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6— CERTIFICATE OF LIABILITY INSU�2ANCE DAT9/lT0 16yyy)
<br />�,,,.� � 911312( }I6
<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 N01 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(ies) 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 hostler in lieu of such endozsemenY(s).
<br />PRODUCER
<br />CONTACT rLnd'y .9tA,Ioti, bllChael BCiaeY.T1V O!_ - ' --'ytl Ca. =_t:aoon
<br />NAME -
<br />Marsh USA Inc. �` 1 ��jj
<br />It 66 Avenue of the Americas A' ly " I `t
<br />PHONE -- FAX -"
<br />°7 r ^map -oL _
<br />.Ci�
<br />New York, NY i 0036
<br />E'MA�°
<br />,ADDRESS. Pl as s botton 2nd pages
<br />- - —
<br />INSURER(S) AFFORDING COVERAGE NAIL tI
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<br />INSURER A: ACE American Insurance Company .22 687
<br />INSURED
<br />INSURER B: ACE Fire Underwriters Insurance Company 20702
<br />SlmplextEdnneil LP
<br />_
<br />INSURER C: Indemnity Insurance Company of North Amelia ! 43375
<br />12728 Shoemaker Avenue
<br />_
<br />Santa Fe Springs, CA 90670
<br />United States
<br />1
<br />■ri*V� ea"1manbll nJlydws --�
<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
<br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
<br />WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PER-FAIN, 'THE INSURANCE AFFORDED BY
<br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
<br />THE I "ERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED SY PAID CLAIMS.
<br />"INSRI AD01 (SUGRr
<br />I TYPE OF INSURANCE IIh oT!y� POLICY NUM13C2
<br />POLICY Eff RYUCYEx -p
<br />LIMITB
<br />--
<br />�R _ ... -��
<br />Mt11D0lYYVV)IfhiM100lVYYYj
<br />A COMMERCIAL GENERAL UAaIUTY X X HDO 077400358
<br />�10 02016 IS
<br />lit
<br />1,000,000 or)
<br />._0
<br />I-
<br />CLAIAIShIAOE (X� OCCUR
<br />1101/20'15
<br />T ThTACF TGRIENrE
<br />NCM I'LD
<br />ISES(EOn
<br />$t 000.00000
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<br />;PREb sec
<br />I OWNERS &CONTRACTORSPRUT
<br />uR 1 a
<br />x10000.00
<br />"h.D�XP(Ayor
<br />X'�RRCF °SoIGNAL LIA611,I,Y
<br />., �P R ONAL&AD INJURY S
<br />J'
<br />$10010,00090
<br />r'ENL AGGRLCA 'E LIMIT APPLIES PER
<br />G NERALAGGR'G1TIS S
<br />82000.000.00
<br />X POLICY _ PRO LOC j
<br />(PRODUCTS- COMPOP AC @liS
<br />$2000,00000
<br />OTHER:
<br />AUTOMOEILE LIABILITY
<br />A X X -ISA 1109859905 {Excluders NHj
<br />t UMEI9 D TIN L LIMIT
<br />10!112015 I'10!'It2016
<br />3
<br />S 000,080.00
<br />A APY AJTO S
<br />1 11011/2015 1011J2016 BODILY INJURY (epe
<br />�5
<br />ALL OWNED I SCI lEDULED i
<br />AUTO: ulos
<br />BOOM lIWIJRYIPe 301 0
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<br />X X NON "CKIAED
<br />_
<br />PROP RTY 67UJA( E
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<br />HIRED FUrO ALTJS
<br />I
<br />! NEW HAMPSHIRE(CSL
<br />9
<br />$250p0c.00
<br />UMaftFLf ALIAN I bf CIJR
<br />EACH LCOUHRETlC
<br />� S
<br />EXCESS LIAR T ICI AIYL 4if pE
<br />AGGREGATr PRODUCT
<br />S
<br />- QED RETENTION'a
<br />- NEW HAi410.5 HIRE (CSL)
<br />-
<br />g
<br />WORKER'
<br />A AND EMPLOYERV UASIUTY X WLR 098592284 (A/ CA, MA)
<br />A P OTH
<br />10'1/2015 1011!2018 STATUT ER
<br />B ANYP ROPRiETOR,PARTr4ER/EXEt "UTIVE YIN $(FC 48592296 WI)
<br />__.
<br />�10 11/2015 1011/2018 EL EAI,HA GIRb If
<br />�S
<br />82,000,0(70.00
<br />C 0FICEPATEMBERAXCLUDFOP N�NIA,, WILE C48592272(AII Other States)
<br />IIMentlotor9lnNH) '�.
<br />110/1/2019 x1011/2,018 - --
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<br />—
<br />FL DISEASE - EA E4 LOYE,jS
<br />...
<br />S2.000 000,00
<br />I I, iasmbr, ender
<br />DESCRIPTION OF OPERATIONS BeIOw I
<br />,.
<br />I POLICY
<br />..
<br />Ys
<br />—
<br />32,000,600.00
<br />MIbi(T
<br />pF..SCnIPTION OF OPERATIONS !LOCATIONS!VEI IICi.ES IACORD iO I. Addifinlral ROmarks Sctretluiv. may Ue attavLeU ltm6e'#
<br />®
<br />P. T., X -f -1:0 attached A' 4D _0 fm: fart 0mazks.
<br />69 111,(4 /cf
<br />SANTA APIA POLICE DEPARTMENT
<br />60 CIVIC CENTER PLAZA
<br />SANTA ANA, 92710
<br />United States
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHOP17CU REPRESENTATIVE
<br />CnacnaATITIN AU,e.tarcrn��.,,od
<br />ACORD 25 (2014/01) 1 h ACORD name and logo are registered marks of ACORD
<br />
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