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<br />` o CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYY)
<br />07106=16
<br />I
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the 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 />PHO(g6fi) 283-7122 FAX (800) 363-0105
<br />(AIC. Na,,): PIC. No.I:
<br />E-MAIL
<br />ADDRESS:
<br />One Federal Street
<br />Boston MA 02110 USA
<br />INSURERS) AFFORDING COVERAGE NAIC M
<br />AUTHORIZED REPRESENTATIVE
<br />INSURED
<br />INSURER A: Federal Insurance Company 20281
<br />IDEXX Laboratories, Inc.
<br />INSURER B: The Charter Oak Fire Insurance Company 25615
<br />One IDEXX Drive
<br />Westbrook ME 04092-2041 USA
<br />INSURER C: Travelers Property Cas Co of America 25674
<br />INSURER D: NOetiC Specialty Insurance CO 17400
<br />INSURER E:
<br />INSURER R
<br />COVERAGES CERTIFICATE NUMBER: 570062938314 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 />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />MD
<br />POLICY NUMBER
<br />MMIDDIYYYVIMMIDDIYYYYI
<br />LIMITS
<br />A
<br />X I COMMERCIAL GENERAL LIABILITY
<br />�
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic
<br />Center Plaza - M23
<br />EACH OCCURRENCE $2,000,000
<br />Santa Ana
<br />CLAIMS -MADE ❑X OCCUR
<br />PREMISES Ea occurrent. $2,000,000)
<br />MED EXP (Any one person) $10,000
<br />PERSONAL &ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $2,000,000
<br />POLICY PRO ❑X LOC
<br />ECT
<br />PRODUCTS - COMPIOP AGG EXCluded
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />73580790
<br />06/30/201606/30/2017
<br />COMBINED SINGLE LIMIT
<br />Ea ersid.nt $1,000,000
<br />BODILY INJURY ( Per person)
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />-
<br />BODILY INJURY(Peraccidenl)
<br />AUTOS ONLY AUTOS
<br />X HIREDAUTOS X NON -OWNED
<br />ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Peraccident
<br />Comprehensive Deduct $1,000
<br />A
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />79890079
<br />06/30/2016
<br />06/30/2017
<br />EACH OCCURRENCE $10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $10,000,000
<br />DED
<br />RETENTION
<br />B
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />OFFICEWMEMBER EXCLUDED? 71
<br />(Mandatory in NH)
<br />NIA
<br />TC20UB439OL42816
<br />(AOS)
<br />TR7 U64300L4161fi
<br />(MA, WI)
<br />06/30/2016
<br />06/30/2016
<br />06/30/2017
<br />06/30/2017
<br />X PER OTH-
<br />STATUTE ER
<br />E. L. EACH ACCIDENT $1,009,000
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />0
<br />Products Liab
<br />N16ME380006
<br />06/30/2016
<br />06/30/2017
<br />Aggregate $10,000,000
<br />SIR applies per policy ter
<br />s & condi
<br />ions
<br />per occurrence $10,900,000
<br />SIR Aggregate $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aUs.Xd 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,igpnnection with premises owned or rented by IDEXX Laboratories
<br />Inc. Coverage afforded by the General Liability policy sl $d rimary and Non -Contributory for the Certificate Holder with
<br />respect to work performed by IDEXX Laboratories Inc.
<br />4
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<br />CERTIFICATE HOLDER
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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<br />HDµLp I Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
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<br />N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />S I YPROVISIONS.
<br />The City
<br />Of Santa Ana
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<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic
<br />Center Plaza - M23
<br />Santa Ana
<br />CA 92701 USA
<br />tW07i a/LEIk c/iLLtfc64 c/ //t ldCL,9f a/ fla
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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