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A CO I RE III r � CERTIFICATE OF LIABILITY INSURANCE D ATE 06001 IDDIYYYY) aslzo;zol THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marsh USA, Inc. NAME: Two Alliance Center PH C N o x AM No 3560 Lenox Road, Suite 2400 E-MAIL Atlanta, GA 30326 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 100192- 5umb -1 U12 INSURER A : Sompo Japan Insurance Company Of America 11126 INSURED INSURER B : YOKOGAWA CORPORATION OF AMERICA 2 DART ROAD INSURER C : NEWNAN, GA 30265 -1094 INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: ATL-002785872 -03 REVI SION NUMBER:5 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSI AND C ONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY BEEN REDUCED BY PAID CLAIMS. INSR 'ADDL SUBR!• - - -- POLICY EFF POLICY EXP ' LTR TYPE OF INSURANCE PO NUMBER MMIDD MMIDDIYYYY LIMITS A GENERAL LIABILITY X CPL31G47 0 0410112012 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL �L�IABILITY I DAMAGE TO RENTED 1,000,000 n y APPROV D O FO PREMISES Ea occurrence $ CLAIMS -MADE u OCCUR IVIED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 10 PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY PRO X LOC Usk a er $ :Cf A AUTOMOBILE LIABILITY X ACV30069 112011 0410112012 COMBINED SINGLE LIMIT 1,000,000 F Ea accident X ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY (Per accident) $ X HIREDAUTOS X AUTOS (Per Perry cidentDAMAGE $ ICOMPDED $ 1,000 A X UMBRELLA LIAR X OCCUR CPU30248WO 04/0112011 0410112012 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED ' X RETENTIONS 10,000 $ A WORKERS COMPENSATION WCN302725ZO (WI) 0410112011 0410112012 X WC STATU I X OTH AND EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCD30122W0 (ADS) 0410112011 0410112012 1,000,000 OFFICERIMEMBER EXCLUDED? N/A E.L. EACH ACCIDENT $ (Mandatory In NH) E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 . DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Ci ty of Riverside is included as an additional insured (except under Workers Compensation) to the extent of Yokogawa Corporation of America's liability assumed under a written contract subject to the policy terns a nd conditions. CERTIFICATE HOLDER CANCELLATION City of Riverside SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn Jim Perez Utilities Resources Analyst THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1700 Railroad St ACCORDANCE WITH THE POLICY PROVISIONS. Corona, CA 92880 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Walter Gilstrap 11/w td d iG.y ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD