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<br />02/15/2005 09:50
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<br />7147123790
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<br />SIMPLEXGRINNELL
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<br />PAGE 02
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<br /> CERTIFICATE OF INSURANCE CERT1~ICATE NUMBER
<br /> 251823
<br /> FRooucER THIS CERTIFICATE t8.ISSUSCI AS A MATTER OF ItlFORMAYION ONLY AND COpolFE~S NO RIGHTS
<br /> UPON THE CER;T1F1CATE HOL.OER OTHER THAN THOSE PROVloeo IN THI; POLICY. THIB
<br /> C"ERTI~'CATE DOES NOT AM~NO. EXTeND OR AL1&iR THE COVERAGlE AFFO~OED 8.,.rHE.
<br /> M~rsh, Inc. POLICIES. DESCRIBED HEREIN.
<br /> 1166 AVenIH! of the Americas ! COMPANIES AFFoRDING COVERAGE
<br /> New Yorio:, NY 10036
<br /> T9:lephone (212) 345-5000 COMPANY A AI Soulh Insurance Co.
<br /> A- kJo3 -I f{'1 COMPANY B: American Home Assurance CO
<br /> IN5URl:D COMPANY C: Illinois Naiionallnsurance Co
<br /> A-- ;:).()O'f - :;;1.30 COMPANY D Insurance Company of the SH:ne of PA
<br /> SlrY'lpl~~Grinnell, LP COMPANY E Na,ional Union Fire InSllrance Co
<br /> 1701 WEST SEQUOIA AVE A- ;}'D05.- a3.3 COMPANY F New Hampshire Ins. Co.
<br /> ORANGE. cA 92868
<br /> Uniled S~aTe5 : COMPANY G: Nev,1 York Marine & Genet"8llnsurance Co. (Load)
<br /> . COMPANY H: Noetic Snecialtv Insurance COlTlnanv
<br /> COVEIlAGES
<br /> THIS IS TO CE:I<:TIt:y' THAT THE POLICIES: OF IN~URAf\JCr: IJt=.SCRII3ED HEREIN HAVE, 1;l1:=6N ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY l'I:RIOIJ INDICA.TED. NOTWITH~TANDING
<br /> AN\' ~EaUIRII.IENls, TI;RM OR CONDtTlO~ OF AIN CDNmACT OR DTHEJ'! DOC\,\r\I::Nl WJT~ ~E$F1ECTTO W~ICI-l THF I;I::,RTIFI(;ATE MAYSE ISl:)uED O~ MAY PERTAIN. THE INSURANCE
<br /> AFFORDED BY THE !>QlICIE$ U::;TED HE~!;;:N I:;: SIJBJECT-O AI L THE T~Rr.i::;. C(i.\JDITIONS ANO EXCLUSIONS OF SUCH I"'OI.lCIES AGGHECiA,Te LIMITS SHOI'VN MAY HA""= ee~N H"OVC!;() HY
<br /> PAID CLAIM~.
<br /> CO TYPE O!' INSI...lf",-NCE. .l>OllCY NUMBER I POLlC~ EFFECTIve POI,,1CY EXPI!"lATlON LIMITe
<br /> CT" : DATE (II4IMIDD/YYJ CATE IMMIODfY'Yl
<br />B G.ENEkAL. UAIlILln- RMGl57<970B 10/1/2005 1 OJ1 /2006 GENERAL AGGREGATE : $15.000.000,00
<br /> X COMMEFlCIAL GENERAL LIABILITY PA:DDUCTS. COMPJOP AGG: ! $15.000.000.00
<br /> Cli\lMS MADE PEP{SONAL & ADV INJURY , ... $7,500.000.00
<br /> X 'lCC\.JR
<br /> I O~ER:S.!. CONTRACTOR'S PROT EA.CH OCCURRJ;:NCE: $7.500.000.00'
<br /> I fIRE DAMAGE (Any Dn~ fim] --$1.000.000.00
<br /> i . MEO E.XP (Any ~,"e per$on) -- . $10.00000
<br />B AUTOMOBILe llAalLm' RMCA:0177Sa (TX) 1011/2005 1011/2006 COMBINED SINGLE LIMIT $7,500.000.00
<br />B :X ANY AUT" RMCA301i7s9 (AOS) 10f1/2005 1011/2006
<br />B RMCA:.017797 (MAl .10/1/2005 10/1/2006 ..
<br />B A\.L(jWEO AU'IO~ RMCA3017196 (VA) 10!1/2005 1011/2006 F.\Or,Jll Y INJLIRY (PI''' lHI'l'D"l
<br /> S(;HED\JLED AuToS
<br /> X i HIRE'.O AVTOS F.lOOIl_ Y ,NJUR;Y (P~c II.cOdt'"l\
<br /> X i NOrJ.DWNED AUTOS
<br /> PROPElny DAMAGE
<br /> , ~._-
<br /> PRClpeR.lY
<br /> i
<br /> ~)(CES5 L1ABIL.ITY EACH OCCURRENCE ,
<br /> A(iGK!:C:.ATE .
<br /> : UMBRELLA ~OR;M
<br /> : OTHE":_ THAN UMBR.ELLA ~OR/.,4 .-.-
<br />" WORKERSCr;mPI:NSATlON AND SEE PAGE TWO SEE PAGE TWO SEE PAGE TWO X ,',' ': -, . f. I ~, , 0'\\ ~ ,: \..~"-
<br /> , I~,'~, I
<br />E SMPlOYERS'LIABILITY $2.000000.00
<br /> r:l f;ACH ACCIDENT
<br />D TKE "'RO~~I !;ToRi ...
<br />C I PAF:TNEI{SI">;ECUTlVE INCL "-L DlabAse.POLlCY LIMIT $2.000.000.00
<br />F CJF"~H:;ERS AClC I:XCI E'L, OISF.Ase.eACH e.\APLQ'!EI '$2000.iiiio.ocj
<br /> ~('JTHeR APPRUVl;iJ) AS .TO F:~l :l~I~t
<br /> I Y1?L Jf '//3
<br /> . n n . .
<br />DESCRIPTION of OPfRATIONSIlOCATlONSNEHICLESlSF'ICIAL ITEMS Laura ~ '.(, .-".""-""""",,.
<br /> , "d~
<br />Please ~ee page 2 for ad(jjrional insureds and any additional language. J\sHisu: ,', t~.: '.'. all.-Orncy,
<br /> ,.;;
<br />CERTIFICATE HOLDER CANCELLATION
<br />Girt' OF SAI\ITA ANA S~(")UI.D ,J,i'lV o~ r...~ "01 'GIJ:~, D~_SCIl'8[O I<EF:E N l:1E Co\NC~ llE_D Br:rOIl.E THE !:XPJIl.Al'ON OP.TE T~~EIl.EO~_ TI-I(
<br />ATTN: PURCHASING DEPARTMENT ,NSU"~,1ol A~~OIolI)'~(; C(iV",,/.iJ.(ll' W~l '- ~44ll ,IJ l~V:.; 'All<' r I~N NOT at:" TO THE CERT.~ICATE I~OlDE" Nl\"'e..O IoIE"E~N.
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA, CALIFORNIA 92701...:1.010 MA~SK USA II\JC. BY: /- ,Jffr4auy
<br /> K~the:rln~ O'LR!lry, C;!ISU~II)' ~'''oJr~m t:u/uV~
<br /> MM1(31D2J VALID AS OF: 211612006
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