|
CERTIFICA`m OF LIABILITY INSURANCE
<br />DA jo l aYY
<br />THIS CERTIFICATE 15 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(les) 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 cergficats does not confer rights to the
<br />certificate holder In lieu of such ondorsement(s).
<br />FiFoRwF,,R
<br />Aon Risk services, Inc of Florida
<br />1001 Brickell Bay Drive
<br />Suite 1100
<br />Miami FL 33131 USA
<br />CONTACT
<br />NAME:
<br />PNi No.En); (866) 283 -7122 No , (800) 363 -0105
<br />E•MAL '
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIL S
<br />GL53OZ718
<br />INSURED
<br />G4s Secure solutions (USA) Inc.
<br />3,395 University alvd
<br />3upiter FL 33458 USA
<br />INSURERA National Union Fire Ins CD of Pittsburgh
<br />19445
<br />INSURERS: New Hampshire Ins co
<br />23841
<br />INSURERS: Illinois National Insurance co
<br />23817
<br />INSURERD:
<br />'
<br />INSURER E:
<br />PREMISES(6,.orW.1
<br />$5,000,000
<br />Men EXP(lmy one pemon)
<br />INSURER F.
<br />COVERAGES CERTIFICATE NUMBER: 570051688054 REVISION NUMRER-
<br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REAUIREMENT', 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 />LTR
<br />TYPE OF INSURANCE
<br />INSP
<br />VWDRI
<br />POLICY NUMBER
<br />IMMIDDITrITi
<br />ammennYTI)l
<br />LIMITS
<br />OENERALLIASIULY
<br />GL53OZ718
<br />"011i"BIlf
<br />1U/U1/Z014
<br />EACH OCCURRENCE
<br />$5,000,000
<br />k COMMERCIALGENERA LABILITY
<br />CLAIMS-MME X❑OCCUR
<br />PREMISES(6,.orW.1
<br />$5,000,000
<br />Men EXP(lmy one pemon)
<br />Excluded
<br />PERSONALAAWINJURY
<br />$5,000,000
<br />GENERAL AGGREGATE
<br />$510001000
<br />GEN% AGGREGATE LIMITAPPLIES
<br />PER:
<br />PRODUCTS- COMPIOP'AGI
<br />$5;000;000
<br />X PRO-
<br />pp,ILW El
<br />LOC
<br />A
<br />AUTOMOBILE LMMLITY
<br />CA 4 - -3
<br />A05
<br />10/02/2014
<br />COMBINED SINGLE LIMIT
<br />$5,000,000
<br />--
<br />60DILY INJURY (P., pe,nm)
<br />B
<br />X ANY AUTO
<br />'CA 640-39 -37
<br />10/01/2013
<br />10/61/2014
<br />A
<br />ALL OWNS° SCHEDULED
<br />AUTOS AUTOS
<br />W
<br />HIREDAUTOS NOOWNED
<br />AUTOS
<br />MA
<br />GA 640 -39 -38
<br />VA
<br />10/01/2013
<br />10/01/2019
<br />BODILY INJURY PW aodd u
<br />PROPE RTY DAMAGE
<br />PmeaMmt
<br />UMBRELLALUIB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS Lim
<br />CIAIMSfAAOE
<br />AGGREGATE
<br />OEO RETENTION
<br />6
<br />A
<br />WORKERS GOMPENSATiON AND
<br />EMPLOYERS'LMBK -nY YIN
<br />AnA'�ROPRIETORr PAhIMERIEMECI1fIVE
<br />OFFICEWM EMBER
<br />hNN 6XCwDEOT N
<br />(Myemadam:ym NH)
<br />DES'A T, OF OP wicf Bbebw
<br />NIA
<br />WC01, 630735
<br />ADS
<br />WC015630736
<br />CA
<br />:L O1 2013
<br />10/01/201310/01
<br />13575172614
<br />/2014
<br />X
<br />X
<br />STAID. O
<br />TORY LIMITS
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />E.L. DE3EISE•POLN;YLINR
<br />$1,000,000
<br />A
<br />Excess WC
<br />XWC6636227
<br />10 01/2013
<br />10/01/2014
<br />EL Each ACC dent
<br />5110001000
<br />OH- StatUtory WC
<br />EL Disease - Policy
<br />$1,000,000
<br />SIR applies per policy ter
<br />s & condi
<br />tens
<br />EL Disease - Ea Emp'
<br />$1,000,000
<br />DEBGUPTIONOFOPERATIONS /LOCATIONSIVEHICLES(AVachA M101,AddIWm Remarks Schedu6,amme.paw Mrpuked)
<br />contract Name: Agreement for Provision of Security Guard Services; Service: security Guard Servicesi G45 Office: LAN. The City
<br />of Santa Ana, its officers, employees, agents, volunteers and representatives are included Ss Additional Insured with regards
<br />to the General Liability policy. The policies evidenced herein are primary to other insurance available to the certificate
<br />holder, but only to the extent required by written contract with the insured. This insurance shall not be cancelled, or
<br />materially reduced in coverage or limits except after 30 days written notice has been given to the City of Santa Ana.
<br />CERTIFICATE HOLDER A FROV/E"D AS TO
<br />The city of Santa An La wl.tt �,J
<br />20 Civic Center Plaza r J
<br />Santa Ana CA 92701 USA wss1StariL CITY ALLOVn
<br />SHOULD ANY OF THE ABOYE DESCRIBED FOLLOW BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISION&
<br />P Me
<br />01988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />c
<br />9
<br />0 0
<br />2
<br />0
<br />°o
<br />N
<br />0
<br />Z
<br />u
<br />t:
<br />41
<br />O
<br />
|