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A✓ o® CERTIFICATE OF LIABILITY INSURANCE <br />0311912013""' <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 BYTHE 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 Pollcy(les) must be endorsed. R 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 endonement(s). <br />PRODUCER <br />MARSH USA INC. <br />20 CHURCH STREET <br />HARTFORD. CT 06103 <br />NCONTACT <br />AME: <br />PHONE ---- T FAX <br />- ; jN0 No <br />-MAIL <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE 1 NAICt <br />INSURER A:Hartford Fire Insurance Company 19682 <br />INSURED <br />INSURED <br />ELEVATOR COMPANY <br />INSURER a 44ationel Union Fire Insurance Company of Pittsburgh, PA 19445 <br />INSURER C:New Hampshire Insurance Coma 23841 <br />ONE FARM SPRINGS ROAD <br />FARMINGTON, CT 06032 <br />- <br />INSURER D : <br />INSURER E: <br />INSURER F : <br />(4UVEKAGE5 CERTIFICATE NUMBER:K9SXCEJ2 REVISION NUMBER: <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMEDABOVE FORTHE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY 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 />LTR. <br />TYPE OF INSURANCE j POLICY NUMBER <br />ICY EFF <br />M O/YYn <br />POLICY EXP <br />MWDDryYYY! <br />—'- <br />LIMITS <br />A <br />GENERAL LIABILITY 02 10 04 <br />04/012013 <br />04 01 014 <br />;EACH OCCURRENCE S 7,000,000 <br />X COMMERCIAL GENERAL LIABILITY $2,010,000 gernmil aggregate perQVUVAGE <br />IOCatroNDrrCqleCt p <br />CLAIMS -MADE ❑X OCCUR $10.000,000 policy general aggregate <br />'', <br />PREMISES (ETD_ eEoNcvlEr6renca S 300,000 <br />MED EXP (Anyone per ) $ 10,000 <br />PERSONALSACVINJURY ", $ 11000,000 <br />GENERAL AGGREGATE S 2.000,000 <br />PRODUCTS - COMP/OP AGO $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />X POLICY PRP LOC1 1 <br />A <br />AUTOMOBILE <br />X <br />LIABILITY 2CSET7000 <br />2CSET10019HI) <br />ANY AUTO HartfoTo UndeNyrXBrs ins <br />04/01/2013 <br />04/01/2014 <br />COMBINED SINGLE <br />IEs ecEXerdl '1S 1,000,000 <br />_ <br />'BODILY INJUR((Per person) I$ <br />ALL OYMEO SCHEDULED <br />Il <br />AUTOS AUTOS <br />BODI' UNJIYL~ RYIFereccWent) $ <br />NON-OWNED <br />HIRED AUTOS AUTOS '. <br />PROPERTY DAMAGE <br />rexksnt ' S <br />UMBRELLA LIAB OCCU0. <br />EACH OCCURRENCE '.S <br />EXCESS UA9 CLAIM&MADE <br />AGGREGATE S <br />j $ <br />DIED RETENTIONS <br />C i <br />I(Maneatory <br />1 <br />AND EEMPLOVERSEUABILm YIN'; CA-3957COWNSA�13B0 FLM-03357� 79 04N1/2013 <br />ANY PROPRIETORINARTNER'EXECVTNE "' NJ-033575362, MULTI-033575M <br />OFFICERIMEMBER EXCLUDED' ❑R �'. N /a'" MULTI-033575364 MA-033575365 <br />In NK) : MN-03357366 MULTI-033575367 <br />nyyaeS. eeaoibe under '' iPA-03357368 MULTI-033575369 <br />DE$DRIPTIDNDFDPERATIDNSbaI4W "' <br />04/01/2074 <br />J( rRY�TLL OTH- <br />E.EACH ACCIDENT S 1,000,OD0 <br />L. <br />E.L°ISEASE-EAEMPLOYEES 1.000.000 <br />E E - <br />E.L. DISEASE -POLICY LIMIT S 1,000,000 <br />I <br />I <br />$ <br />S <br />f <br />$ <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Anach MOM ID1, Addlllonal RameMa tla.d.* n mon apace I. r.Rulredt <br />City of Santa Ana Police and Holding Facility, Santa Ana, CA 92702. <br />The City of Santa Ana, its officers, agents, volunteers, and employees are additional insured on the above Commercial General Liability as required by contract. The liability <br />coverage afforded is primary and non-contributory. <br />contract number: SAN 05208 APPROVED AS TO FORM <br />UtK I IrK AI t KULUCK CANCELLATION - <br />SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED Ell <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of a Ana <br />City <br />Civicivic Center Plaza <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATNE _���Ii <br />Page 1 of i ®1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />