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..~•--.r FIRET-1 OP ID: LH <br />la. � Cs CERTIFICATE OF LIABILITY INSURANCE <br />�..�^°"' <br />x01/2210016 <br />0112212016 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 a . <br />PRODUCER <br />Fountain, Parker, Harbarger <br />& Associates, LLC. <br />201 Washin ton Street <br />g <br />Huntsville, AL 35$09 <br />CONTACT John T. Freisen <br />FAX <br />p Ex 256.551.0060 AIC No 256.534.2042 <br />EMAIL �SSS,reisen@fpins.com hins.com <br />AODREss:l �__ <br />A <br />,rOltn T. FraiBenENSURER{S <br />AFFORDING COVERAGE SAID <br />INSURER A: Essex Insurance Company 39029 <br />1,809,09 <br />INSURED Firette Apparatus Sales .»e.....,..._..�.�_� <br />INSURER s: Hartford Insurance 19662 <br />Randolph Center, LLC IDEA <br />Randolph Center, LLC DBA <br />INSURER C <br />INSURER D: <br />P 0 BOX 177 <br />Randolph, VT 05060 <br />INSURER E: <br />INSURER F . <br />$ <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 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 <br />ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS, <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />215 S, Center Street <br />INSR LTRTYPE <br />EXP <br />OF INSURANCE DCL.qP POLICY NUMBER 10ip0Y EYF LIL=Ix <br />LIMITS <br />A <br />EACH OCCURRENCE <br />S <br />1,809,09 <br />CLAMS -MADE ® OCCUR 2CQ2377 1112972015 1112912016 <br />PREMISES Ea o=Ld;nRe <br />$ N�50,00 <br />TMERCIALGENERALLIABILITY <br />MED EXP tiny we person) <br />$ <br />_EXCLUDE <br />PERSONAL&ADV INJURY <br />S <br />EXCLUDE <br />GEN'L AGGREGATE LIMN APPLIES PER: <br />GENERALAGGREGATE <br />$ <br />1,000,09 <br />POLICY r,_J JEECCT 1-1LOGPRODUCTS <br />- COM_PIOP AGO <br />$ <br />_ <br />EXCLUDED <br />OTHER: <br />$ <br />AUTOMOBILE <br />LIABILITY <br />OMBINED SINGLE LIMIT <br />E0 accident <br />$ <br />...._.................... <br />ANYAUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL SCHEDULED <br />BODILY INJURY (Per accitlenl) <br />$ <br />TOW OWNED <br />AUTOS <br />gO,OWNED <br />Pe�e'EtlR'y DAMAGE <br />$ <br />HIRED AUTOS <br />UMBRELLA LIAR OCCUR <br />EACHOCCURRENCE <br />9 <br />EXCESS UAB CLAIMS -MADE <br />AGGREGATE <br />S <br />t3E7 RETENTION$ <br />I S <br />WORKER$ COMPRNSATON <br />57AT"T- ERy- <br />AND EMPLOYERS' LIABILITY YIN <br />B <br />ANY PRQPRIETOruPARTNER)EXECUnVE 21WECOF7091 1110212015 11!0212016 <br />E.L. EACHaOQiOENT <br />$ <br />190,08 <br />OFFiCEROAFAIBER EXCLJGEGT NIA <br />(Mandatory In NH) �r <br />E.L. DISEASE -EA EMPLOYE <br />$�J <br />100,00 <br />(y05. tl04Cdb8 Wltler s�o <br />DESCR Pr NDF PERATIONS belowY <br />E. L. DISEASE-POLICYLIMIT <br />500,000 <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORO D9, Additional Remark c le, ma attachadd If more oppeO is required) <br />DESCRIPTION <br />CERTIFICATE HOLDER CANCELLATION <br />071988.2014 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2014109) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />FMSA-Fleet Management <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />215 S, Center Street <br />PO Box 1988 <br />6� 1 -a^ <br />Sana na CA 92703 <br />071988.2014 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2014109) The ACORD name and logo are registered marks of ACORD <br />