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,. ....,.,. . _ I.l �GN IKMb UKY Z012 <br />— �I <br />CERTIFICATE NUMBER <br />NYC-001971628-05 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS <br />Marsh USA Ina, <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />1166 Avenue of Americas <br />POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />NEW York, NY 10036 <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />D20725-.CASUA-05-06 <br />A AMERICAN HOME ASSURANCE COMPANY <br />INSURED COMPANY <br />SOUTHERN CALIFORNIA TRAIVE SERVICES B TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />DIV. OF AMERICAN STANDARD <br />17760 ROWLAND STREET COMPANY <br />CITY OF INDUSTRY, CA 91748 C THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br />COMPANY <br />D THE TRAVELERS INDEMNITY COMPANY <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY 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 NAVE BEEN REDUCED BY PAID CLAIMS, <br />NSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE(MMIDDNY) <br />POLICY EXPIRATION <br />DATE IMMIDONY) <br />LIMITS <br />GL. 382 91 90 <br />04/01/OS <br />04/01/06 <br />GENERALAGGREGATE <br />$ 5,000,000 <br />PRODUCTS-COMPMP AGG <br />$ 12,000.000 <br />yGENE"LMWUW <br />GENERAL LIABILI Y <br />ADE LAOCCURPERSONALS <br />ACV INJURY <br />$ 2000000NTRACTOR'S <br />PROT <br />EACH OCCURRENCE <br />$ 2,000,000 <br />FIRE DAMAGE (Any WE fire) <br />$ 2,D0D,000 <br />MED EXP one aeon <br />$ 25.000 <br />8 <br />AUTOMOBILE LABILITY <br />TC2JCAP-164T8811-05 ADS <br />04/01/05 <br />04/01/06 <br />COMBINED SINGLE LIMIT <br />$ 5,000,000 <br />C <br />X ANYAUTO <br />TC2ECAP-165T3600-05 TX <br />04/01/05 <br />04/01/06 <br />BODILY INJURY <br />(Per NS.c ) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(For �uGeM) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />$ <br />GARAGE LABILITY <br />AUTO ONLY - FA ACCIDENT <br />$ <br />OTHER THAN AUTO OHNY' <br />ANY AUTO <br />EACH ACCIDENT <br />$ <br />AGGREGATE <br />$ <br />EXCESS <br />LIABILITY <br />EACH OCGURREN_C_E__ <br />$ <br />AGGREGATE <br />$ <br />UMBRELLA FORM <br />$ <br />OTHER THAN UMBRELLA FDRM <br />D <br />B <br />WORKERS COMPENSATION AND <br />EMPIAYERS' UABA-ITY <br />TC2KUB.204T6834-05(ADS) <br />TRJUB-169T4514-05 <br />04f01/05 <br />04/01/05 <br />D4/01/06 <br />04/01/06 <br />X Toftv LIMITB ER <br />$ 2,000,000 <br />EL EACH ACCIDENT <br />B <br />E <br />THE PROPRIETOR/ IRCL <br />ERSARE. TIVE <br />P OFFICERS <br />ft5 ARE. EXCL <br />TWX.IUB-266T5633-05 OH EXCES <br />TC2HUB-218T1417-05 (MN) <br />) <br />4/01/05 <br />04/01/05 <br />04/01106 <br />04/01/06 <br />EL DISEASE -POLICY LIMIT <br />$ 2.000,000 <br />EL DISEASE -EACH EMPLOYEE <br />$ 2,000,000 <br />OTHER <br />THE <br />DESCRIPTION OF OPERATIONSILOCATIONSMEHIC:LESISPECUL 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 INSL RED'S NEGLIGENCE. A WAIVER OF SURROGATION TO THE EXTENT OF TRANE'S NEGLIGENCE IS <br />TO THE ADDITIONAL INSUREDS. <br />GEXEET��EEy�N�OED <br />- <br />SHCUW ANY OF THE POLICIES DESCRIBED NEREIN BE 1'NaCELLEO BEFORE TLE £FPIMTION MTE THEREOF <br />THE INSURER AFFORDING COVERAGE HILL EN66KI§ 1 MAIL _30 DAYS WRITTEN NOTICE TO THE <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />CERTIFICATE HOLDER N O HEREIN, <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />RXBBewcN FAEBLFflLXIN�:JDN�DI'E <br />�.p8 <br />MARSH USA INC. <br />BY: Robert A. Mazzaro ;Ir - <br />L •,y _ <br />P ~- ` — VALID AS OF, 03/31/05 v <br />�� u, <br />