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ACO OR ® <br />CERTIFICATE OF LIABILITY INSURANCE <br />DA7 109 M6/2012Y) <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(ies) 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 />Aon Risk services, Inc of Florida <br />1001 Brickell Bay Drive <br />CONTACT <br />NPHONE AME: <br />(AIC. No. Ext): (866) 283-7122 F� No.): (847) 953-5390 <br />E-MAIL <br />ADDRESS: <br />Suite 1100 <br />Miami FL 33131 USA <br />INSURERiS) AFFORDING COVERAGE NAIC p <br />INSURED <br />INSURER A: National Union Fire Ins Co of Pittsburgh 19445 <br />G4S Secure Solutions (USA) Inc. <br />1395 university Blvd <br />Jupiter FL 33458 USA <br />INSURER B: New Hampshire Ins CO 23841 <br />INSURER C: Illinois National Insurance Co 23817 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATENUMBER: 570047577940 REVISION NUMBER: <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. Limits shown are as requested <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />4YV0 <br />POLICY NUMBER <br />MMIDDNYYY <br />MMIO <br />LIMITS <br />GENERAL LIABILITY <br />GL <br />EACH OCCURRENCE 55,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />55,000,000 <br />PREMISES Ea occurrence <br />MED EXP (Any one person) Excluded <br />PERSONAL 6 ADV INJURY S5,000,000 <br />GENERAL AGGREGATE 55,000,000 <br />GEN'. AGGREGATE LIMIT APPLIES PER' <br />PRODUCTS - COMP/OP AGG S5,000,000 <br />X POLICY F PRO LOC <br />A <br />AUTOMOBILE LIABILITY <br />CA 44-72-19 <br />ADS <br />1010112012 <br />10/01/2013 <br />COMBINED SINGLE LIMIT <br />fEa ccident 55,000,000 <br />BODILY INJURY ( Per person) <br />B <br />X ANY AUTO <br />CA 344-72-20 <br />10/01/2012 <br />10/01/2013 <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />MA <br />CA 344-72-21 <br />10/01/2012 <br />10/01/2013 <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />Par accident <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />VA <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />DED RETENTION <br />B <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR I PARTNER I EXECUTIVE N <br />OFFICERrMEMBER EXCLUDED' ❑ <br />NIA <br />WC043464 115 <br />AOS <br />wco43464616 <br />10 01/2012 <br />10/01/2012 <br />10 /2013STATU- <br />10/01/2013 <br />OTH- <br />X TOVVC RY LIMITS ER <br />E.L. EACH ACCIDENT 51,000,000 <br />E.L. OISEASE-EA EMPLOYEE 51,000,000 <br />(Mandatory in NH) <br />II yes, tlesenbe under <br />DESCRIPTION OF OPERATIONS below <br />CA <br />E.L. OISEASE-POLICY LIMIT S1,000.000 <br />A <br />Excess WC <br />XWC6636134 <br />10/01/2012 <br />10/01/2013 <br />EL Each Accident 511000,000 <br />OH -statutory wC <br />SIR applies per policy ter <br />s & condi <br />ions <br />EL Disease - Policy 51,000,000 <br />EL Disease - Ea Emp' $1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H mon space Is required) <br />Contract Name: Agreement for Provision of Security Guard Services; Service: Security Guard Services; G45 Office: LAN. The City <br />of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured with regards <br />to the General Liability policy. The policies evidenced herein are primary to other insurance available to the certificate <br />holder, but only to the extent required by written contract with the insured. This insurance shall not be cancelled, or <br />materially reduced in coverage or limits except after 30 days written notice has been given to the City of Santa Ana. <br />/.. <br />CERTIFICATE HOLDER LLATiON <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />"4 EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED W ACCORDANCE WITH THE <br />Laura Sti Sheed M=y PROVISIONS. <br />The City Of Santa Ana Y AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza �,SS1StaUt -i1V Attorne. <br />Santa Ana CA 92701 USA [�X//J_ <br />dose �i�/t tfREL�i� ✓. �r�iltlQsi <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />O <br />01 <br />O <br />Z <br />m <br />A <br />u <br />t <br />m <br />v <br />