CARD METERING SYSTEMS, INC. (2) - 2011

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CERTIFICATE OF LIABILITY INSURANCE ATE D07/19/2011 ) 07/19/2011 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 an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(.). PRODUCER CS&S/AMBASSADOR GROUP, INC PO BOX 946580 CONTACT NAME: PHONE (A/C, No, Ert): I" (A/C, No): E-MAIL ADDRESS: MAITLAND, FL 32794-6580 N_2011 A98 Phone - 877-724-2669 Fax - 877-763-5122 INSURER(S) AFFORDING COVERAGE NAIC ft INSURER A, Continental Casualty Company 20443 INSURED INSURERB: The Continental Insurance Company 35289 CARD METER SYSTEMS, INC. 5325 EAST ELENA AVENUE INSURER C: MESA, AZ 85206 INSURER D : INSURER E: Continental Casualty Company 20443 INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INS LTR TYPE OF INSURANCE ADDL IN.R WVD POLICY NUMBER MWDD I MM/DO LIMITS GENERAL LIABILITY EACH OCCURRENCE $1.000,000 DAMAGE TO RENTED $0,000 COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE ® OCCUR Y N 4025961553 05/01/2011 05/01/2012 PREMISES (Ea occunenca) MED EXP An one arson $10,000 $1 PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:00 POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGO 2,000,0 AUTOMOBILE LIABILITY Ee accideDtSINGLE LIMIT $1,000,000 BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per eccidenl) B ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS N N 4025961505 05/01/2011 05/01/2012 PROPERTY DAMAGE (Per accident) UMBRELLA LIA B OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED I RETENTION S E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) F--1 If yes, describe under DESCRIPTION OF OPERATIONS below N N 4025961410 05/01/2011 05/01/2012 WC STATU- TORY LIMITS I OTH- ER E.L. EACH ACCIDENT $1,000,000 E_L DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remark, Schedule, if more space is required) City of Santa Ana, its officers, agents and employees and representatives is Named as Additional Insured - Designated Person or Organization. Insurance is primary & non-contributory. 'X i1 '1ZOV-Lij f1.ti -yo 1'01ZM -'.I�� a D:a ti (t sheedy CERTIFICATE HOLDER CANCELLATION City of Santa Ana Parks, Recreation and Community Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Silvia Cuevas ACCORDANCE WITH THE POLICY PROVISIONS. 26 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 © 1988-201 O ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD o 80291