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PITNEY BOWES PRESORT SERVICES
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PITNEY BOWES PRESORT SERVICES
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Last modified
5/28/2015 10:05:12 AM
Creation date
3/4/2013 2:32:01 PM
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Contracts
Company Name
PITNEY BOWES PRESORT SERVICES
Contract #
N-2011-111-001
Agency
FINANCE & MANAGEMENT SERVICES
Insurance Exp Date
9/30/2015
Destruction Year
0
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t`l - ab l I- I) I- 00 1 <br />Ac"Rf> CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMM /DD YY) <br />it <br />11/01/2013 <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(ies) 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 />CONTACT <br />NAME: <br />Marsh USA Inc., Multinational Incoming Unit <br />a service of Seabury and Smith, Inc. <br />PHONE FAX <br />EMAILo Est: - - AIC, No: Lp�3] =3g <br />LIMITS <br />9830 Colonnade Boulevard, Suite 900 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC It <br />PO Box 659520 <br />San Antonio, TX 78265 -9520 <br />INSURER A: NAT'L UNION FIRE INS CO of PA <br />12/01/2013 <br />INSURED <br />INSURER B: AllianZ Global Risks US Ins Cc <br />DAMAGE TORENTED <br />INSURER C: <br />Dynamex Operations West, Inc. <br />INSURER D: <br />2051 Raymer Ave, Unit A <br />Fullerton, CA 92833 <br />INSURER E: <br />$10,000,000 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 <br />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 <br />BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />DL <br />INSR <br />SUER <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYV <br />LIMITS <br />A <br />GENERAL LIABILITY <br />GL1872136 <br />12/01/2012 <br />12/01/2013 <br />EACH OCCURRENCE <br />$10,000,000 <br />DAMAGE TORENTED <br />g COMMERCIAL GENERAL LIABILITY <br />PREMISES Edoecurrence <br />$10,000,000 <br />CLAIMS -MADE OCCUR <br />MEDEXP(Anyoneperson) <br />$10 000 <br />PERSONAL& ADV INJURY <br />$10,000,000 <br />GENERAL AGGREGATE <br />$10,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PERK <br />PRODUCTS - COMPIOP AGO <br />$10,000,000 <br />$ <br />POLICY JEO Fj LOC <br />A <br />AUTOMOBILE LIABILITY <br />CA6506059 <br />12/01/2012 <br />12/01/2013 <br />CEOMaBIINdEEDtSINGLE LIMIT <br />$10,000,000 <br />BODILY INJURY (Per person) <br />S <br />`X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />XYZ00032016370 <br />12/01/2012 <br />12/01/2013 <br />EACH OCCURRENCE <br />$5,000,000 <br />AGGREGATE <br />s5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DIED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />WC STAIN OTH- <br />TORY LIMITS ER <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />E.L. EACH ACCIDENT <br />$ ' <br />OFFICERIMEMBER EXCLUDED? ❑ <br />NIA <br />(Mandatory in NH) <br />E.L. DISEASE EA EMPLOYE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City Of Santa Ana is included as an Additional Insured on General Liability <br />and Auto Liability as required by written contract. <br />The above Umbrella policy XYZ00032016370 with Allianz was placed by Marsh Canada Limited. <br />Seabury c Smith, Inc. has only acted in the role of a consultant to this <br />placement, which is indicated <br />here for your convenience. <br />APPROVED AS TO FORM <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Laura Stitt Sh dY. <br />Assistant City t%OTI10Y <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City Of Santa Ana <br />20 CIVIC CENTER PLZ <br />AUTHORIZED REPRESENTATIVE _ <br />SANTA ANA, CA 92701 <br />© 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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