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<br />MARSH
<br />
<br />CERTIFICATE OF INSURANCE
<br />
<br />CERTIFICATE NUMBER
<br />
<br />NYC-002669902-01
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
<br />POLICY THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
<br />AFFORDED BY THE POUCIES DESCRIBED HEREIN.
<br />
<br />PRODUCER
<br />. MARSH USA INC.
<br />200 CLARENDON STREET
<br />BOSTON, MA 02116
<br />
<br />MGE UPS SYSTEMS, INC.
<br />1660 SCENIC AVENUE
<br />COSTA MESA, CA 92626
<br />
<br />A - JOM-O/ 9
<br />A - J.0611 -(jJ 9- 0/
<br />-oJ..
<br />- OJ
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />99713-APCC--07/07
<br />
<br />COMPANY
<br />A VIGILANT INSURANCE COMPANY
<br />
<br />INSURED
<br />
<br />(,
<br />
<br />f'
<br />
<br />COMPANY
<br />B GREAT NORTHERN INSURANCE COMPANY
<br />
<br />I(
<br />
<br />f(
<br />
<br />COMPANY
<br />C WAUSAU BUSINESS INSURANCE COMPANY
<br />
<br />I
<br />I
<br />
<br />COMPANY
<br />D NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
<br />
<br />COVERAGES This certifICate supersedes and-replaces any previOlJs~yj~uedcediflcl1te_fo'r:thepolicy_pertod-noted below. 1
<br />THIS 15 TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLlCY PERIOD INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
<br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />Cr~ I ~PE OF INSURANCE l
<br />
<br />! GENERAL LIABILITY !
<br />A ~MMERCIAL GENERAL LIABILITY 13531-48-45
<br />
<br />~ CLAIMS MADE [I] OCCUR I
<br />~ ,OWNER'S & CONTRACTOR'S PROT
<br />~.sIF, .
<br />, I
<br />AUTOMOBILE LIABILITY
<br />-,
<br />B ~ ANY AUTO
<br />l_ ALL OWNED AUTOS
<br />~ SCHEDULED AUTOS
<br />_ HIRED AUTOS
<br />NON.OWNED AUTOS
<br />X PHYSICAL DAMAGE
<br />X OMP & COLL $1 ,000
<br />
<br />C
<br />
<br />WCK-Z91-439161-016
<br />
<br />10/01/06
<br />
<br />10/01/07
<br />
<br /> LIMITS
<br />~~L AGGREGATE $ 4,000,000
<br />PRODUCTS - COMPIOP AGG $ 4,000,000
<br />PERSONA.~ & ADV INJURY $ 2,000,000
<br />EACH OCCURRENCE $ 2,000,000
<br />~.IRE DAMAGE (Anyone firtll $ 1,000,000
<br />MED EXP (Anv one nersonl $ 10,000
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br /> .-
<br />BODILY INJURY $
<br />(per person)
<br />BODILY INJURY $
<br />(per accident)
<br />PROPERTY DAMAGE $
<br />AUTOONLY-EAACCIDENT i $
<br />OTH~~ THAN ,AUTO ~.
<br /> EACH ~CIDENT $
<br /> AGGREGATE ! $
<br />EACH OCCURRENCE $ 5,000,000
<br />AGGREGATE ,$ 5,000,000
<br /> -
<br /> $
<br />X ...v;!..';:,;?,I~TU- I OJ,\"
<br />TORY L1MITS_
<br />EL EACH ACCIDENT $ 1,000.000
<br />EL DISEASE.POLlCY LIMIT ,$ 1,000,000
<br />EL DISEASE-EACH EMPLOyEE $ 1,000,000
<br />
<br />POliCY NUMBER
<br />
<br />06/01/07
<br />
<br />7320-34-35
<br />
<br />106/01/07
<br />
<br />I
<br />I
<br />
<br />07/01/07
<br />
<br />GARAGE LIABILITY
<br />-
<br />_ ANY AUTO
<br />
<br />-_.'
<br />
<br />EXCESS LIABILITY
<br />
<br />o ~ UMBRELLA FORM
<br />: OTHER THAN UMBRELLA FORM
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />
<br />4485537
<br />
<br />06/01/07
<br />
<br />1
<br />07/01/07
<br />
<br />1 THE PROPRIETOR!
<br />. PARTNERS/EXECUTIVE
<br />i OFFICERS ARE:
<br />IU'H<.
<br />
<br />~INCL
<br />I : EXCL
<br />
<br />"
<br />",..
<br />
<br />,?O'vSD A TO FORM
<br />
<br />- --, /' Lu
<br />I _ 7:Y--. vFr Lef C (cfyI'-r ,'"'717 '
<br /><..p;?)~ !" iCer ,y /C.vc> /r1b~v \
<br />
<br />C oK {lUll;'';
<br />
<br />DESCRIPTION OF OPERATIONS/LOCATIONSrvEHICLES/SPECIAL ITEMS
<br />
<br />.-.-.
<br />"~-1-'-'-"'i~;'-; :'l!,i~ S:.....;.;J/
<br />
<br />1\ 3.,..~W,1L (:ity AttOf:1CY
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />City of Santa Ana
<br />Attn: Clerk of the City Council
<br />Civic Center Plaza, M-30 P.O. Box 1988
<br />Santa Ana, CA 92702-1988
<br />
<br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION D,l,TE THEREOF,
<br />THE INSURER AFFORDING COVERAGE 'MLL ENDEAVOR TO MAIL ----30 DAYS WRITTEN NOTICE TO THE
<br />CERTIFICATE HOLDER NAMED HEREI\I, BUT FAILURE TO MAIL SUCH NOTICE Sf-'ALL IMPOSE NO OBlIGAT100 OR
<br />LIABILrTY OF ANY KINO UPOO THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES, OR THE
<br />
<br />ISSUER OFTHIS CERTIFICATE
<br />MARSH USA INC.
<br />BY: Edward R Ford
<br />MM1 (3102)
<br />
<br />~7?~
<br />
<br />VAUD AS OF: 06/27/07
<br />
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