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<br />6ERTIFICATE ®F LIABILITY INSURANCE
<br />DATEIM02106/2015M/2015 YVI
<br />JHIa OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFIq2II!� IRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW,`M OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
<br />REPRES 00CER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(los) 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 />BOSTan MA Office
<br />One Federal street
<br />Boston MA 02110 USA
<br />CONTACT
<br />PHONE (866) 283-7122 FAX (Bp0) 363-p105
<br />AIC. No. Exl: A1C. No.:
<br />EMAIL
<br />ADDRESS:
<br />INSURER(SI AFFORDING COVERAGE NAICX
<br />INSURED
<br />IDEXX Laboratories, Inc.
<br />One IDEXX Drive
<br />Westbrook ME 04092-2041 USA
<br />INSURERA: Federal Insurance company 20281
<br />INSURER U: NORtiC Specialty Insurance Co 17400
<br />INSURER The Charter Oak Fire Insurance Company 25615
<br />INSURER D: Travelers Property cas CO of America 25674
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570056777981
<br />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 CONTRACTOR 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />INSµ
<br />TYPE OF INSURANCE
<br />INS.
<br />D
<br />POLICY NUMBER
<br />POLICY EP
<br />EX
<br />LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />14
<br />15
<br />EACH OCCURRENCE $2,000,000
<br />GLAIMBMADE OCCUR
<br />PREMISES M.occ,uEe nca $2,000,000
<br />MED EXP(Anyone parson) $10,000
<br />PERSONAL &ACV INJURY $1,000,000
<br />GEN'LAGGRROAAT''EI LIMITAPPLIES PER:
<br />GENERAL AGGREGATE $2,000,00
<br />n0
<br />POLICY I PROJECT ❑% LOC
<br />PRODUCTS-COMP/OPAGO EXCI Uded
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />14 7358-07-90
<br />08/01/201406/30/2015
<br />COMBINED SINGLE LIMIT $1,000,000
<br />E ec itl ntl
<br />BODILY INJURY( Per personl
<br />ANNYAUTO
<br />X
<br />ALLOWNEO SCHEDULED
<br />AUTOS AUTOS
<br />HIREOAUTOS NON -OWNED
<br />AUTOS
<br />BODILY INJURY(Perecadenq
<br />PROPERTY DAMAGE
<br />Peruddanl
<br />A
<br />X
<br />I UMBRELLA WAS
<br />%
<br />OCCUR
<br />79890079
<br />06/30/2014
<br />06/30/2015
<br />EACH OCCURRENCE 10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $10,000,000
<br />DEO I
<br />RETENTION
<br />C
<br />D
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIABILITY IN
<br />ANY PROPRIETOR I PARTNER/EXECUTIVE
<br />OFFICEMMEMI EXCLUDED? N
<br />(Mandatory In NH)
<br />Byy@a d@bcllbe undBr
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />Tc20UB101DIO0615
<br />WC (A05)
<br />TRJUB101DI01815
<br />WC (MA, WI)
<br />01/01/2015
<br />01/01/2015
<br />01/01/2016
<br />01/01/2016
<br />X PER STATUTE DTH.
<br />FL EACH ACCIDENT $1,000,000
<br />E.L DISEASE -EA EMPLOYEE $1,000,000
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />B
<br />Products Liab
<br />N14ME380003
<br />SIR applies per policy terns
<br />06/30/2014
<br />$ condi
<br />06/30/2015
<br />ions
<br />Aggregate $10,000,000
<br />Per Occurrence $10,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Scnequl¢, may ba altaahed if more spatia b required)
<br />The City of Santa Ana and their respective officers, employees, agents, volunteers and representatives are included as
<br />Additional Insured on the General Liability policy, but on7ly with respect to liability caused by the acts or omissions of IDEXX
<br />Laboratories Inc. in the performance ongoing operations of or in connection with prem ses owned or rented by IDEXX Laboratories
<br />Ino. 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 />®1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />The City Of Santa Ana
<br />20 civic center Plaza - M23
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana GA 92701 USA
<br />�^L (��f� ey /� p e Q'
<br />®1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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