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<br />02/16/2006 <br /> <br />09:50 <br /> <br />7147123790 <br /> <br />PRODUCER <br /> <br />Marsh,lnc <br />1166 Avenue of ihe Amsricas <br />t~ew York, NY 10036 <br />TBlephOne (212) 345-5000 <br /> <br />INSURI<D <br /> <br />SjmplexG~lnn911, LP <br />1701 wEST SEQUOIA AVE <br />ORANGE, CA 92868 <br />United StalErS <br /> <br />TEXT <br /> <br />!/-Jc-;:n.:!:;p.f; COt':PT:NSl\TICN W~l.JC u.:'.. <br /> <br />::arrit'! <br /> <br />iE ~ <br />(8: <br />[D: <br /> <br />mer! co.n Eml",('.< ",~(J\\l ,~;' .,~ f:':, <br />;,) fl :. 1.fJr. ,,,".2. :)!l i 8:, r i ,~- E ., 'J ;,',. ,,, r- 2~ 7J1"~ ':- <br />IlJ~u~.'J~;:~f' c:cIt.pany .r. ".b' '~;-ilr,' ')1 "" <br />I 1 j rl_) i."1 :~il.tif":-I<.il : I'i: IJJ;.I :"::.. . ,;1- <br />W,"" :-1.~~1lJ.'~;';':'.l:l': ":n". <br />.'\1 ;;,:;'.~th In;;\.1r'i:j~1':'e ';:;. <br />1\I\lr,~rir-,':1 110;.1(' 1:;~..';::~,~JI <br />hrrl~;r,'.i.{:Ol;'1 I'ol"l~ ';8S~::'<Il;,'(' :;". <br /> <br />",,'f <br /> <br />(J:"; <br /> <br />oJ.'.; <br /> <br />: 1'1 ~ <br />in) <br /> <br />SIMPLEXGRINNELL <br /> <br />ADDITIONAL INFORMATION <br /> <br />-.. 'j I;;ilmi)~r <br />I-!: i "'>; I. () I~ co H <br />F",:>):";' I', J.r.).'):; 4 <br />I'~.t;.:' I': i" I I] "i ;'j ~-\ <br />F,:'L,'~ .:'~ J (I:,:: I <br />F"F::' ':' '11.1",:'5 <br />f-'.:\1;..;:: ;" .1.11<199 <br />r.:"n..'(:I.;\ !(;;:;O::: <br />r~:'" 't!~, ,j;, I. i) .'! (1 ,) <br /> <br />COMPANIES AFFORDING COVERAGE <br />COMPANY J: White Mounlain Insurance Co <br /> <br />~~ f" r. :; .,'~ ~ t; <br />J (;1 r~(l'.-r:'. <br />E/':"/:;I}d,~ <br />I CI /~i1"I': <br />lei ::'/:O(!~ <br />1::'.'J:?I.:i)~ <br />U:/J./3i>I'; <br />:.[;Il/:::G.-jc., <br />j,G! J/2i/l.j <br /> <br />;;:;':f" DfrtC' <br />1 :'1/1 r~(lGi, <br />J.:!II::I.W. <br />I r.i/: !.~DG;" <br />1 r.l.! J.i::D(:~' <br />) I) / ;:~ D:~ ( <br />HJ/.:.l:'O:i'; <br />t n I . I ::I1:~ f, <br />J (II: /:":OC'.; <br /> <br />PAGE <br /> <br />03 <br /> <br />CERTIi=ICAT6 ~WMQt::R <br />251823 <br /> <br />\'.:'::al..e <br />:;.; <br /> <br />:)\/, O?- <br />A;<" Mi',. TN, VE' <br />T:., MJ <br />:lY, l>1T <br />:.:F:. <br />I'" <br />.I\.l~ OLlHlJ' Dt.at:es <br /> <br />~,; ALiC:::TY Pr.~"{;I<:..z..M <br />;'";",'ri'jr.'X,'l.I:.~ :':~)l.der ~,g <'ld:k'(i c., ,l:~ ,~(:,~! I :(;', ~~':S:I:(,'l., fCJ~. Gene.:-al Lie,b.:..lity a~~':-I ll.'..l:O l..ii,;::>iJ..:.t_-l, :,;'.:1;_ I.'n,.}" ~,(, t;';t.~ <br />I'?xt"'l1~ of thf [~i'JmfH::, lr:n:::'~'d'J' J"le1"1'_H'~;~,'_ <br /> <br />r:~=- l~6lJra:1{.", ~!il1 b<~ :~'i"/"Ir'~~' .'Jn~:] 1l!,,::-::.:"'tr.'.;'~,;1 ..:' ',..:itl-: r~-"pect t:.(; r~:"IY ,',1~11~:- ::'1$Ur~n(:~ r_(I.rTi~d by the cer~ifj;:;dt() <br />:l:I':'dcr, b:,:7 e;;':'y t-~) I:.~:(' i'.~ ":'f;' ~;f :-h~' ~'J,)",:(-:,d 11~..;IJI~"_"I','" ]'~9-.1..q~nc~" <br /> <br />A.::lc:i,t"j()?1i'11 <br /> <br />r~ Ii It r ;l :"1" : <br /> <br />""l\NT:'~ ~:'I.~ <br /> <br />Pr-r.-':8Ct,: ttl-;-":"H RESPECT ., .':"~,l :\PE(',l,":'::l>J::'; <br /> <br />If. ;:hen.> ~s a qtla5ticn .'((':VJ:(I,i:1q tr.~f; .- <br />[1-:mr1'.l: jfa::.tl(~:y,;,o r;l.,::::(~:~ :'::(JJJ< <br /> <br />CE~T1FICATE HOLDER <br />CITY OF SANTA ANA <br />/J.TTN: PURCHA$ING DE~ARTMEhIT <br />20 CIVIC CENTER PLAZA <br />SANTA ANA. CALIFORNIA 92701-4010 <br /> <br /> <br />~.. if: . ,'I ~' ~ ' <br /> <br />l; 1 ~: ',_1 c"ol:' <br /> <br />- ";"," <br /> <br />::'(l(lU~(:t ,JCA:I:IlA n.;';":;,] <br /> <br />APPROVED AS TO FORM <br /> <br />~:2h <br /> <br />Laura Stitt Sheedy <br />As~istailt City i\uorney <br />