2013-464 EMS - Physio-Control Inc for Defibrillator Service and Maintenance $5,327

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A`°R°® CERTIFICATE OF LIABILITY INSURANCE DATE 12013 NVYY) 09/27/2013 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: 1301 5th Avenue,Suite 1900 (A/C,NN Ext: A/C No): Seattle,WA 98101 E-MAIL Attn:Seattle,CertRequest @marsh.com I F:212-948-4326 ADDRESS: INSURER 5 AFFORDING COVERAGE NAIC# 184424-IS5-CAS-13-14 INSURER A:Valley Forge Insurance Co 20508 INSURED National Fire Insurance Cc Of Hartford 20478 Physio-Control International,Inc. INSURER B Physio-Control,Inc, INSURER C: N/A N/A 11811 Willows Road NE INSURER D Redmond,WA 98052 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002432364-01 REVISION NUMBER:2 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rCOMMERCIAL F INSURANCE ADDL SUBR POLICY NUMBER MMIDDM/YY MM DD/YYYY LIMITS 4030507381 05/01/2013 05/01/2014 EACH OCCURRENCE $ 1'000' 0 DAMA E TO RENTED 1,000,000 GENERAL LIABILITY PREMISES Ea occurrenc e $ADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ EXCLUDED X POLICY 7 PRO- LOC I $ B AUTOMOBILE LIABILITY 4029265138(AOS) 05/01/2013 05/01/2014 COMBINED SINGLE LIMIT 1,000,000 Ea accident $ B X ANY AUTO 4029265172(MA) 0510112013 05101/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident COMP/COLL DIED. $ 1,000 � UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ .DED RETENTION$ $ B WORKERS COMPENSATION 4030507378(AOS) 05/01/2013 05/01/2014 X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN 4030507364( )CA 05101/2013 05/01/2014 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/p` 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured status applies only if it is reflected in your written contract. CERTIFICATE HOLDER CANCELLATION Orange County Emergency Medical Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Chris Pope THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 510 Meadowland Dr. ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Cheryl Bermudez @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD