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"� °® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE/2015 WY)
<br />01/29/2015
<br />THIS 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 COI r,6 d�,')$ETI EEA1p1THj�I"�11NG INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 1UI7 I' NEI
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must endorsed. SUBROGATION IS WAIVED, subject to
<br />HYIf
<br />Cb�e
<br />the terms and conditions of the policy, certain policies may require an endorsem0t� I sltm;T�,i t'P'9' r:jj;4,ate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s). VV
<br />PRODUCER
<br />MARSH USA, INC.
<br />445 SOUTH STREET
<br />CONTACT
<br />NAME`
<br />PHONN AIS No:
<br />nooalLss:
<br />MORRISTOWN, NJ 07960 -6454
<br />Attn: Morristown.cedrequest @marsh.com Fax 212 - 948-0979
<br />CPO 5920234 -01
<br />12/15/2014
<br />INSURERS AFFORDING COVERAGE
<br />NAIC p
<br />INSURER A: Zurich American Insurance Cc
<br />16535
<br />123456-- GAW -14 -15
<br />INSURED
<br />Onex York Holdings Corp.
<br />INSURERS:
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />and Its Subsidiaries
<br />INSURER C
<br />$ 2,000,000
<br />99 Cherry HIII Road, Suite 102
<br />Parsippany, NJ 07054 -1102
<br />INSURER D
<br />PRODUCTS- COMP /OPAGG
<br />$ 2,000,000
<br />�ry/� ,(�
<br />IV- Ul( q -0q -
<br />INSURER E:
<br />AUTOMOBILE
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: NYC - 007004620 -01 REVISION NUMBER:1
<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,
<br />ILSRR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />20 Civic Center Plaza
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MM/DDM'YY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />of Marsh USA Inc.
<br />CPO 5920234 -01
<br />12/15/2014
<br />12/1512015
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGES ( RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE
<br />POLICY
<br />LIMIT APPLIES PER
<br />PRO X LOC
<br />PRODUCTS- COMP /OPAGG
<br />$ 2,000,000
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />BAP 5820233 -01
<br />12115/2014
<br />12/15/2015
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />1
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />OCCUR
<br />CLAI MS-MADE
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />DED RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOWPARTNEWEXECUTIVE 7
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />If Yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />WC 5620235 -01
<br />12/1512014
<br />12115015
<br />X WC STATU- OH-
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />E.L. DISEASE- POLICY LIMIT
<br />1,000,000
<br />$
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Attn: Sarah Ro /Sr. Accountant
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Inc.
<br />Manashi Mukherlee
<br />@'1988.2010 ACORD CORPORATION.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />All rights resery
<br />jJ3
<br />
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