603 625-1100 <br />wC No E,R : ac Nc : 603 625-1107 <br />ADDRESS; <br />- <br />B <br />Cu TOM R ID 0' <br />INSURER(S) AFFORDING COVERAOE NAIL • <br />INSURED IDEXX Laboratories Inc. <br />1 IDEXX Dr <br />INSURER A: Liberty Insurance Corporation 23035 <br />INSURERS; Liberty Mutual Ins Co <br />Westbrook, ME 04092-040 <br />INSURER C <br />JX COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE O OCCUR <br />INSURER D <br />INSURER a, <br />INSURER F : <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR LTR <br />TYPE OF INSURANCE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE <br />POLICY NUMBER <br />PMM%DD EYl Y <br />MWIDD �P <br />LIMITS <br />B <br />GENERAL LIABILITY <br />Community Redevelopment Agency <br />TEI 2111253413130 <br />6130/2010 <br />06/30/2011 <br />EACH OCCURRENCE $1,000,000 <br />MXSPE$300,000 <br />JX COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE O OCCUR <br />01988-2009 ACORD CORPORATION. All richts reserved. <br />y $10,000 <br />PERSONALS ADV INJURY $1,000,000 <br />GENERAL AGGREGATE s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG SN/A <br />POLICY PRO- LOC <br />S <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />AS2Z11253413150 <br />6/30/2010 <br />06/30/2011 <br />COMBINED SINGLE LIMIT <br />(Ea 1—dent) S1 000 000 <br />BODILY INJURY (Per person) $ <br />ALL OWNED AUTOSBODILY <br />INJURY (Per a de ) S <br />SCHEDULED AUTOS <br />qXX HIRED AUTOS(Pent <br />PROPERTY DAMAGE <br />de )$ <br />NON -OWNED AUTOS <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />AP OVER AS <br />FORM <br />EACH OCCURRENCE S <br />AGGREGATE $ <br />DEDUCTIBLE <br />$ <br />RETENTION <br />WORKERS COMPENSATION <br />ANDEMPLOYERS' LIABILITYTORYIMITS <br />ANY PRO PRIETOFLPARTNER/EXECUTIVE=/N <br />OFFICEWMEMBER EXCLUDED? <br />I'VA <br />PH W. F <br />CITY A C� <br />TCH ER <br />NEY <br />WC $TATU- JOT <br />ELEACHACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mendetory .n NN) <br />If yna tlaacntie Vntler <br />DESCRIPTION OF P RATIONS Delow <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (A 1, ^"'0101, "dM—. R.—SrJ,e . If mpe epeu Is requlrad) <br />The City of Santa Ana, and the City of of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701 and their <br />respective officers, employees, agents, volunteers and representatives are named as additional insureds <br />(See Attached Descriptions) <br />LCR I Ir•ILA I C rIUL YG!( <br />(GANGELLA r MIN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Community Redevelopment Agency <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />M-25 <br />01988-2009 ACORD CORPORATION. All richts reserved. <br />ACORD 25 (2009/09) 1 Of 2 The ACORD name and logo are registered marks of ACORD <br />#S4979155/M4515557 BXSCA <br />