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05/,13/2004 07:32 FAX 626 913 7923 SERVICE DEPT <br />Z 002 <br />Y•�'� - CERTIFICATE NUMBER <br />MARSH C�RTIF Cr4 E OIF tt SUFiANEE:, <br />.' NYc•00197162e02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY All CONFERS <br />Marsh USA, Inc. NO RI "UPON THE CERTIFICATE HOLDER OTHER THAN NOSE PROVIDED IN THE <br />1166 Avenue of Americas POUCY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />New York, NY 10036 aFFOME08Y THE POLICIES DESCRIBED HEREIN. <br />COMPANIES AFFORDING COVERAGE <br />cOMPAJvr <br />20725•-CASUA-04-05 COIND A AMERICAN HOME ASSURANCE COMPANY <br />INSURED COMPANY <br />SOUTHERN CALIFORNIA TRANE SERVICES B TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />DIY. OF AMERICAN STANDARD <br />17760 ROW LAND STREET COMPANY <br />CITY OF INDUSTRY, CA 91748 C THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br />PANY <br />k ^a003- 1. AND THE TRAVELERS INDEMNITY COMPANY <br />COVERAGES This GerDflcate supersedes anC4eplacea ar y-preeously issued certlflcElte fQ� the pO icypedod rested below. 8 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED 14AMED HEREIN FOR THE POLCY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WM RESPECT TO'WHICH ➢!E CERTIFICATE MAYBE ISSCED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES CESCRIBED HEREIN IS 9013:ECT TO ALL THE TERNS. CONDITICNS AND EXCLUSIONS OF SUCH POUCIES. AGGREOATE <br />LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTAco <br />TYPE Di INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (NWDDRI) <br />POLICY EXPIRATIONi <br />DATE(MMICONY) <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />'GL 3596230 04/0 <br />VO4 <br />04,'01/05 <br />C-NEPA'-AGGREGA= <br />S 5,000,000 <br />PRODUCTS - COMNOP AGO <br />S 12,000,000 <br />X <br />COMMERCIA- GENERAL LIABILITY <br />CLAIMS MADE Ixj OCCUR <br />PERSONAL S ADV INJURY <br />$ 2.000,000 <br />EACH OCCURRENCE <br />E 2,00010OO <br />OWNER'S S CONTRACTOR'S PROT <br />FIRS DAMAGE (my ore Sa <br />Is 2,000,000 <br />E <br />s 5.000 <br />B <br />oL1000E Uae LI <br />TC2JCAP-164T8811-04 ADS O4101104 <br />i 04/01/OS <br />-MEDUPIA,DrE <br />COMBINED SINGLE LIM.T <br />$ 5,000,000 <br />f <br />�—T <br />ANY AUTO <br />ALL OWNED AUTCS <br />SCHECULEOAUTOS <br />TC2ECAP-165T3600-04 TX 04/01/04 <br />i 04/01/05 <br />BODILY INJURY <br />(PErpenu( <br />I$ <br />EDGILY INJURY <br />(?e uGOxtl; <br />$ <br />HIREDAUiCS <br />NON.OW,%EDA'JTOS <br />PROPERTY DAMAGE <br />Is <br />GARAGE <br />LIABILITY <br />��, <br />/ <br />_ <br />AUTO ONLY - EA ACCIDENT <br />IS <br />ANY AUTO <br />�.� <br />' <br />//' . <br />YEACH <br />I./ <br />OTHER THAN AUTO ONLY. <br />AGCIDEe4r <br />_ <br />I $ <br />dOGREGATE <br />$ <br />E%CES$LIABILITY <br />I <br />EACHOCCURRENCE <br />$ <br />A03REGA'E <br />$ <br />LMBRE-LA FORM <br />I $ <br />OTHER THAN'JMBRELLA FORV <br />D <br />B <br />WORKEEMPLOY SC LIASIL A NANO <br />ERIPLOYER9'LIABILITY <br />TC2KUB-204T6834-04 04/01104 <br />ITRJUB-169T4514-04 04/01/04 <br />I04/01/05 <br />104/01/0$ <br />X V0IS-A �R-1_ <br />EL EACHACC.DEHT <br />$ 2000,000 <br />EL DISFASE.PouCY UMr <br />5 2,000,000 <br />E <br />THE PRCPRIETCw INCL <br />PART`IERSIEXECUTVE <br />OFF'.DERS ARE: EXCL <br />ITC2HUB-218TI417-04 04/01/04 <br />104/01/05 <br />EL CISEASEFACR EMPLOYEE S 2,000,000 <br />0 HER <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEXICLESISPECIAL ITEMS <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSURED, BUT ONLY <br />TO THE EXTENT OF THE NAMED INSURED'S NEGLIGENCE. A WAIVER OF SUBROGATION TO THE: EXTENT OF TRANE'S NEGLIGENCE IS <br />EXTENDED TO THE ADDITIONAL INSUREDS. <br />CERTIFICATE HOLDER F '- <br />SHOULD AA. C' i aOLGE!3 CES2413:O H 2N BE CA.VCELEC a-°CRE `r E%:IRA'CN DATE THERE:F. <br />THE NIVAER MF03CNO COVERHi? wIA Estrus NAL An DAYS WRITTEN NOTICE TO T!E <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />CERTFGA- H-.ADER HAWED HIPS it <br />P.O. BOX 1988 <br />D%BR17XE%A"XNCX�K6 . <br />SANTA ANA, CA 92702 <br />NEEEA#tl%MX%XXNMW1SX704%%J00 <br />MARSH USA INC. <br />BY: Robert A. Mauaro )p+r--�`4•�`�yy-v <br />-- - 14 y _ <br />MMT(3/02) : , `,, r-.: � VALID AS OF; 05104/04 .. ... <br />