Laserfiche WebLink
"►coRL7® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />(2013 YYYY) <br />F <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />01.16!12013 <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 />MARSH USA INC <br />NAME: <br />99 HIGH STREET <br />PHONE FAX <br />o Ext): (ac, No): <br />(E-MAIL <br />BOSTON. MA 02110 <br />Attn boston certrequest@marsh.com 1 Fax 212.948.4377 <br />AODrtESs;_____,- <br />INSURER(S) AFFORDING COVERAGE NAIC N <br />838732-Telve-GAWUP-13-14 <br />INSURER A : National Union Fire Insurance Company 19445 <br />INSURED <br />TELVENT USA, LLC <br />IN B : New Hampshire Insurance Co. 23841 <br />— ----- -- _ --- _ - - ---- — ---.. ---- -- __._._ <br />1390 PICCARD DRIVE SUITE 200 <br />INSURER C : HDI -Gerling America Insurance Company :41343 <br />ROCKVILLE. MD 20850 <br />INSURER D: <br />INSURER E: <br />GEN GATE LIMIT APPLIES PER <br />— <br />INSURER F <br />VvvCKAGES CERTIFICOTF N1111i1RFR• NYr_nna1o1A4o_11 ocxirmnu urrun=n. <br />wiQlUromrwmcar__: + <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 <br />__------__--- <br />INSR'.. <br />ADDL UBRi. _.-- -__....-__.-- <br />LTR TYPE OF INSURANCE POLICY EFF POLICY EXP -- - �- --- <br />INSIRPOLICY NUMBER MM! DIYYYY MM/DD/YYYY LIMITS <br />A GENERAL LIABILITY <br />'.9645206 <br />01/01/2013 <br />01/01/2014 <br />EACH OCCURRENCE $ 5.000.000 <br />X COMMERCIAL GENERAL LIABILITY <br />_ <br />�fi� * - - <br />5000,000 <br />X <br />PREMISES <br />PREMISES (Ea occurrence +$___ <br />- CLAIMS -MADE ! OCCUR <br />MED EXP P (Any one person) S OOO <br />--,- <br />t$ ..._. <br />PERSONAL &ADV INJURY $ 5000,000 <br />-- <br />GENERAL AGGREGATE 5.000.000 ', $ <br />GEN GATE LIMIT APPLIES PER <br />— <br />PRODUC I'S - COMPIOP AGG $ 5,000.000 <br />POLICY X PRO--- <br />IFrT LOC <br />--__ _. -_.._- --�----- <br />$ <br />A AUTOMOBILE LIABILITY <br />',5196191 (AOS) <br />01/01/2013 10110112014COMBINED <br />I SINGLE LIMIT 5.000.000 <br />B X AUTO <br />I 15196189 (MA) <br />01/01/2013 0110112014 <br />_ ANY <br />B SCHEDULED <br />t <br />1 <br />5196190 (VA) <br />�OU01I2013 <br />BODILY INJURY (Per person) $ <br />-- -- <br />BODILY INJURY <br />— <br />,NON -OWNED <br />HIRED AUTOS <br />101101/2014 <br />(Per accident) $ <br />� PROPERTY DAMAGE <br />�-AUTOS <br />� <br />ii <br />1Per accident! _ <br />(PHYSICAL DAMAGE <br />C X I <br />$ 1000000 <br />UMBRELLA une X <br />OCCUR <br />` <br />CUD11986-01 <br />01/0112013 0110112014 <br />! 5,000 000 <br />EACH OCCURRENCE <br />EXCESS LIAR CLAIMSMADE <br />_- _ ------- _ <br />f' <br />—, <br />AGGREGATE $ 5.000.001) <br />-. DED '� RETENTION $ <br />g WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />WC 018112552 (CA) <br />0110112013 01/01/2014 <br />X WC STATU- OTH-, <br />g I ANYCERIM MBER/PARTNER/EXECUTIVE YrN <br />WC 018112553 (FL) <br />01/01/2013 01/01(2014 <br />i ....__TCR_YLIMTS1_ _ER t _ - <br />OFFICER/MEMBER EXCLUDED^ N <br />) <br />If yes describe <br />describe ender <br />N I A <br />policies are shown <br />p <br />I E LEACH ACCIDENT $ <br />OYE ___ __.5.000000 <br />EL DISEASE ACCIDENT <br />EA 5 000.000 <br />- <br />Dyes <br />DESCRIPTION OF OPERATIONS below <br />ons he fol owICIEL <br />ng Page <br />E L DISEASE - POLICY LIMIT; $ 5,000,000 <br />C ',PROFESSIONAL <br />E .011987-01 <br />01101/2013 <br />101/01/2014 <br />PER OCCURRENCE 5,000,000 <br />!ESO LIABILITY <br />AGGREGATE 5.000.006 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />t Is hereby understood and agreed that the City of Santa Ana. PWA - Transportation S Traffic Engineering Department, is added as an Additional Insured with respect to the above -noted general liability coverages <br />but <br />only as their Interest may appear win respect to the operations of the Named Insured described above Insurance is Primary and Non-Contnbutory 'Narver of subrogation is applicable pursuant to policy terms <br />and conditions See page 2 for additional text <br />kPPROVEI ) I'0 k -ORM <br />CERTIFICATF WAI nGta <br />City of Santa Ana <br />Attn Vinh Nguyen. P.E . Sr. Civil Engineer <br />PWA - Transportation S Traffic Engineering <br />20 Cmc Center Plaza <br />Santa Ana, CA 92701 <br />1III ilv AliorncN, <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 />of Marsh USA Inc. <br />Sarah A Stevenson <br />v 111itstl-ZU90 ACORU CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />