|
ITLa r<-�
<br />"x CERTIFICATE OF LIABILITY INSURANCE
<br />OATE(Mt DDn YY)
<br />C2KiilZDt4
<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 />Aon Risk Services Northeast, Inc.
<br />Boston MA office
<br />CONTACT
<br />NAME'
<br />(2No. Ex (866} 283-1722 pIC. No.: (800) 363-0105
<br />one Federal Street
<br />Boston MA 02110 USA
<br />E-MAIL
<br />ADDRESS;
<br />INSURER(S) AFFORDING COVERAGE NAIC 4
<br />INSURED
<br />INSURER A: Federal Insurance Company 20281
<br />IDEXX Laboratories, Inc.
<br />one IDEXX Drive
<br />Westbrook ME 04092-2041 USA
<br />&18URER IF Noetic Specialty insurance CO 17400
<br />INSURER C; Travelers Property Cas Co of America 25674
<br />INSURER D: charter Oak Fire Ins CO 2$61$
<br />INSURER IS
<br />INSURER N
<br />COVERAGES DERIIFIGAIC NUMBER: b7UU0223IM64 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 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. Limits shown are as requested
<br />INSIR
<br />TYPE OF INSURANCE
<br />yyyp
<br />POLICY NUMBERLICY
<br />EFF
<br />YYYY
<br />POUCY EXP
<br />MMIODI
<br />LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />_D71
<br />$2,000,000
<br />OLAIMS-MAOE FXOCCUR
<br />E FETE
<br />PREMISES F occurrence
<br />$2,000,000
<br />MED EXP (Any one panad
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEMLAGGREGATEOMI'TAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />POLICYFIT PRO- � LOC
<br />ECT
<br />PRODUCTS-COMPtOPAGO
<br />Excluded
<br />OTHER.
<br />A
<br />AUTOMOBILE LIABILITY
<br />C13)7359^07-90
<br />06/30/201306/30/2014
<br />COMBINED SINGLE LIMIT
<br />a ccident
<br />$1,000,000
<br />RODILV INJURY (Per Pemon)
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTCG
<br />HIREDAUTOS NON-0WINED
<br />AUTOS
<br />BODILY INJURY (Poo o.aeml)
<br />PROPERTY DAMAGE
<br />'Paraapdent
<br />A
<br />X
<br />UMBRELLALIAO
<br />OCCUR
<br />79890079
<br />/30/2013
<br />06/30/2014
<br />EACH OCCURRENCE
<br />$10,000,000
<br />EXCESS LIAR
<br />X
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$1010001000
<br />DED
<br />RETENTION
<br />ProdlCompi Ops
<br />Excluded
<br />O
<br />c
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />CFFICERN MIEREXauoeox a
<br />PMandI in Nn)
<br />OESGRIPTION Of OPERATIONS below
<br />VIA
<br />TC20UHIOID 14
<br />WC (ADS)
<br />iR7VB101D109.814
<br />WC (NIA,WZ)
<br />01/01/2014
<br />Ol/O1j2014
<br />01/01/201S
<br />U1,%0112015L.
<br />PER GIH.
<br />X STATUTE v
<br />E.EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$110001000
<br />E.L, DISEASE -POLICY LIMIT
<br />$110001000
<br />B
<br />Products Liab
<br />N13ME380004
<br />SIR applies per policy terms
<br />06/30/2013
<br />It condi
<br />06/30/2010.
<br />ions
<br />Agg./Clai_ms Made
<br />Med. Exp. Each Pers
<br />$10,000,000
<br />$10,000
<br />CP.SCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe aMached if more space is required)
<br />The City of Santa Ana and their respective officers, employees, -gents, volunteers and representatives are included as
<br />Additional insured on the General Liability policy, out onlly with respect to liability caused by the acts or emissions of IDEXX
<br />Laboratories Inc. in the performance ongoing operations of or in connection with premises owned or rented by IDEXX Laboratories
<br />LTG, Coverage afforded by the General Liability policy shall be Primary and Non -Contributory for the Certificate Holder with
<br />respect to work performed by IDEXX Laboratories Inc.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />r318S8-2094 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) , .%" TfhaN4C6RO name and logo are registered marks of ACORD
<br />P 5A,
<br />n
<br />SHOULD ANY OF THE ABOVE DES MED POLICIES BE CANCELLED BEFORE THE
<br />The City Of Santa And
<br />20 Civic Center Plaza, M-2$
<br />Santa Ana CA 92701-0000 T�USA
<br />�
<br />C
<br />y�
<br />EXPIRATION DATE THEREOF, NOTICE MWJ. BE DELIVERED N ACCORDANCE WITH THE
<br />iY POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />✓/�
<br />t/Lt�241kfdltl c/ /� v.'+r f8et
<br />r318S8-2094 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) , .%" TfhaN4C6RO name and logo are registered marks of ACORD
<br />P 5A,
<br />n
<br />
|