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^ o' CERTIFICATE
<br />rnooucER
<br />h1ARSFl USA INC.
<br />SUITE 400
<br />1266 23RD STREET, N.W.
<br />WASHINGTON, DC 20037
<br />Alin: SHARON HEhINIMG -T- 202 -263 -7600
<br />6(0625-- GAUWP -1 O- 1 1
<br />INSURED
<br />A-0AXIM US, INC. AND ALL SUHSIDIARIES
<br />11419 SUNSET HILLS ROAD
<br />RES I'ON. VA 2(7190
<br />_._.._
<br />COVCRAGES
<br />Of= LIABLL_IT_Y INSURA_ NCE DATE II,VNOD/YWYI
<br />Oft /021201 O
<br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INF072MA -PION
<br />ONLY AND CONFERS NO RIGFITS UPON THE CERTIFICATE
<br />HOLDER. TFIIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER TFIE COVERAGE AF FORDED BY THE POLICIES BELOW.
<br />- -. I _
<br />INSURERS AFFORDING COVERAGE NAIC l!
<br />INSURER AI HBrttOTd Flfb IRSll nlflfb CO 19662
<br />INSURER e: Turin Clly Fire In9umncb C.o 29459
<br />INSURER c
<br />Hanford hlsurance Cernpony OF h11dY/ 37476
<br />INSURER rr. Charlis SpeclRlly Insurenco Compflny 20Bg3
<br />u1suREn e_ HaTllord CR9 uelty Insurance Company 29424
<br />— —. _... _. __-._ - -- _I ..
<br />THE POLICI C -S OF INSl1RANCE LISTED OC-LO'N HAVE BEEN ISSUED i0 THE INSURED NAfaED ABOVE FOR THE POLICY PERIOD INDICATED.
<br />NOTWITFISTANDINO ANY REOUIREi.iENi, TER /.1 OR CONDITION OF ANY CONTRACT OR OTHER ❑OCl1FdE N7 WITH RESPECT TO WHICH THIS CERTIFICATE
<br />Id AY BE ISSUED OR f.IAY PERTAIN, TH[. RJS 11f1A NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUDJE C;T TO ALL ThIE TERF.15, EXCLUSIONS AND
<br />CONDITIONS OF SUCH POLICIES. AQO REOATE LII.IITS SHO`NN LfAY 1'JAVE REDUCED BY PAID CLAIhfS.
<br />_BEEN
<br />N9 ADD' TYPE OF INSV RANCE POLICY NUMDER PouCV eTTeclrve �pouCY e>ti�aniloa- LIIdITS
<br />L.TR INSR DATC (AU\4N/YWI oATC 1k�`oo/YYYYI
<br />-
<br />� �
<br />OENEI2AL LIADILITY
<br />EACN OCCURTIEKCE
<br />� -_ —. 1 000 0D0
<br />A
<br />_
<br />X 1 COI, <11E RCIAL OF.NERAL LIAOILI TY
<br />.12UUNTE0200
<br />O$ /O 1/2010
<br />05/01/2011
<br />DA h1ACE i0 RENTED
<br />PRFAlISE51Eio «orrengn)__b
<br />_•000.000
<br />_.J CLAIMS RIADE � OCOU(1
<br />MEO CxP (Airy nne p�nu.nJ
<br />$ lO,D00
<br />_
<br />PERSONAL 8 ADV INJUR'I
<br />^y 1 000.000
<br />_ __._... -_ —._
<br />1
<br />OENEI2AL AGGREGATE
<br />4, i 000,000
<br />OENEJ2AL, AGGREGATE L1fdIT APPLIES PER
<br />PROOUGTS•CO \1P /Or AO
<br />2,00[7,000
<br />POLICY
<br />X JEGT LO('
<br />AU
<br />iOMODILE L1AflILITY
<br />��
<br />LIMIT
<br /><�` 1,000,(700
<br />A
<br />X
<br />nNY nvro
<br />42UUNTEG200
<br />05/01/2010
<br />06101/201)
<br />(EO.n n[fl[IAECn1)INGLE
<br />ALL OWNED AUTOS
<br />�
<br />-T
<br />f
<br />)'C�IZ.M
<br />DOOIL'! INIUA'r - � -
<br />y_� - -� - -� � � -- ���������_ -��-
<br />_
<br />SCHEDVLEDAUTOS
<br />f
<br />(AP[)1Z��VY��.� A:S
<br />IPer PeraAn)
<br />RODILY INJURY
<br />HIRED AVTOS
<br />NON�OIYNED AUTOS
<br />�, r7 �� /
<br />� r r
<br />leer 4kienq
<br />�{�- (Q,�S��:'.. �t�`�-L-
<br />PROF ERT'( DAh1AGE
<br />_ _ ..___
<br />(Pn <cslonq
<br />L.0 L3I U � i 11 4 $.)1 '
<br />CC
<br />GARAGE LIADILITY
<br />t155L$L:7111 CIIy LI
<br />iL1C }�
<br />AUTOONCr- EAACCIDENT�
<br />AN'I AV TO
<br />OTH[R THNJ EA ACC
<br />S .__.__..
<br />_
<br />AUTO ONV /:
<br />S
<br />AGO
<br />EXCESS /UI,IBRE LLArrLIADILITY
<br />EACH OCCURRENCE
<br />� 1.000,000
<br />E
<br />X_I OCCUR f� CLAL \IS MADE
<br />a2RHUTES7 )3
<br />05/0 V2010
<br />O�OI /2011
<br />AGGREGATE
<br />5 1,000,000
<br />_.
<br />OE DUCiIDLE
<br />- __
<br />----- "' — "'— --
<br />RF_TFN iION 5
<br />\YURHERS GOMPF.NSATION AND
<br />j( I WC STATW IOTR-
<br />D
<br />[IdPLOYERS•uABIL ITY
<br />42WBRFv103741 (WI)
<br />05/01/2010
<br />06/01/2011
<br />TO 1
<br />-.L. EACH ACCIDENT
<br />_.. _
<br />1,000,000
<br />C
<br />ANY PROPAIEiOiLPARTNERrEXECUiIVE Y /IJ
<br />oTFlc Elur.lEn+DER -,' -
<br />42WNMG3740 (h \OS)
<br />05/01/2010
<br />05/01/201 7
<br />- --
<br />_L DISEASE -EA Et.!PLOYE
<br />exciuoe D� I
<br />�.I
<br />�
<br />{Abndalery 1 NH1 II es, dea<nt� under
<br />5 ECIAL f'ROVISION4 Yeir•,v
<br />,L 019EASE - POLIOY LIA9T
<br />_1,000,000
<br />$ I ,000,000
<br />_
<br />OTl1ER
<br />___
<br />p
<br />PROF[SSIONAL
<br />02- 877 -77 -2G
<br />OB /01/2010
<br />OB /O 1/201 i
<br />Eacll CIRim 6,000,000
<br />Aflflregata 6,000,000
<br />SIR 10,000,000
<br />OESCRIP TION OF OPERATIONSILOCATIONSNEIIICLESIE XC LU910N3 ADDED DY ENOORSEIwE NTI3PE CIAL PI20V19101J9
<br />THE CITY OF SANTA ANA, ITS OFFICIALS, EMPLOYEES AND VOLUNTEERS ARE INCLUDED AS AOOITIONAL INSURCDS UNDER TIIE GC-NERAL
<br />LIAHIL ITY (.OVERAGE AS REQUIRED DY CCJNTRACT WITH THE NAMED INSURED.
<br />CERTIF=ICATE HOLDER
<br />CITY OF SANTA ANA
<br />20 CIVIC CEMTF.R PLA2
<br />SANTA ANA, CA 92702
<br />ACORD 25 (2000!0'1)
<br />G'LE- 0 02 228 7 71 -1G CANCELLATION
<br />SHOULD ANY OF THE ADOVE UE BC RIB ED POLICIES BE CANCELLED BEFORE TMF_
<br />E %PIIU\11Of1 DATE TII[REUF, THE ISSVINO INSVRER V /ILL ENDEAVOR TO I.fAIL
<br />[..J / ^7l /ILL C,t f� r�~-� �_- GAYS WRITTEN NOTICE TO TIIE CERTFICATE IIOLOER HAMED TO TIE LEFT,
<br />( � ` 1/' -, j'�$ BUT FAILURE TO 00 SO S /TALL IMPOSE NO OBLIOATOfJ O!l LIABILITY OF ANY RING
<br />�/j 4`- � UPON TIIE INSURER, IT9 AO ENT9 OR RE PRESE NiAT NE3.
<br />`� ,�II �!i /� �. / 1'C "L ( wv ow e P es FNTwTrve - -'- "'- - --
<br />%IV1 ol(ilaraVllB�FA �i1c. ����r.r- >/Z �1Z
<br />TImo111y hl. Sasser
<br />3 1 �'j; l'I�C74 `) O '1908 -2809 ACORD CORPORATION. All Rlghte RBSOrvotl
<br />Ime and logo ere rsgis[e red marks of ACORO
<br />
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