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ERTIFICATE NUMBER MARSH CERTIFICATE OF`INSURANCE YC-01971628-0 NYC-001971628-02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA, Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 1166 Avenue of Americas POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE New York, NY 10036 AFFORDED BYTHE POLICIES DESCRIBED HEREIN. _ COMPANIES AFFORDING COVERAGE _ COMPANY 20725--CASUA-04-05 COIND A AMERICAN HOME ASSURANCE COMPANY INSURED COMPANY SOUTHERN CALIFORNIA TRANE SERVICES B TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA DIV. OF AMERICAN STANDARD - 17760 ROWLAND STREET COMPANY CITY OF INDUSTRY, CA 91748 C THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT •' — Ol/,'T COMPANY J a�� / il�� D THE TRAVELERS INDEMNITY COMPANY COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 6 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DDIYY) POLICY EXPIRATION DATE(MMIOD/YY) LIMITS A GENERAL LIABILITY GL 3598230 04/01/04 04/01/05 GENERAL AGGREGATE $ 5,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 12,000.000 CLAIMS MADE OCCUR PERSONAL B ADV INJURY $ 2,000,000 EACH OCCURRENCE $ 2,000,000 OWNER'S&CONTRACTOR'S PROT FIRE DAMAGE (Any one fire( $ 2.000,000 MED EXP (Any oneperson) $ 5,000 B AUTOMOBILE LIABILITY TC2JCAP-164T8811-04 AIDS 04/01/04 04/01/05 COMBINED SINGLE LIMIT $ 5,000,000 X C ANY AUTO TC2ECAP-165T3600-04 TX 04/01/04 04/01/05 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY'- (Per acciOent) $ HIRED AUTOS I NON OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO - - (- / AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ _ AGGREGATE $ ( EXCESSLIASILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TC2KUB-204T6834-04 TRJUB-169174514-04 04/01/04 04/01/04 04/01/05 04/01/05 X I TORY LIMITS ER EL EACH ACCIDENT $ 2,000,000 EL DISEASE -POLICY LIMIT $ 2,000,000 E THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCLI TC21HUB-218T1417-04 04/01/04 04/01/05 EL DISEASE -EACH EMPLOYEE $ 2,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSURED, BUT ONLY TO THE EXTENT OF THE NAMED INSURED'S NEGLIGENCE. A WAIVER OF SUBROGATION TO THE EXTENT OF TRANE'S NEGLIGENCE IS EXTENDED TO THE ADDITIONAL INSUREDS. CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE INSURER AFFORDING COVERAGE WILL EA66KW*6 MAIL.10. DAYS WRITTEN NOTICE TO THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA CERTIFICATE HOLDER NAMED HEREIN, �Df}�ML�NXLYAIY.X'&ii}ILIXi(L�iJX1X�1iE(XLX�Wf�`11x'il! P.O. BOX 1988 &'%%NIr+X%bKXN>XNK�N%�MXAtkkN»XMiN�Xna�afA'N'xkkKNlbrdlM%Gn+vE6tY�0(1IYEU(M/UtwE SANTA ANA, CA 92702 Xygp�AciyXMJGya;.XpwklriXltl�Yxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx MARSH USA INC. BY: Robert A. Ma=aro MM1(3/02) VALID AS OF: 05/04/04 /WY