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4cZa CERTIFICATE OF LIABILITY INSURANCE <br />11 <br />0113/2010"""' <br />PRODUCER <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />MARSH USA INC: - <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />99 HIGH STREET <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />POLICY EXPIRATION <br />DATE(MMIODMYp <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(Phone: 617-385-0200) <br />GENERAL LIABILITY <br />- <br />(Fax: 617-385-0344) <br />EACH OCCURRENCE 1 000,000 <br />107450 -All -09-10 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED STRATUS TECHNOLOGIES <br />INSURERA: Federal Insurance Company <br />120281 <br />INSURER R Vigilant Insurance Company <br />20397 <br />BERMUDA HOLDINGS LTD. <br />CHRISTINE LEE <br />111 POWDERMILL ROAD <br />INSURER c Great Northern Insurance Company <br />P Y <br />20303 <br />MAYNARD, MA 01754 - <br />INSURER o: <br />INSURER E. <br />COVERAGES 13 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />INS <br />LTR <br />ADD' TYPE OF INSURANCE <br />NSR <br />POLICY NUMBER <br />POUCYEFFECTIVE <br />DATE(MMIDDIYYYY) <br />POLICY EXPIRATION <br />DATE(MMIODMYp <br />LIMITS <br />Santa Ana, CA 92707 <br />GENERAL LIABILITY <br />- <br />AUTHOR= REPRESENTATIVE <br />EACH OCCURRENCE 1 000,000 <br />PREMISEBEaAMAGE TO occurrence $ 1,000,000 <br />Edward R Ford <br />X COMMERCIAL GENERAL LIABILITY <br />- <br />MED EXP (Any one person) $ 10,000 <br />B <br />CLAIMS MADEX❑ OCCUR <br />35387363 <br />12/01/2009 <br />12/01/2010 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ .2,000,000 <br />GENERAL AGGREGATELIMIT APPLIES PER <br />X POLICY PEpT LOC <br />PRODUCTS - COMPIOP AG $ 2000000 <br />AUTOMOBILE <br />)( <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT $ .1,000,000 <br />(SIR accident) <br />A <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />73265218 <br />12/01/2009 <br />12/01/2010 <br />BODILY INJURY $ <br />(Per person) <br />BODI LYINJURY $ <br />X <br />HIRED AUTOS <br />X <br />NON-OWNEDAUTOS <br />(Peraccldent) <br />PROPERTY DAMAGE <br />(Per accident) $ <br />X <br />PHYSICAL DAMAGE <br />MP & COLL $500 <br />X <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENTS <br />ANY AUTO <br />OTHER THAN EAACC $ <br />- <br />AUTO ONLY: AGO $ <br />EXCESS I UMBRELLA LIABILITY <br />EACH OCCURRENCE Is <br />OCCUR CLAIMS MADE <br />AGGREGATE Is <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />STATU- OTH- <br />is ER <br />X PK <br />C <br />EMPLOYERS' UABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />71655229 <br />12/01/2009 <br />12/01/2010 <br />. L. EACH—ACCIDENT $ 1,000,000 <br />L. DIBEASE- EA EMPLOYEE $ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />�. <br />(Mandatory in NH) If yes, describe under <br />SPECIAL PROVISIONS below <br />L. DISEASE - POLICY LIMIT $ 1,000,000 <br />OTHER <br />B <br />ERROR &.OMISSIONS <br />35387363 <br />12/01/2009 <br />12/01/2010 <br />PER CLAIM/AGGREGATE 10,000,000 <br />CLAIMS MADE POLICY <br />Deductible (PER CLAIM) 100,000 <br />R Q'u,VORM.980 <br />DESCRIPTION OF OPERATIONS!LOCATIONSNEHICLESIE%CWSIONS ADDED BV ENDORSEMENTISPECIAL PROVISION <br />M -r <br />oseph Straka <br />Assistant City Attorney <br />CERTIFICATE HOLDER NYC -003909089-24 CANCELLATION <br />ACORD 25(2009/01) ©1998-2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD _ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Attn: Lori Smith, Administrative Chief/Fire Marshall <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Santa Ana Fire Department <br />1439 S. Broadway — <br />BUT FAILURE TO. DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br />Santa Ana, CA 92707 <br />UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHOR= REPRESENTATIVE <br />of Marsh USA Inc. <br />Edward R Ford <br />ACORD 25(2009/01) ©1998-2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD _ <br />