CARE AMBULANCE SERVICES INC. (2012-075-01)

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A4CCkRDP . CERTIFICATE OF LIABILITY INSURONr_F DATE {p1N/DpIYYYYj� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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(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 endorsement(s). PRODUCER CONTACT Willis of New York, Inc. C/o 26 Century Blvd. P. 0. Box 305191 Nashville, TN 37230 -5191 TYPEOFINSURANCE PHONE FAX • 8"-245-7378 888-467-2378 MAIL Af)QRF-qq - INSURER S AFFORDING COVERAGE NAIC0 POLICY EXP INSURERA:Arch Specialty Insurance Company 21199 -002 INSURED Care Ambulance Service, Inc. INSURER B: Liberty Mutual Fire Insurance Company 23035 -001 1517 range, CA 9 Braden Co2u8r6t 8 O INSURERC:IF Skadeforsakrings AB - — F9367 -001 INSURERD:Liberty Insurance Corporation 42404 -001 INSURER E' COMMERCIAL GENERAL LIABILITY 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE DD' AVIN sue POLICY NUMBER POLICY EFF POLICY EXP LIMITS A I GENERAL LIABILITY �FLP0046376 -00 0/1/2011 10/1/2012 EACH OCCURRENCE $ 51000,000 PA GE TO RENTEran COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR .e f OQ MEDEXP (Any one arson ) 5 PERSONAL& ADV INJURY S GENERAL AGGREGATE S 5.000,000 j GEN'LAGGREGATELIMIT APPLIES PER, ' POLICY I PR0. PRODUCTS - COMPIOPAGG E 0 COM81NE0SINGLELIMIT S B LOC AUTOM081LELIABILITY AS2631510005021 10/1/2011 10/1/2012 X ANYAUTO (Ee accident $ 5,000,000 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per acddent) S HIREDAUTOS NON-OWNED AUTOS PR PERTY AMA Per acddent S $ C F UMBRELLALIAB X OCCUR LP0000025622 -11 10/1/2011 10/1/2012 I EACHOCCURRENCE s I X EXCESS LIAR CLAIMS -MADE AGGREGATE S rinn DED f RETENTION S D WORKERS COMPENSATION 2 AND EMPLOYERS' LIABILIT Y WA7 -63D- 510005 -011 0/1/2011 10/1/201 S X YYE�N ANY PROPR R EXECUTNE OFFICEWMEMBEREXCLUDED7 r� NIA E.- 1,000,000 datory inNH (MMYdeschbe=or _EACHACCIDENTT E.L. DISEASE - EA EMPLOYEE is 11000,000 DESCRIPTION OF OPERATIONS below al Liab FLP0046376 -00 10/1/201.1 10/1/2012 E.L. DISEASE - POLICY UMrT S 1,000,000 =DESCRIPTION Bach Medical Incident $5,000,000 (Aggregate $5,000,000 RATIONS I LOCATIONS 1 VEHICLES (Attach Acord 101, Additonai Remarks Schedule, It more space is required) Proof of Coverage The City of Santa Ana, its officers, officials, employees, agents and volunteers are included as additional Insureds and Primary and Non - contributory wording applies as respects to General Liability. CERTIFICATF writ nra City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORMED REPRESENTATIVE C011:3650830 Tp1:1338995 Cert:1 7666 p1988- 2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD