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<br />COVERAGES This certificate superset:lesandr~placesany previouslyisslied certificate for thepolieyperldd notedbeldw. 1
<br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MA'j
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POL1CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, AGGREGATE
<br />L1MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />-~- --~- ~~ ~-
<br />CO
<br />LTR i
<br />
<br />MARSH
<br />
<br />PRODUCER
<br />MARSH USA, INC.
<br />200 CLARENDON STREET
<br />BOSTON, MA 02116
<br />
<br />A, 2Ool-IISY
<br />
<br />A -=O'-l-Ol'1
<br />
<br />A- =o'1-olq_ol
<br />1/ II _ O::L
<br />II u -03
<br />
<br />99713-APCC--08-09
<br />
<br />INSURED
<br />
<br />MGE UPS SYSTEMS, INC.
<br />ATTN: MICHAEL DENNIS
<br />1660 SCENIC AVENUE
<br />COSTA MESA, CA 92626
<br />
<br />TYPE OF INSURANCE
<br />
<br />POL1CY NUMBER
<br />
<br />, GENERAL UABlLITY II
<br />~_.- L
<br />A l!-L. x Ie ~,:,,-==-MMERCIAL GENE~A-=-=IABI L1TY 7218693
<br />
<br />~~.-+--' CLAIMS MADE ! X ! OCCUR
<br />~ OVVNER'S & CONTRACTOR'S PROT II
<br />
<br />r~~- - .
<br />
<br />B
<br />
<br />i AUTOMOBILE UAB1UTY
<br />
<br />X ANY AUTO
<br />!1 ALL OWNED AUTOS
<br />! 1 SCHEDULED AUTOS
<br />,--
<br />HIRED AUTOS
<br />~ I NON-OWNED AUTOS
<br />'X ]PHYSICAL DAMAGE
<br />-X COMP & COLL $1 ,000
<br />GARAGE LIABILITY
<br />
<br />I
<br />TJ-CAP-8199M 1-4-TIL
<br />i
<br />I
<br />
<br />; ANY AUTO
<br />U
<br />I: ---
<br />I EXCESS LIABILITY
<br />
<br />19835472
<br />,
<br />
<br />o X I UMBRELLA FORM
<br />i ~I OTHER THAN UMBR~LLA FORM
<br />I WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />C \TC2H-UB-8196A02-A-08- TIA
<br />B ,THEPROPRIETORl IX \ INCL TRJ-UB-186K259-0-08-TIL
<br />I PARTNERS/EXECUTIVE I' ~
<br />OFFICERS ARE: EXCL I
<br />10'"<><
<br />I
<br />I
<br />
<br />CERTIFICATE NUMBER
<br />
<br />NYC-002667482-04
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
<br />POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
<br />AFFORDED BY THE POUCIES DESCRIBED HEREIN.
<br />
<br />CERTIFICATE OF INSURANCE
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />,-
<br />
<br />I
<br />--I
<br />
<br />COMPANY
<br />A AMERICAN HOME ASSURANCE CO.
<br />
<br />~~--
<br />
<br />COMPANY
<br />B TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
<br />
<br />I-~O";;'ANY TRAVELERS INDEMNI~TY COMPANY OF AMERIC~--
<br />1 ----- -~- --
<br />COMPANY
<br />D NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
<br />
<br />_.-
<br />
<br />. iPOLlCY EFFECTI~E I PO~ICY EXPIRATION 1-
<br />DATE jMMIDDNY) DATE (MM/DDNY) ,
<br />
<br />I GENERAL AGGREGATE 1$ 4.000,000
<br />01/01/08 01/01/09 ~ROD~CTS~~;MP/O~;,;;I$- 4,000~
<br />
<br />PER~ONAL&ADVINJU~__JL-. 2,~~
<br />EACH OCCURRENCE 1$ 2,000,000
<br />c~- -- -- .'~
<br />i FIRE DAMAGE (Any l?ne fire) HL 1,000,Ooq
<br />I MED EXP(Anvone "erson) $ 10,000
<br />I COMBINED SINGLE LIMIT ! $ 1,000,000
<br />
<br />LIMITS
<br />
<br />101/01/08
<br />I
<br />
<br />01/01/09
<br />
<br />~ ---
<br />BODILY INJURY ! $
<br />IPer personi
<br />- --+----
<br />BODIL YINJURY I $
<br />(Per accident) I
<br />
<br />1
<br />101101/08
<br />
<br />1
<br />i
<br />101101/09
<br />
<br />~~PER~ DAMA~E ~.
<br />, 1
<br />I:~UTQ..ONLY ~AACCIDE4$ __
<br />:...2!.HERT~ANAUT90NLY' :. .~__----'---'------_
<br />il El>.CHACCID.ENT~___
<br />AGGREG:;;T$
<br />EACH OCCURRENCE $ 5,000,000
<br />- .---
<br />AGGREGATE --n 5,000-,9~
<br />
<br />~ . T~~}litJNs I. dJ~L~_~..._
<br />~ EACH ACCIDENT ! $ 2,000,0~
<br />~_.oISEASE.POLlC'( LIMIT ~ $' ~,OOO,OOO
<br />i EL DISEASE EACH EMPLOYEE! $ 2,000,000
<br />
<br />101/01/08
<br />101/01/08
<br />
<br />01/01/09
<br />01/01/09
<br />
<br />DESCRIPTION OF OPERAT10NSflOCATlONSNEHICLESrSPECIAlITEMS
<br />
<br />RE. MGE field engineers performing work on MGE equipment.
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, volunteers and representatives are included as
<br />additional insured (except Workers Compensation) where required by written contract and allowed by law.
<br />
<br />CERTIFICATE tlOLDER
<br />
<br />City of Santa Ana
<br />Attn: Clerk of the City Council
<br />Civic Center Plaza, M-30 P.O. Box 1988
<br />Santa Ana, CA 92702
<br />
<br />CANCELLATION
<br />
<br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF
<br />TI-iE INSURER AFFORDING COVERAGE WLL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE
<br />CERTIFICATE HOLDER NAMED HEREIN BUT FAIWRE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR
<br />
<br />lIABILTTYOF ANY KIND UPON TI-iE INSURER AFFORDl'lG COVERAGE. ITS AGENTS OR REPRESENTATIVES. OR THE
<br />
<br />ISSUER OFTHIS CERTIFICATE
<br />MARSH USA INC.
<br />BY: Edward R Ford
<br />MM1(31021
<br />
<br />&--R-7? ~
<br />
<br />VAUD AS OF: 12/31/07
<br />
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