|
"� �A4dIW)�,.' CERTIFICATE OF LIABILITY INSURANCE �i212V12015
<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 CERYIPICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ?01!6�i :T, (?1
<br />IMPORTANT; It the certificate holder is an ADDITIONAL INSURED, the policy(los) must be onClOrsod. 0 SUIS ROGATION IS WAIVED,subject to
<br />the terms crud conditions of the policy, certain policies may require an enor.�A�rnt, A sk tamont on this certificate does Dot confer rights to the
<br />certificate holder In Ifou of such endorsemsnitfs , � I '1 1 !;',
<br />PRODUCER
<br />MARSH USA, INC,
<br />445 SOUTH STREET
<br />MORRISTOWN, NJ 07060-6484
<br />''�j''
<br />-------
<br />PHONE E4, - --. -...1. R.LLCN�t�..
<br />_
<br />gE`peR�SS:
<br />INSURER(s) AFFORDING COVERAGE NAIC4
<br />LIMITS
<br />INSURER A: HDI-GerIlN America Insurance Company 41349
<br />100129 8 T&MS8 N-15118 610 RCLLIN NMI]
<br />INSUREDSIEMENSINDUSTRY INC.
<br />BUILDING TECHNOLOGIES2.9°7
<br />1060 DEERFIELD PARKWAY2015. A -
<br />BUFFALO GROVE, IL 600847
<br />IN8URER a The Trevoors InBemnlly Company 26669
<br />INSURERC: Travelers Property Casually Co. ofATorleB 26674
<br />INSURER D :
<br />...—_.._...-......____.._.__...,.._..............�
<br />RACHOOCURRENCE $ 1.000,000
<br />INSURER E t
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER NYC 00630690701 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 />INSR
<br />TYPE OF INSURANCE.
<br />JADDL
<br />SUER
<br />POLICY'IDD.
<br />POLICY SRI'
<br />pOLICV EggP
<br />MHID M'W
<br />LIMITS
<br />A
<br />X CQMMERCIALGENERALLIABILITY
<br />CLD111m07
<br />i0l0112015
<br />106112016
<br />RACHOOCURRENCE $ 1.000,000
<br />GIAIMS-MADE OCCURPROMISE'-5C
<br />EMGES»R —' ••••••••••••••••••••_. .
<br />' Ea occurranca $ 1,000,6GU
<br />FAED EXP IAIfYMe PeMon $ i00,MQ
<br />_...-._.._ __
<br />PERSONAL& AOV IWILRY _ If 1�U,QQU
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />X POLLCY❑J'INT DLOC
<br />GENERALACOREGATE
<br />PRODUCTS-COMP/OP ADD $
<br />$
<br />OTHER;
<br />AUTOMOBILE
<br />LIABILITY
<br />TC2JCAP7440L34A15
<br />(4010112015
<br />10101/2016
<br />SaeBINEDSI E I IT $ 2,OOP,000
<br />SOOIIV INJURY Pae Rerean Is N/A
<br />ANY Al17O
<br />X
<br />.X
<br />ALLOVJNED 'Hk-DOLED
<br />Af1T05 _ FlUTQ19
<br />HIRER AUTOS X AN NED
<br />BODILY INJURY ecelldent) $ NIA
<br />,P nDAWIA6C $ NIA
<br />UMBRELLALIAB
<br />__
<br />OCCUR
<br />, EACHOCCURRENCE $
<br />AGGREGATE $
<br />EXC899 LIAR
<br />CLAIMS -MADE
<br />DEOI RETENTIONS
<br />$
<br />C
<br />B
<br />C
<br />WORKERS COMPENSATION
<br />AND ENIPLOYERS' LIABILITY
<br />ANY PROPRICTCRUPARTNERIEXEOUTIVE ri1N
<br />OPFICSRIMEMBEReXCLUDE04
<br />In NH)
<br />Ifyyrerea,daecribe under
<br />OESORIP➢ON OF OPERATIONS halovn
<br />NIA
<br />TC2,IUEi7440L27115(k09)
<br />TRKUB744AL28215(AZ, MA, OR VPI/
<br />11=874401-33815IOH&WA)
<br />,�
<br />UQ0K LIMIT I$500K SIR""'
<br />1010111015
<br />106112-01&
<br />106120/5
<br />10/0112016
<br />10/0112016
<br />10101/216(Mandatary
<br />X P Rt D"
<br />E.L. EACHACCMENr 9 ��� 1000,000
<br />E.L. DISEASE - EA EMPLOYE II 1,000,000
<br />C.L. DISEASE- POI.IGV LIMIT' $ 1,600,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES pACORO 19 1, AnldltlnnaB Romarka Selradoln, may ba ANhOod If mores "bJ,, , k +`� O '�
<br />RE:AEMA-820J5U CITY OF SAW ACLS DOWNTOWN SAFETY PROGRAM AND DETENTION CENTER .'4.2 +
<br />8EE ATTACI IED
<br />La9tra Cao ROssilli
<br />Assistant City Attow"Y
<br />SANTA ANA POLICE DEPARTMENT
<br />60 CIVIC CENTER PLAZA
<br />SANTA ANA, CA 92702
<br />SHOULD ANY OK THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE 1HEREOF, NOTICE WILL. BE DELIVERED IIN
<br />ACCORDANCE WITH TWE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Alf Marsh USA Ino.
<br />Manashi Mukherlee ...'6.tJ.-wa,cwaR+- .Klw:.cLvtrn,en..
<br />Q 108.2014 ACORD CORPORATION. All (ICIMs
<br />ACORD 25 (2094109) The ACORD Rama and logo are registered marks of ACORD
<br />
|