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<br />-' CERTIFICATE OF LIABILITY INSURANCE
<br />DATe (MMIDD,YYYYI
<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. ?M11, (flf'! —41 .!;,I ). W•
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED„ the policy(pas) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the pollcy, certain policies may require an end4or ent A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />MARSH USA, INC,
<br />445 SOUTH STREET
<br />MORRISTO%%, NJ 07960 -6154
<br />PHONE E f (AAIC No)
<br />-
<br />E -MAIL
<br />ADDRESS -
<br />INSURER S AFFORDING COVERAGE
<br />NAIC #
<br />A
<br />INSURER A: HDI -Gerlt ,Arnerlaa Inswrance Cornpany
<br />41343
<br />100129- 6- 78A -'S8T1 -15116 610 ROLLIN NOCK
<br />INSURED SIIEMENS INDUSTRY INC..
<br />BUILDING TECHNOLOGIES � 2 015 �
<br />1000 DEERFIELD PARKWAY
<br />BUFFALO GROVE, IL 6008L1
<br />INSURER 13: The Trav&r5 Indoinrllly Company
<br />256$6
<br />INSURER C Tra4ers Properly Casualty Co. o9'Arreriea
<br />25634
<br />INSURER D :
<br />. ---- ._------ ._,..._._.------ --- _._.._...._,_...........
<br />CLAIMIS- MADE'. OCCUR
<br />INSURER E
<br />INSURER F' :
<br />L;—A —k `UE' ➢" 'SP(II'c �''
<br />PREM7f5.5 Eaaccvrronco -.
<br />........ .`....._.._..._.
<br />$ 1,t}4U,000
<br />COVERAGES CERTIFICATE NUMBER: NYC - 006306907-011 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 E'Y 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 />INSR
<br />L.TR
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY EFF
<br />POLICY NUMBER. lr ID rfYYY
<br />POLICY EIP
<br />MMfDDfYYYY
<br />LIMITS
<br />Manashi Mukherlee ter ,ca
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />GLD1110107 '101,2015
<br />1gt0112016
<br />EACH OCCURRENCE
<br />$ 1,000,004
<br />CLAIMIS- MADE'. OCCUR
<br />L;—A —k `UE' ➢" 'SP(II'c �''
<br />PREM7f5.5 Eaaccvrronco -.
<br />........ .`....._.._..._.
<br />$ 1,t}4U,000
<br />MUEO EX? IAny one peraon)
<br />$ 100,000
<br />.__._w.__.,_.,.__ mm_�
<br />�
<br />PERSONAL F ADV 1Nwl)RY
<br />$ 1,114Q,4Q1
<br />GEN 'L AGGREGATE ,LIMh17 APPLIES PER:
<br />�
<br />GENERALAG3'REGA7E
<br />S 10,000,400
<br />X POLICY E] PRO- EI LOC
<br />PELT
<br />PRODUCTS - COMIPlDP AGG
<br />$ I41CL
<br />$
<br />OTHER:
<br />G
<br />AUTOMCSILELIABILITY
<br />TC2JCAP7440L34A,5
<br />I0d01215
<br />Ea MEIINED SINGLE LIMIT
<br />acclden8,
<br />$ 2,000,000
<br />BODILY INJURY (Par person)
<br />$ N)A
<br />ANY AUT O
<br />1--xx
<br />ALL OrED SGHEhiULED
<br />AUTOS AUTOS HIRED AUTOS : X NON-OWNED
<br />®ODILY VNJURY (Per accitlerrt)
<br />$ NIA
<br />PROPERTY DAMAGE
<br />�Il......�._......._
<br />$ NfA
<br />........._ _
<br />$
<br />UMBRELLA LIAII
<br />H
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />EXCESS LIAS
<br />CLAIMS -MADE
<br />C.EO RETENTIONS
<br />S
<br />O
<br />E
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS "LIABILITY YIN
<br />ANY PROPRi[TORIPARTN�EFi�EXECUTIVf N
<br />OFFICEtoty in BEREXCLUDED?
<br />{Marfdalorl/nNHl
<br />NIA
<br />TC2JU514401..27115 (AOS)
<br />TRrfU57440L28315 (AZ, MA,%1R Vyl
<br />�
<br />TWXJU87440L33815 OH & WA
<br />I �
<br />1010112415
<br />10f011241.5
<br />1010112015
<br />10 0112016
<br />101QU1201fi
<br />10101120,16
<br />X PER 0711
<br />STATUTE R.
<br />El. EACH ACC IDENIT
<br />....... .......
<br />$ 1,QDQ 000
<br />E.L. DISEASE - EAEAflPLDYE
<br />$ 1,Q40',040
<br />If yes, describe and
<br />I sCRIPTION OF es
<br />F 'OPERATIDNShalaw
<br />`11500K LIMIT 1$500K SIR '°
<br />E.L. ELDISEASE- PDLVCYLIMYIT
<br />$ ,Q00 „440
<br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES IACORD 101, AddCtionai Remarks Schedula, may be attached if more MUM a t5e�.� ,
<br />RE: AEMA- 820J5IJ CBTY OF SANTA ANA DONNTOWN SAFETY PROGRAM AND DETENTION CENTER A, MU ! A T O FOI&I
<br />S=E ATTACHED
<br />.AUU
<br />Laura A. ossiTt;t�
<br />A,”, ist nt City AttOrncY
<br />CERTIFICATE HOLDER CANCELLATION
<br />SANTA ANA POLICE DEPARTMENT
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />60 CIVI'C CENTER PLAZA
<br />THE EXPIRATION DATE THEREOF, NOTICE: WILL BE DELIVERED IIN
<br />SANTA ANA, CA tJ2702
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA too.
<br />Manashi Mukherlee ter ,ca
<br />1888 -2014 ACORD CORPORATION, All riglhts reserved.
<br />ACORD 2 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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