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CERTIFICATE OF LIABILITY INSURANCE I
<br />DATE(MMIDDIYYYY)
<br />01r0712015
<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(hes) 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 />PHONE (866) 283-71'22 iAlCFAX (BRO) 363-0105
<br />(AIC. No. Exrl: . No.):
<br />E-MAIL
<br />ADDRESS:
<br />One Federal Street
<br />Boston MA 02110 USA
<br />INSURER(S) AFFORDING COVERAGE NAIL #
<br />INSURED W
<br />IDEXX Laboratories, Inc. �q �� � q
<br />} p a"^ ����,,,. "' 'I
<br />One IDEXX Drive
<br />Westbrook ME 04092-2041 USA
<br />_. .......
<br />INSURER A: Federal Insurance company 202i8l..
<br />....17400..
<br />Specialty Insurance Co
<br />C: NoetCha
<br />INSURER charter Oak Fire insurance Company 25615
<br />INSURERD: Travelers Property Cas Co of America 25674
<br />CLAIMSMADEF-X7 OCCUR
<br />E:
<br />rINSURER
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570060906556 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 />- -POLICY
<br />INSR LTR
<br />TYPE OF INSURANCE
<br />IVSD
<br />WVD
<br />NUMBER
<br />POLICY EFF
<br />MMfDDIYYYY
<br />MMIODfYYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $2,000,000
<br />CLAIMSMADEF-X7 OCCUR
<br />$2,000,000
<br />PREMISES Ea occurrence
<br />MED EXP (Any one person) S10,000
<br />_.._.....__.__.......
<br />PER.SGNAI. a. ADV INJORY $1,000,000
<br />GENII AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $2,000,0'00
<br />POLICY PRO �. LOC
<br />/ECT
<br />PRODUCTS - COMPIOP AGG EXCluded
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />15 7358 07 90
<br />06(30/2015
<br />06/30/2016
<br />COM81NED SINGLE LIMIT $1,000,000
<br />Ea accident)
<br />BODILY INJURY ( Per person)
<br />X ANY AUTO
<br />BODILY %JURY (Per accident}
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIRED AUTOS NON-OIVNEC7
<br />AUTOS
<br />PROPERTY DAMAGE:
<br />Per accident
<br />Comprehensive Deduce $1,000
<br />A
<br />X
<br />UMBRELLA LIAR X OCCUR
<br />79890079
<br />06/ 30/2015...
<br />06/30/2016
<br />EACH OCCURRENCE $10,000,000
<br />EXCESS LIAR CLAIMS -MADE
<br />AGGREGATE $10,000,000
<br />DED RETENTION
<br />C
<br />D
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY Y f N
<br />ANY PROPRIETOR v PARTNER f EXECUTIVE
<br />OFF10ERWEMBEREXCLUDED" N
<br />(Mandatory in NH)
<br />NIA
<br />TC20UB101O100616
<br />WC (AOS)
<br />TRIUB10ID101816
<br />:WC (MA,WT)
<br />0170-172-016
<br />01/01/2016
<br />0-673-0/2717X
<br />06/30/2016
<br />PER OTH-
<br />STATUTE I IER
<br />E.L. EACH ACCIDENT $1, 000, 000
<br />E.L. UISEASE-EA. EMPLOYEE $1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT S1,000,000
<br />B
<br />Products Liab
<br />N15ME380003
<br />06/30/2015
<br />06/30/2016
<br />Aggregate 810,000,000
<br />SIR, applies per policy terns
<br />& condi
<br />ions
<br />Per occurrence $10,000,000
<br />SIR $1,000,000
<br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101., Additional Remarks Scbedule, may be attached if more space is 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 only 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 premises owned or rented by IDEXX Laboratories
<br />Inc. 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 �'� °gid"A LATION
<br />ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />IN DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />The City of Santa Ana (+.FTERIZIED REPRESENTATIVE
<br />20 Civic Center Plaza - M23 g"\
<br />Santa Ana CA 92701 USA :J
<br />@1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014141) The ACORD name and logo are registered marks of ACORD
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