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A� °® CERTIFICATE OF LIABILITY INSURANCE
<br />D120120 /DDM Y)
<br />1212112015
<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. 7ijfl"; Pil,P _ @I },f,1 -1. tl "?
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.- 1 SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an en�o �( ent. men
<br />A statet on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s). (, r1 �.w
<br />PRODUCER
<br />MARSH USA, INC.
<br />445 SOUTH STREET
<br />-
<br />PHONE FAX
<br />E AIC No
<br />AEMAIL
<br />ADORES$
<br />MORRISTOWN, NJ 07960- 6454
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: HDI- Gerling America Insurance Company
<br />41343
<br />100129- 6- 7BA -SBT1 -15116 610 ROLLIN NOC60
<br />INSURED SIEMENS INDUSTRY, INC.
<br />BUILDING TECHNOLOGIES
<br />INSURER B : The Travelem Indemnity Company
<br />25658
<br />INSURER C:Travelers Property Casualty CO. of America
<br />25674
<br />INSURER D
<br />1000 DEERFIELD PARKWAY
<br />BUFFALO GROVE, IL 60089
<br />INSURER E:
<br />$ 1,000,000
<br />INSURER F:
<br />MED EXP Any one person)
<br />COVERAGES CERTIFICATE NUMBER: NYC - 008306907 -01 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.
<br />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIVYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLD1110107
<br />10/01/2015
<br />10101/2016
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />FvT CLAIMS -MADE OCCUR
<br />DAMA ET RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP Any one person)
<br />$ 100,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$ 10,000,000
<br />GEN'LAGGREGATE
<br />X
<br />PRO. [:] LOG
<br />POLICY ❑ ECT
<br />PRODUCTS - COMP /OP AGG
<br />$ INCL
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />TC2JCAP7440134A15
<br />1010112015
<br />10101/2616
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 2,000,000
<br />BODILY INJURY (Per person)
<br />$ N/A
<br />X
<br />ANY AUTO
<br />X
<br />ALLOWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Par accident)
<br />$ N/A
<br />X
<br />HIRED AUTOS X AUTOS WNED
<br />Pena cdent DAMAGE
<br />$ N/A
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION
<br />$
<br />C
<br />B
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />OFFICER/MEMBER EXCLUDED ?ECUTIVE
<br />(Mandatory in NH)
<br />N/A
<br />TC2JUB7440127115(AOS)
<br />TRKUB7440L28315 AZ, MA, OR
<br />( I
<br />TWXJUB7440L33815 (OH
<br />10/01/2015
<br />10/01I2015
<br />10/0112015
<br />10/01/2016
<br />10I01/2016
<br />1010112016
<br />X STATUTE OERH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />" "'$500K LIMIT / $500K SIR " "'
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more��sppa eJ' ,cgq�Ire
<br />IVlb TO
<br />RE: AEMA- S20J5U CITY OF SANTA ANA DOWNTOWN SAFETY PROGRAM AND DETENTION CENTER ApPI Z B 9' AS
<br />ppFOR
<br />SEE ATTACHED ., 14 _ Wvn�--
<br />Laura A. Rossini
<br />Assistant City AttO>rney
<br />CERTIFICATE HOLDER CANCELLATION
<br />SANTA ANA POLICE DEPARTMENT
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />60 CIVIC CENTER PLAZA
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />SANTA ANA, CA 92702
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Inc.
<br />Manashi Mukherlee
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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