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<br />04/15/2004 08:32 <br /> <br />626-796-9157 <br /> <br />OTIS ELEVATOR <br /> <br />PAGE 02/02 <br /> <br />I <br /> <br /> -- <br /> MARSH CERTIFICATE OF INSURANCE ISSUE CATE <br /> 03128/2004 <br />PRODUCER This CGIn1f1cate it i$eued as a matter of informatIOn onfy and t:OI1f.r; no rignta <br /> MARSH USA INC. upon 1I1e Cer1lftcate Holder. Thia Cer1lftcat. does not amtnd. extend or alter the <br /> ONE Sl'ATE ""'EET coverage afforded by the policies below. ..- <br /> HARTFORD, CT Oe103oo3l87 COMPANIES AFFORDING COVEFWlE <br /> ..- <br /> Company H.rtforrJ Fire Insurance Co <br /> A <br /> -- <br />INSURED Company Ins Co of 1IIe Slate of PA <br /> OTIS ELEVATOR COMPANY B <br /> ONE PARM $PRIN13S ROAD Compeny <br /> FAAM'NBTON, CT 00032 American Home Assurance. Co <br /> C <br /> .- <br /> Compeny New Hampehire Insurance Co <br /> 0 <br /> -- <br /> Company National Union Fireltls 00 Pa <br /> E <br />COVERAGES Thia oertifioate 8upersedes and replacea any previQuety issued certificate for the pone)' l)eriCd noo,~ IlEllow. <br />ThIs Is to certify 1IIatthe polloi.. oflnsurance dOSClibed herein have been ISSlJed ID 1I1a Insured namad herein ror the polloy period Inl "'..md_ No_standing <br />any requIrement. wrrn or condition of contract or other document with reapect to which this certificate may be lsaued or may pertain. tln!1 insurance afforded by <br />the polioies desonbad herein Is StJbleot ID alllhe term.. condftlons and .)(C'u.'o"" oIsuoh poliCies. Umils shown may have been reC"ood by pald olalms. <br />co TYPE OF Irll$URANCE POLICY NUMseR EFFECTIVE!! l!XPIRATlON UMrrs OF lABILITY <br />U .,- <br />A GENERAL UABILrTY 02C5ET10004 0410112004 0410112005 EACH OCCURRENCE - $ , .000.000 <br /> iii Commotdlll Gllneral UBbII1ty ARE DAMAGE $ 300.000 <br /> Cj Olalms Made iii OOCUtrenC8 $2,000,000 penet'1I1 aggregatB per ~DlCAL.l!)(Pl!N8E $ I 5.000 <br /> o Owners' am Contractor$' IIl'Otedlon _.oniplCj<<t $ 1,000,000 <br /> CI ~8ONAl," ACIV1N.1Uf1Y <br /> .- S 2,000.000 <br /> CI GIEN!FlAl. "GaAEGATi ..- <br /> General AggregB18 Umtt applies per. $10,000,000 POlicy gentl'all\ggregate f'flOOIJCTS . COMPIOP AGGi. $ 2,000,000 <br /> o Policy 0 Projee1 O"'>cttion . - <br />A AUIOMOBILE UABILITY 020SCl'10000 (.010) 04/01/2004 04/0112005 COMSlNEQ SINO!.! UMIT S 1.000.000 <br /> I!I A", A_ne 02CSCl'l0003 (TXI BODILY INJURY fP8fperson) <br /> o All Ownod AulomObiIe$ Hartford Ga&ualty Ins Co BClOIl.YINJUA:VCPilraccldentl <br /> o Schod.'ed Auromobllos 02CSETlOOO2 (MAl - <br /> o HIred Au1omoblles PROPERTY DAMAGE <br /> Hattford Am & Ind In$ Co ,- <br /> Cl Non"l3Wl"lOd Automobiles COMPREHENSIVE <br /> 0 02CSET10019 (HI) COW$lON <br /> I'tlll'tfOtd Underwriters lna <br />. WORKERS' COMPENSAnON ~12397(OthOr'StateB) 0410112004 0410112005 wotll............IXT.....1 1- <br />0 AND EMPLOYERS' UABIUTY WCS212398 (OA) /401(NJ) III. ~H ACCltlENT $ 1,000,000 <br />0 WC52:t24OCl (NY,WI) EL DISEASE (E3Ch O~IOyMl ..- <br /> $ 1,000.000 <br />E WC5212402 (ex(:E!lSs CT)~ .- <br /> iL DISEASE (Policy UTlh) $ 1.000.000 <br /> I _'>3S9(M!!.MS.NY.OR,RI.UT)' <br /> - <br /> -Na1ional Union Fire Ins Co Pa <br /> EXCESS LIABILrTY '...., '\;..- EACM OCCU~IIIENCEl <br /> LJ OCCurrence DOlBlms Made d J ('-.') , <br /> ~ /J [\ " AGGREGATE - <br /> ~~'-2f'\.Ut: - <br /> J [;1-/./. ~ .- <br /> ,- <br /> , <br /> '"., -"', 'o' I <br /> - <br />Cltv of Santa Ana Pollee and Holding FtlCDIty, santa AnI, GA 92702 <br />Tl'le City of Santa "ne, lIS ofrlct!'S, agents. volunteers. and em"'O~K ate edClltlonallnaurad on thB above ComlM((:1a1 General Uablllty 8:8 reQUired by (:C.11ract The 11&bl"~' <br />ccvp.rage <1KordGcl G primary and non-contrlbvtory, oontract number: SAN 5208 <br />CERTIFICATE 1I0LDER - <br /> SHOULO AAY OF THE ABOYE OE!SORIBI!O POLIC1ES 8E CANCEl"!!> B!!FDRE THE <br /> EXPfRATION OAT! THEFtCOF. THE!! INSUR!:R W11,1, MA.11" 30 OAya ~."FlITTEN NOTIC; TO ~S <br /> CERTIFIOATE HOl.DER NAMED TO THE LEFT, <br /> City Df Santa Ana MARS~ USA INC (j-'? -r. j(7)B{ <br /> 20 Civic Center Plua (M.29). PO~)[ 1988 BY: <br /> Santa Ana, CA ~ <br /> eel!!! 10# RFF.oe <br />