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- CERTIFICATE OF LIABILITY INSURANCE
<br />PAT 0(el'MIDD(2YYY)
<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 on ADDITIONAL INSURED, the policy(ies) must Be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not anger rights to the
<br />certificate holder in lieu of such endorsement(,).
<br />PRODUCER
<br />AOR Risk Services, INC of Florida
<br />1001 Brickell Bay Drive
<br />suite 1100
<br />Miami FL 33131 USA
<br />CONTACT
<br />NAME:
<br />ON, 287-71Y7 FAX (g47) 9y3-57)0
<br />INC.No. Erl): INC. NoN;
<br />EMAIL
<br />uaoR-ss:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICIt
<br />INSURED
<br />INSURER A: National Union Fire ins CO of Pittsburgh
<br />19445
<br />G4S secure Solutions (USA) Inc.
<br />1395 university Blvd
<br />7Upiter FL 3345$ USA
<br />INSURER IN New Hampshire Ins Cc
<br />23841
<br />INSURER C; National insurance Ca
<br />23817
<br />_.Illinois
<br />INSURER 0;
<br />INSURER E:
<br />PREM 9E5 Ee occunonce
<br />$5,000,900
<br />INSURER F; --
<br />CLAIMS -MADE ❑X OCCUR
<br />COVERAGES CERTIFICATE NUMBER: 570047577940 REVISION NUMBER:
<br />THI$ IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE[) TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR O'rHER 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 411QMI aro as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />POLICYNUAIBER
<br />MMIODNY
<br />M MONYLICY YY
<br />LIMITS
<br />A
<br />OENERALLIAMILITY
<br />GL
<br />a
<br />EACH OCCURRENCE
<br />Sfi3OOD,000
<br />X COMMERGIAL GENERAL LIABILITY
<br />PREM 9E5 Ee occunonce
<br />$5,000,900
<br />CLAIMS -MADE ❑X OCCUR
<br />MED IOP(Any ana Parson)
<br />Excluded
<br />PER6DN.L 3 AM INJURY
<br />$5,000,1100
<br />GENERAL AGGREGATE
<br />$5,000,000
<br />GEN'L
<br />AGGFEGATE
<br />L MIT ARM
<br />PER:
<br />PRODUCTS. CMUsCP AGG
<br />Y5, 000, UOQ
<br />X
<br />POLICY
<br />PRO.
<br />LOC
<br />----_----
<br />A
<br />AUTOMOBILE LIABILITY
<br />CA 344-72-19 -1
<br />/
<br />COMBINED SINGLE LIMIT
<br />SS,U00, p00
<br />AOS
<br />jia�e d_il____.._
<br />B
<br />X ANY AUTO
<br />CA 344-72-20
<br />10/01/2012
<br />10/01/2013
<br />BODILY NuaY(Pm'T'Wi}
<br />mm...
<br />ALL OWNED SCHEDULED
<br />MA
<br />BODILY INJURY (Pe,auhlnnp
<br />A
<br />AUTOS AUTGB
<br />CA 344-72-21
<br />10/01/2012
<br />10/01/2013
<br />---
<br />HIREDAUTOS NONOWNED
<br />._ AUTOS
<br />VA
<br />PROPERTYDAMARG
<br />(Per ncnldon)
<br />UMBRELLA LIAR
<br />I
<br />OCCUR
<br />EACH OCCURRENCE
<br />AGGREGATE ---^--
<br />—
<br />EXCESSLIAB
<br />rl
<br />CLAIMS -MADE
<br />DED'I IRCITNTION
<br />B
<br />WORKERS COMPENSATION AND
<br />WC O .464 1.
<br />M 12 1
<br />10/ 1 201;1
<br />WyVC sTq77U7 07
<br />tORYLIMITS ER
<br />_
<br />EMPLOYERS' LIABILITY YIN
<br />AOS
<br />,X
<br />E,L. EACHAGCIDENI
<br />$1,0001900
<br />A
<br />ANY PROPWETOR I PARTNER I EXECUTIVE r
<br />Il
<br />NIA
<br />WC043464616
<br />10/01(2012
<br />10/01/2013
<br />OPFIOERfM61ABER eXCLU0ED1
<br />(Mareek,I.NH) llh��...111
<br />CA
<br />51, DISEASEEA EMPLOYEE
<br />$1,000,000
<br />Ifvas duscri0a unexr
<br />DEsdRIPRONOFOPERATIONSP,fv.
<br />-
<br />EL. OISEASEPOLICY LIMIT
<br />--
<br />w'3 ',ME. 000
<br />A
<br />Excess We
<br />XWC6636134
<br />3,010112012
<br />1 01/2013
<br />EL EaCh Accident
<br />51,0001000
<br />OH -statutory WC
<br />EL Disease - Policy
<br />.$1,000,000
<br />SIR applies per poli Cy LRr
<br />S 6 condi
<br />ions
<br />EL 05ea5e - Be END
<br />$1,000,000
<br />DESCRIPTION OR OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO 1 at, Addttbnal Romorkc Sonadvle, it mare tpaco lc mqulmd)
<br />Contract Name: Agreement for Provision of Security Guard Services; Service: security Guard Servicest 645 offlcc: LAN, The City
<br />of Santa Ana, its officers, employees, aggents, volunteers and representatives are inCluded as Additional Insured With regards
<br />to the general Liability The evidenced herein to insurance
<br />policy. policies are primary other 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 330 days written notice has been given to the City Of Santa Arla,
<br />CERTIFICATE HOLDER "CNVELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLER BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE PILL BE DF,LIVERFO IN ACGORDANGE Willi UNE
<br />POLICY PROVISIONS,
<br />The City Of Santa And �� "' "ies,cuy AUTHORPSEDREPRESENXATIVE-
<br />20 Civic Center Plaza A,6sisla113 C:,ii.y AAitOtl7fly�
<br />Santa Ana C, 92701 USA
<br />41988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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