CARD METERING SYSTEMS, INC. (2) - 2011

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a CERTIFICATE OF LIABILITY INSURANCE 03/12/2012 vwort. , 1II 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, RODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 P_ll AllfGPTPrf }IGi PRODUCER CONTACT CS&SNAN LEER AMBASSADOR GRP INS SVC NAME: PHONE FAX PO BOX 946580 A/C, No, Ex[ : Mr -,Po. A/C, No): IL Maitland, FL 32794-6580 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 1-877-724-2669 Continental Casualty Company 20443 INSURER A: Pan y INSURED INSURER B: CARD METER SYSTEMS, INC_ INSURER C: 5325 EAST ELENA AVENUE INSURER 0- MESA, AZ 85206 �G I .� O� / (/ INSURER E 1 O INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY 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. I— LTR ADDL TYPE OF INSURANCE IrvsR SUBR WVD POLICY NUMBER POLICY EFF MM/DD,YY POLICY EXP MM/DD/YY LIMITS A GENERALLIABILITY Y Y 4025961553 05/01/12 05/01/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ee «arena) $ 300,000 COMMERCIAL GENERAL LIABILITY MED EXP (Any — parson) $ 10,000 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 PR0.FXPOLICY JEDT LOC A AUTOMOBILE LIABILITY 4025961505 05/01/12 05/01/13 COMBINED SINGLE LIMIT (EaCO BIKED $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per parson) $ BODILY INJURY Per eccitlent ( ) $ PROPERTY DAMAGE (Per accitlent) $ XHIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS CLAIMS -MADE DED I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N 4025961410 05/01/12 05/01/13 X /\ q TCRY LIMITS - ER ANY PROPRIETOR(PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED9 ( yes. d ory b NH) If yes, tlIPTI N antler DESCRIPTION OF OPERATIONS below N/A A PT7>-j t11 l 1� v E I, AS I'(� FORM SZ 1� EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1.000.000 OTHER 00, --FT-RY W LIMITS ER E.L. EACH ACCIDENT $ "—'----- -' - -au rLi IS CH DL �Clly ALLO As RCV Ef DISEASE- EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPE BATONS /LOCATIONS /VEHICLES (Attach Acortl 1O'1, Atlditional RemarKa 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 8, non -contributory - 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 26 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 All— (9) 1988-2010 ACORD CORPORATION. All riahts reserved A!-'r117n 7C /7n4n/nc\ THe Af-e-. 7n -.-- --A I--- -- —a - -f Af`tl11717i