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� <br />G48 SECURE SOLUTIONS (USA) A -2011- 122 -02 REVIEWED BY: �` l/ z <br />Z4EUNICE HEREDIA (PG 1 OF 7) <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(DMMID15 MM120 YY) <br />16 <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(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 certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />ADD Risk Services, Inc of Florida <br />1001 Brickell Bay Drive <br />CONTACT <br />NAME: <br />PHO E (g66) 283 -7122 FA%I (800) 363 -0105 <br />(Aid Emp (ac. NO.: <br />Suite 1100 <br />Miami FL 33131 USA <br />E -MAIL <br />ADDRESSz <br />INSURER(S) AFFORDING COVERAGE <br />NAICN <br />INSURED <br />INSURERA: National Union Fire ins CO Of Pittsburgh <br />_m <br />19445 <br />G4S Secure Solutions CUSA) Inc. <br />1395 University Blvd <br />)upiter FL 33458 USA <br />INSURER B: New Hampshire ins CD <br />--------------------- <br />23841 <br />INSURER C: Illinois National insurance cc <br />23817 <br />INSUReIRD: <br />aoccurtence <br />INSURERS: <br />ny one person) <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 57UU598b368D REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES CF 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 asrequested <br />INSH <br />LTR <br />TYPE OF INSURANCE <br />INSO <br />�D <br />I POLICY NUMBER <br />p <br />lemma <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GL <br />RRENCE <br />$5,000,000 <br />CLAIMS -MADE EOCCUR. <br />aoccurtence <br />$5 000,000 <br />ny one person) <br />_ <br />Excluded <br />PERSONAL ADV INJURY <br />tSINGLE <br />$5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES RM <br />GGREGATE <br />$5,000,000 <br />PRO. <br />X POLICY PRO. El LOG <br />- COMP /OP AGG <br />$5,000,000 <br />OTHER'. <br />A <br />AUTOMOBILE LIABILITY <br />CA 746 -98 -77 <br />AOS <br />10/01/2015 <br />10/01/2016 <br />INGLE LIMIT <br />aacc'dent <br />$5,000000 <br />BODILY INJURY(Perperson) <br />B <br />X ANY AUTO <br />CA 746 -98 -78 <br />10 /01 /20 1510 <br />/Ol /2Q16 <br />A <br />ALL OWNER SCHEDULED <br />AUTOS AUTOS <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />KA <br />CA 746 -98 -79 <br />VA <br />10/01/2015 <br />10/­'­­ <br />BODILY INJURY (Peraooidana <br />PROPERTY DAMAGE <br />Per ecdtlent <br />UMBRELLA LIAR <br />OCCUR <br />EACHOCCURRENCE <br />E%CEBS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />DED <br />I aRETPN <br />TION <br />B <br />A <br />WORKERS COMPENSATION AND <br />YIN <br />ANY PROPRIETORI PARTNER I EXECUTIVE <br />mccERINtEMBea EXCLUDE'? <br />P6landetory in Mil <br />Ives, decades under <br />DE SCRIPTION OF OPERATIONS below <br />NIA <br />WCO24781119 <br />ADS <br />bfCO247$1120 <br />CA <br />10/01/2015 <br />10 /01 /2015 <br />10/01/2016 <br />10/01/2016 <br />E PR � EE <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -FA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE-POLICY LIMIT <br />$110001000 <br />A <br />Excess WC <br />XWC1103495 <br />10/01120151 <br />10/01/2016 <br />EL Each Accident <br />$1,000,000 <br />OH- Statutory WC <br />EL Disease - Policy <br />51,000,000 <br />SIR applies per policy terns <br />& condi <br />jIr <br />ions <br />EL Disease - Ea Emp' <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is requlredl <br />Contract Name: Agreement for Provision of Security Guard Services; Service: Security Guard 6ervi Celli Fps Offi Cet LAN. The City <br />of Santa Ana, its Officers, employees, agents, volunteers and representatives are included as 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 lllnits except after 30 days written notice has been given to the city of Santa Ana. '. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />01888.2014 ACORD CORPORATION, All rights reserved, <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />Z <br />5 <br />v <br />4- <br />w <br />'CI <br />0 <br />O <br />S <br />O <br />Z <br />m <br />t <br />d) <br />U <br />R <br />SHOULD ANY OF THE ABOVE DCCSCR18ED 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 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 USA <br />V L- <br />01888.2014 ACORD CORPORATION, All rights reserved, <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />Z <br />5 <br />v <br />4- <br />w <br />'CI <br />0 <br />O <br />S <br />O <br />Z <br />m <br />t <br />d) <br />U <br />R <br />