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12:1 -0o3
<br />A� °'® CERTIFICATE OF LIABILITY INSURANCE
<br />GATE V)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />/2013
<br />1212712013
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />FFIINN�FORMATII�O��N
<br />BELOW. THES DOES CERTIFICATE OFOF NSURAQ,ES NOTLCONTtiTEXA CONTRACT TBETWEEN OTHER ISSUING NSURER(S),TAUTHORIZED I
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ApDITIONAL INSURED, t�ollo?licy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, cal aiN policies Ittay f@yu)re gn.PPdorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsemenj ,- ;'- ' +1 -= _ -
<br />PRODUCER
<br />CONTACT
<br />NAME:
<br />Marsh Risk & Insurance Services
<br />PHONE
<br />17901 Von Karmen Avenue,Sulle 1100
<br />FA No
<br />E -MAIL
<br />ADDRESS:
<br />(949) 399.5800
<br />License #0437153
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />Irvine, CA 92614
<br />INSURER (S) AFFORDING COVERAGE
<br />NAIC k
<br />INSURER A: Travelers Property Casualty Co. Of America
<br />25674
<br />J17700- ESRI- GAWU -13 -14
<br />INSURED
<br />Environmental Systems
<br />INSURER B : N/A
<br />N/A
<br />-
<br />INSURER C : N/A
<br />NIA
<br />Research Institute, Inc.
<br />380 NEW York Street
<br />INSURER D
<br />X BLANKET CONTRACTUAL
<br />Redlands, CA 92373
<br />INSURER E;
<br />X
<br />INSURER F
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />COVERAGES CERTIFICATE NUMBER: LOS- 001387884 -25 REVISION NUMBER:2
<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 />INSR
<br />TR
<br />TYPE OF INSURANCE
<br />INSR
<br />MID
<br />POLICY NUMBER
<br />eta
<br />MMIDIDAYXYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />6600130P85A
<br />12/15/2013
<br />12/15/2014
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FT1 OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />X BLANKET CONTRACTUAL
<br />X
<br />OWNERS &CONTRACTORS
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />DEVIL AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGO
<br />$ 2,000,000
<br />X POLICY PRO LOC
<br />JECT
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />a
<br />NON -OWNED
<br />HIREDAUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />HJUBBA843287
<br />12/1512013
<br />12/15/2014
<br />X WC STATU- DTH-
<br />AND EMPLOYERS' LIABILITY
<br />ANY OFFICEWMEMBEER EXCLUDED'
<br />(Mandatory In NH)
<br />NIA NIA
<br />EL EACH ACCIDENT
<br />11000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1 $ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are Included as additional Insured as respects general liability as t arl V eA. V) aAS TO FORM T
<br />Subject to policy terms, conditions, limitations and exclusions, 10 day notice of cancellation for non - payment of premium.
<br />Laura A. Rossini
<br />i,tant City Attorney
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Attn: Clerk at the City Council
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza (M -30)
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />P.O. Box 1988
<br />Santa Ana, CA 92792 -1988
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh Risk & Insurance Services
<br />John Graef
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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