Laserfiche WebLink
02/1E/2066 <br />05:50 7147129790 <br />SIMPLEXGRINNELL <br />PAGE 03 <br />PROCUCEa <br />Marsh, Inc. <br />1766 AvgnUe UI iha America <br />New Vork, NY 10036 <br />Talepnone (21 [) 3a5-5000 <br />INSU0.EU <br />SimplazGnnnell, LF <br />1701 WEST SElJU91A AVF <br />ORANGE, CA 92866 <br />united :hates <br />~i~pRYfF:HF CON PFNy ATI!:rd F+C L1C^ <br />ADDITIONAL INFORMATION <br />COMPANIES AFFORDING CDVERAGE <br />COMPANY I: White Mountain Insuranpe Co. <br />GEATIFICATE IaUMBER <br />251823 <br /> ::a xxl Ci .. F:umb°r Fll.. f.. I: <br />` _ fi <br />iL: :,meri [-an -omc sew e r:.::. I rLll`9N IV !I'? <br />.. I.,; I/?I (' „4 <br />l6 V,., i.nr: '_ !niu-~ fire ,-~r. ~.:~ i:.,. F L ..r1!1b:%U 1 /_/'/:: a5 ]~'/'. /:i liC• >p/, 03 <br />!f Itln a'e (:^e CClcpnnt' I> r.-• ::I i, . IA., :E 105:;3 IC/ 'Ow,y I[I/.: !art ^, (: A~, Mi•., TPI, VF. <br />~., I1-lnn i.a Jati~anl :1 u - ...~. k 1 _'EA 05C1 L-y./_U~?S 16!l.i°n;:-• 'r :.. M; <br />..' NF" a.r:up.'lxe _na. .... [ I: ~~::1n;5 1~ /^(; f!'. 1'~r', /:JO:JF `Jl' 91T <br />~" 41 ~',ah 'C r n'an"e :.,. r M ~;=1, i1~v9 .l 1d 10's JIJ/_l~0-.F , <br />;;F <br />:H! Amrr.r i.~pn Ilonc. i...._. nn...,.. _... R:9~AI'p;i 1CS0` _.:/i/7i1~1': t!1/:/_II:; F, I'L <br />if Jii..u. ~:, Ilomr nW;S -t ., ,. rNrl l.i i. lU)i00 'J./^f:!!i lip/./^UG, All Of.l[eS ~td[eb <br />:.; FIS T.]'TV PR:'•GfZ.4M <br />"~•rtr cYI,P ':o]rhx i.. ad;l 1 .. ,:~ [.,~._ ;. ,.,i. f~.. Ge[[c:-al Lint cli c'y a^ 1 A~1-~~ '-- '].'t.-ir ~_~: <br />axtrn of .,n, t mtc iras I ne T.:,I <br />IF= i -urT -"e '. xll k ;v:Ir 51':'I n!.. - t. .'.i°.;I ai il•. Y~5p?CT. t;i .^y e hr: '. 1, urence. rn c'.[i?d by the CHL;i[1 felt(? <br />ilo_r+.c.e h... r'::-Y r.i I;~. f. +.. .c. ':f cht Iir,;Nrl lc ': ~I':: cen 1. klenre. <br />Atltl.;.[ipnal `neuratla: r., .. ^>\yT:: rrl=. <br />l.r":er'c ' .H rt FE(1 1 FCPT ': )I <br />It thcr is a Uuastx n .cr,q r d lq I h: i h7.-, !,1: n-.e~ -r r t': C± JGA 7VA fk 7U <br />F.md 1 lie _G~@ ~ o. nL :c: um:. _ <br />CERTIFICATE HOLDER <br />CITV CF SANTA ANA <br />P.TTN: PURCHASING DEPAP.TMEIVT <br />20 CIVIC CENTER PLAZA <br />i SANTA ANA, CALIFORNIA 92701-dU1D <br />AP~'_P.,©VF;~ f.3 T~ FO~ZPr/f <br />- ~-l3 <br />Laura Srtt Shaed-y <br />Assis[aat City nltorcey <br />