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FN `C� D CERTIFICATE OF LIABILITY INSURANCE
<br />nA7120MM1OaIYYYYf
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPO1. N 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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL.INSURED, the polley(las) must be endorsed, If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement n ,
<br />PRODUCER
<br />MARSH USA INC.
<br />99 HIGH STREET
<br />BOSTON, MA 02110
<br />Attn: Sastnn.CeRRequesk(�Mareh•com I Fax; 212.948-4377
<br />O
<br />E'
<br />PHONE P X
<br />(A/C,
<br />.MAIL S
<br />INSURERS AFFORDING COVERAGE
<br />NAIC IA
<br />DWEIS
<br />INSURER A: Notional Union Fire Insurance Company
<br />19446
<br />INSURED
<br />Schnalder Elaotrlc Haldinga, Inc.
<br />INeUREA s I Now Hampshire Insurance Co,
<br />23841
<br />INSURER c I I-DbGerling Amedca Insurance Company
<br />41343
<br />(See page 2 for Addltlenal Named hemostat
<br />200 odh Matilin Is Road, Suite 1000
<br />Sohaumi urg, It. 0173
<br />INSURER o: Illinois National Insurance Com any
<br />--
<br />23817
<br />NSU OR a:
<br />THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
<br />RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 'TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCE[) BY PAID CLAIMS.
<br />L79E TYPEOPINSURANCE R mm, POLICYN NUMBER RMIOO YYEPV OL YVI LIHtIT8
<br />A
<br />X
<br />COMMERCIAL GENERAL LIA131LITY
<br />CLAIMS -MAW [71 OCCUR
<br />ConUaCtUBI Liablllly
<br />X
<br />X
<br />2039174
<br />0110112010
<br />0101/2017
<br />EACH OCCURRENCE —
<br />$ 61000.000
<br />�E�q
<br />MED EXp (Any ana,,,8oreon
<br />$ 6,000,000
<br />X
<br />$ 6,000
<br />PERSONAL A AOV INJURY
<br />-$ 6,000,000
<br />GENT. AGGREGATE LIMIT APPLIES PER
<br />X POLICY ❑PRO- F]OC
<br />ECT
<br />GENERALAGGREGATE
<br />$ 610001000
<br />-
<br />PRODUCTS-COMP/OPAGG
<br />a 6,000,000
<br />$
<br />OTHER:
<br />A
<br />S
<br />g
<br />AUTOMOBILE
<br />X
<br />.
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUT08 AUTOS
<br />HIREDAUTOS AUT09 EO
<br />AUTOS
<br />X
<br />X
<br />9734260(AO$)
<br />9734264(MA)
<br />9734265(VA)
<br />01101/2016
<br />01/0112018
<br />0110112016
<br />0110112017
<br />0110112017
<br />0110112017
<br />COMEINED8IN-L /MIT
<br />191=11bntl _
<br />BODILY INJURY (Per parson)
<br />a 5,000,WO
<br />$
<br />BODILY INJURY (Pe Aooldont)
<br />$
<br />ROP9- YPAM E W- —
<br />X
<br />�^
<br />UMBNELLA LIAR
<br />EXCESS LIAR
<br />.OEQ
<br />X
<br />I OCCUR
<br />CLAIMS -MADE
<br />O11D11800-04
<br />01/0112010
<br />0110112017
<br />EACH GCCURRENOE
<br />$ 5,000,00c
<br />—
<br />AGGREGATE
<br />�-`
<br />$ 61000,000
<br />E E ION.
<br />-�
<br />X PE "PJTH•
<br />ST ER
<br />NIA
<br />(
<br />068022490(ADS)
<br />Ad(I100nal WGEL policies are shown
<br />on thefnliowln g page
<br />0110112010
<br />0110 2 7
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORRARTNERIEXECUTIVE
<br />OPFIGER/MEMDER EXCLUOE07 rhl
<br />Nlq
<br />If'
<br />Iryae daearlbuunder
<br />DLy-'S(HRIPTIO OP OPEPATIO A
<br />E,L•EACH ACCIDENT
<br />$ 5,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 6,000,000
<br />E,L.❑IBEASE-POLIL'YLIMIT
<br />$ 6,000,000
<br />B
<br />PROFESSIONAL
<br />03-206-10.99
<br />01/0112016
<br />01101120'17
<br />EACH CLAIM/AGGREGATE 6,000,000
<br />E&0 LIABILITY -
<br />POLICY IS CLAIMS MADE
<br />DESCRIPTION Or, OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional RBMMM SUMIM101 may ha attAPhod If more space Is ragelred)
<br />Re: Schneider Electric Moblity NA, Ina
<br />City of Santa Ana, PWA-Transponatlon & Traffic Engineering Department are Included as additlonal Insured with respect to General and Auto Uablllly. This Insurance Is
<br />primary and non-contrlbulory over any existing Insurance and limited to Ilablllty arising out of the operations of the named Insured for General Uablllly, and Automobile Uablllly,
<br />Welvar of Subrogalloo Is Indudad In favor of the Oerlltloato Holder under General Labllliy, Auto Uablllly, and ftrkoes COMpan 110R.
<br />EUNI,GF r;tE E®IA (PG,J of
<br />Oily of Santa Ana
<br />Alin; Vfnh Nguyen, RE, SL Civil Engineer
<br />PWA -Transponatlon & Trade Engtnaering
<br />20 CNic Center Plaza
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DE801`06ED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Ina,
<br />Sarah A. Stevenson Aa"4a.
<br />hnhfa
<br />AOUMU zo (ZU14191) The ACORD name and logo are registered marks of ACORD
<br />
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