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<br />MARSH
<br />
<br />Certificate of Insurance
<br />
<br />No. 2004-91
<br />
<br />Dated:
<br />
<br />\"..
<br />
<br />This document supersedes any certificate previously issued under this number
<br />
<br />This is to certify that the policies of insurance listed herein have been issued to the insured named herein for the period of insurance indicated.
<br />Notwithstanding any requirement, term or condition of any contract or other document with respect to which the certificate may be issued or
<br />may pertain, the insurance afforded by the policies listed herein is subject to all the terms, conditions and exclusions of such policies. Limits
<br />shown may have been reduced by paid claims.
<br />This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this
<br />policy. This Certificate does not amend, extend or alter the coverage afforde~J~'):: the policies described herein.
<br />
<br />Chubb Insurance!
<br />Canada
<br />
<br />
<br />~aOled Insured and Address:
<br />
<br />pOmRON lNe.
<br />sr()\~' llUcllan Street
<br />Montreitl, ~C 841' 2R9
<br />
<br />Certificate Holder:
<br />
<br />CITY OF SANTA ANA
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />
<br />Type(s) of Insurance
<br />
<br />""""Jl
<br />">,,:~~ cy
<br />Number(s)
<br />'~~~2.54.54
<br />":',iki
<br />
<br />Effective!
<br />Expiry Dates
<br />Oct 31, 2004 to
<br />Oct 31, 2005
<br />
<br />Sums Insured Or Limit. of Liability
<br />
<br />COMPREHENSIVE GENERAL
<br />LIABILITY
<br />. Inclusive Limits Bodily Injury and
<br />Property Damage Liability.
<br />
<br />Aggregate with respect to
<br />Products & Completed
<br />o erations
<br />
<br />Each Occurrence or
<br />Accident
<br />
<br />Non - Owned Auto
<br />
<br />$ 1,000,000
<br />
<br />$ 1.000,000
<br />
<br />$ 1.000,000
<br />
<br />
<br />Additional information:
<br />
<br />~ '1:,
<br />
<br />_ Comprehensive General Liability:'TelllmI$L.:gaiLability: $1,000,000 Limit
<br />\".. _ Policy #3532-54-54 includes Premisesopl:l1ltions, Products! Completed Operations, Contractual, Broad Form Property Damage,
<br />Independent Contractors,P~lJnjurY.'" ,.,' ,.",,'"
<br />
<br />>''1':':' '<. ">'>/: .': ...'. J', <':":/"'<!'.<:-.;:',J-
<br />The City of Santa Ana.~Q,CivicC<mtel: Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers andJ:epresentativ!lS'
<br />
<br />are added as ADDITIONAL INSURED but only with respect to operations performed by or on behalf of the Named Insured.
<br />
<br />'/:',':-'>".. .... _ ":<__:,OJ
<br />Notice of cancellation: .-..<':<::.i:~-::;>,;.:. ":"';,'
<br />Should any of the policies de8!:*lled'herein be cancelled before the expiration date thereof, the insurer(s) affording coverage will :
<br />endeavour to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no ohligation
<br />or liability of any kind upon the insurer(s) affording coverage, their agents or representatives, or the issuer of this certificate.
<br />
<br />Marsh Canada Limited
<br />1981 McGill College Avenue
<br />Suite 820
<br />Montreal, QC H3A 3T4
<br />Telephone: 514~285-4756
<br />Fax: 514-285-4718
<br />luc.lousignant@marsh.com
<br />
<br />Marsh Canada Limited
<br />
<br />By, /) /J
<br />~~ -
<br />-
<br />
<br />Luc Tousignant
<br />
<br />\"..,
<br />
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