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Client#: 2636
<br />IDEXXLAB
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />06/27/2012
<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 />CONTACT
<br />NAME:
<br />William Gallagher Associates
<br />PHONE FAX
<br />A/C No EXt :617 261-6700 ac, No --- : 617 261-6720
<br />Insurance Brokers, Inc.
<br />EMAIL
<br />470 Atlantic Avenue
<br />ADDRESS:
<br />Boston, MA 02210INSURER(S)
<br />AFFORDING COVERAGE NAIC #
<br />- - - --
<br />INSURER A: Liberty Mutual Insurance Compan 23043
<br />INSURED
<br />INSURER B: Charter Oak Fire Ins. Co. 25615
<br />IDEXX Laboratories, Inc.
<br />_
<br />INSURER C: Travelers Property Casualty Co. 25674
<br />One IDEXX Drive
<br />INSURER D: Noetic S ecialt Insurance Comp 17400
<br />Westbrook, ME 04092
<br />Z 7
<br />INSURER E
<br />__7]X
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />WVD POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />TB2Z11253413132
<br />6/30/2012
<br />06130/2013
<br />_
<br />EACH OCCURRENCE $11,000,000
<br />COMMERCIAL GENERAL LIABILITY
<br />_
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence $300,000
<br />MED EXP (Any one person) $10,001)
<br />__. - --
<br />&ADV INJURY 1$1,000,000
<br />GENERAL AGGREGATE s2,000,000
<br />- CLAIMS -MADE X' OCCUR
<br />o
<br />Z 7
<br />--li
<br />_PERSONAL
<br />__7]X
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY ^� jE O LOC
<br />-'
<br />PRODUCTS - COMP/OP AGG $ EXCluded
<br />_
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />AS1 211253413152
<br />6/30/2012
<br />06/3012013
<br />COMBINED SINGLE LIMIT �1 000 000
<br />.(Ea accident) _ _ ._ $
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per person) S
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />I'
<br />BODILY INJURY (Per accident)
<br />_$
<br />PROPERTY DAMAGE
<br />Per accident $
<br />A
<br />X
<br />UMBRELLA LIAB X occuR
<br />TH7Z11253413202
<br />6/30/2012
<br />06130/2013
<br />EACH OCCURRENCE s25,000,000
<br />- ------
<br />EXCESS LIAB CLAIMS -MADE
<br />AGGREGATE $25,000,000
<br />DED X RETENTI _
<br />N.510s000..-
<br />B
<br />C
<br />X WCSTnru- l roTH
<br />1TORYLIMITSI _ I_ER ,
<br />E.L. EACH ACCIDENT $500,000
<br />AND EMPLOYERS N ABIILOI
<br />n
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YI N
<br />OFFICER/MEMBER EXCLUDED? �
<br />NIA
<br />- -
<br />1TC20UB101D100612
<br />TRJUB101D101812
<br />- -
<br />1/01/2012
<br />1/01/2012
<br />01/01/201
<br />01/01/201
<br />E.L. DISEASE - EA EMPLOYEE�I $500,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />"--
<br />I E.L. DISEASE - POLICY LIMIT $500,000
<br />D
<br />Products
<br />N12ME380003
<br />6/30/2012
<br />06/30/201
<br />$10,000,000/Aggregate
<br />Liability
<br />$10,000,000/0ccurrence
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<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 />on the general liability policy, but only with respect to liability caused by the acts or
<br />omissions of IDEXX Laboratories, Inc., in the performance of ongoing operations of,
<br />or in connection with premises owned or rented by IDEXX Laboratories, Inc.
<br />(See Attached Descriptions)
<br />City of Santa Ana
<br />Community Redevelopment Agency
<br />20 Civic Center Plaza
<br />M-25
<br />Santa Ana, CA 92701-0000
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />© f98
<br />ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br />#S275667/M275566
<br />CORPORATION. All rights reserved.
<br />KBW
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