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<br />Jun <br /> <br />12 06 09: 18a <br />06/08/.306 19:17 <br />. Marsh, Inc. <br /> <br />Cit~ of Santa Ana <br />1714558662b <br />6/B/2006 11:17 AM <br /> <br />PWA <br />WMOC <br />PAGE <br /> <br />714-647-5069 <br /> <br />2/002 <br /> <br />Eastern Time <br /> <br />PAGE <br />Zone <br /> <br /> <br />I'RQoucn <br />Maf!h USA lno, <br />tOOOMlln SIr... Sutte 3ODO <br />Houlton, TX 71002 <br /> <br />CER...ic.n-~~.~~" -I <br />U_075-_Of>'j <br />TNla ~"'1I18a18l.1I ....Ainu OF llilFOII'I1l.1KIN aN.., .0 CDN~t:ltll <br />NO IttIIHTll.POII11U C9ltFlCA1& Ma.Il~ OlllEIPltM 'TMotrPIIOVIO~ II THE <br />_l.JC'I. ""II calt"'-fIIlA11! DOE. NUT MiIfD, eXlilllO .... it. 1I.R Ylfli COVERAGE <br />."OIl:Oal tit lNl 'OUCEI DE-.D ....m. <br />COMf'ANtEa A"ORDlNG COVlftAOE "-'-i' <br />otJ.lP~v <br />A AMERICAN INlERNATfONAL SPECIALTY LINES INS CO <br />I <br />I <br />I <br />i <br />I <br />..~ <br /> <br />I .1Of2O.fJLl.Q8.Q8 <br /> <br />......" <br /> <br />"'''''''' <br />. <br /> <br />WASTE MANAG~t::l\n INC. <br />ANa 'MSTE MANAGEMENT OF <br />ORANGE COUNlY <br />1800 s. GRAND AVENuE <br />SANTA ANA, CA 92705 <br /> <br />~ -;).0010- D71 <br /> <br />C<N>"" <br />C <br /> <br />C04P~Y <br />D <br /> <br />,. . . . " .., <br />TNlS IS TO CEiTIFY THAT POJaE,!I OF '~NWQ! 0E8tRBI!:J HEREIN I-!"~ !!!!N lSllJE) TO tHe iNSJREO NoIt.4Eb IiERElN FOIl: TI-lE Po. Ie,. PE~IOO ,lo;O!rj.,TEn <br />NOfWTJ.lSl'ANL"ll1llG 1N'f IVCO'~~T, "."'" ~ lIOI\IDlTIQ\I <F AIftOON'TltN;r Of'{ 0111Bt OQQ.J1E~T'N'tH JtE51'fCf TOIM-tICH HiE a:R1l~1~ MAV@E\53Jl!OOR r.t^V <br />IlIiIIIITAlN, 1HEI"SJr;t~ ~BVlHE POUOl!9~!!m~ER8NISS\.!UCTTO ~L 'JI-lEleRMS; CONOITtO\lSA.'\lOexa.usa.S (F SJQ-!POlI~9 AOOIlMA't!: <br />~IM1TS9-lOYM MAY l-IA~ eEE,1l rtmu~OAv P.ND a.AlM$ <br /> <br />co <br />". <br /> <br /> <br />. <br /> <br />iJOtICrt'I!FFEC'IWE <br />l)All"."'MY. <br /> <br />lYPli OFl".LJIt....Cl <br /> <br />"OUCVIlJlIiIEIt <br /> <br />'1M'" <br /> <br />lIEIIERALUMIl.ITV <br />OOMMF.ROo\. Gl!:NIItI,L UMk.1TY <br />a.~MSlMKlF 0 occ.Jll: ' <br />(MN=,,o{~ & CO\JTll:ACT~'SPROf <br /> <br />GE'N~AL h3G'leGATE <br />_~ooucr8-COfl1,w Aoo. . j _'___...... <br />""fItIInN~...KWI~.uIt"- i!--.--- <br />eAOl ClCQ)l;IR~~ ~ _ ..._ <br />FIRE O~AGf If. G'II)~ $ "____" <br />$ <br />. <br /> <br />I <br />I <br />I <br />, <br />I <br />_.1 <br />I <br />1 <br />I <br />I <br />I <br />I <br />:I <br />, <br />i <br />I <br />--. j <br />1 <br />[ <br />_c"'.-'..','_',,-, <br />. "\2~~'1 <br /> <br />AUTo.GH.E l <br />., <br />i A\lV1.lITO <br />J ,/Ill ~DAlifOS <br />i 800\F1)lIl!O"-'UTQS <br />I! HI!~EDJtiTo" <br />~()I"<MIIreO AUTOS <br /> <br />,Ml!!Dl'!)(P <br /> <br />"'..- <br /> <br />no <br /> <br />C(H!II"-IED3NOU!' LIMIT <br /> <br />I~Ol.YIJ\l.lJ!tv <br />~p.,.tD\; <br />1 ",,,,y,"- <br />....-, <br /> <br />~01'ERlY O.....MGE <br /> <br />. <br /> <br />" <br /> <br />!. <br /> <br />iOAItMEL.....'1Y <br />L H4VAl.ITO <br />f-- <br /> <br />J\JTOQNLY.EAACCDfNT $ <br />arfiERThM.IiLlTOONLV <br />__EiAQIACCIIlIH'lT <br /> <br />. <br />I <br />$ <br />$ <br />$ <br /> <br />I Elltf.llaU.....llV <br />HlJMlItEU.AFOW <br />, ,OTHEMlHNliUM!lIlIEl~"'FORM <br />..., <br />QlPlOYtltrlMllln" <br /> <br />AGG~6G"'TE <br />E~QCCu;IREJ\lCl" <br />AOOlt~~__ <br /> <br /> <br />,ru. <br />t YUI/l!TS <br />ELEA{}IM:QOBIfT . <br />!';l OlSfASE.paJcr.~~~,'T <br />~L DISiJUlit-E,I<O,-i eMPLO'I'EE1 $ <br />E8dlll'lCident <br />A... <br />is Excesslhe SIR <br />SelflrUlu~R.t1on Wlml <br /> <br />A <br /> <br />T,"<' ~OF'Q;~ORI <br />PAIl:1NEH:SEll1:Wll\lE <br />O'f'ICSl,SME <br />PUlulioo <br />l<g>olUob"'V <br /> <br />qlNo. <br />.,.<> <br /> <br />IV,WLI,uool <br />10,000000 <br />; <br /> <br />PLS'_ <br /> <br />01101108 <br /> <br />Ql101/08 <br /> <br />5 000 JOel <br />-i <br />I <br /> <br />OESCRI'TIafI OF at 1Il0C411OltarCItM:lE'/ftClALI II. <br />Th", Cty, lt8afloers, agenlallnd4l1lllployeH are InQuledellddtlanal inIllredwnere r1IlJIlredbywnllen aanlradbW: Dnly for hebUty arilling olltoffhe <br />OJ*ation. otthe Naned IfI..red. <br /> <br />City ofS"'1a Ana <br />20 Civic Center PI.a <br />PO BID{ 1988 <br />Santa Ana, CA 92701 <br /> <br />I <br />."_ ~, :."F~.~x~:~;l <br />8tCU.I) "'!(y(lll' T""O"ICIIiI DfURIIEQ Hl!IIEIN U CANCal!l>'!~OII.I! THI' EIrI'''''''ll<IN''''T! ~~HJO-l <br />n.II! -...n _0'l0uG_"". ....,< fHJelWao. TO MIll ----311 O"''l'S v..t1'lTE'N NOfiCt T(' 71<." l <br />C8lT1"ICM~HCtOEll.WolIU I1ERmH 1U'f~1Ul~!ro~ll QJ(:HNalICl; ......lM'O. NOOlIlIM~"'o. I <br />lJ"'IUjf"(Ill_II:ItiO"OIoI~INalIl""'_ORl)MQ(:(J,ISlMll! ~ACWn'SO"''''_~lI!_TM~ ()". ,,.., i <br /> <br /> <br />'_Ol<1H'~T!l <br />8H1lI.....li. <br /> <br />..-----.1 <br />~ 1 <br />ymD'iiOf~-x,-,~~". j <br /> <br /> <br />/ ..-1 <br />, ./C) .... <br />/' ;/'Y_r <br />t / - <br /> <br />7' <br /> <br />p.3 <br /> <br />02/02 <br /> <br />; <br />, <br />i <br />I <br />i <br />._, <br />