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<br />3f i9 k CERTIFICATE NUMBER.,::
<br />.!M,'! i t t. ,,{, m,� { . k:m:. i., !�' .,..tl �! ( ..... '') i!i`I s { t.
<br />., r.I.. _..... .::. ...,. ,, ,,,...u:; 251823
<br />PRODUCER
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
<br />UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS
<br />Marsh, Inc.
<br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />POLICIES DESCRIBED HEREIN.
<br />1166 Avenue of the Americas
<br />New York, NY 10036
<br />COMPANIES AFFORDING COVERAGE
<br />Telephone (212) 345-5000
<br />COMPANY A: At South Insurance Co.
<br />COMPANY B: American Home Assurance Co.
<br />INSURED
<br />COMPANY C: Illinois National Insurance Co.
<br />1701 EST S ll, U
<br />1701 WEST SEQUOIA AVE
<br />COMPANY D: Insurance Company of the State of PA
<br />COMPANY E: National Union Fire Insurance Co.
<br />ORANGE, CA 92868
<br />COMPANY F: New Hampshire Ins. Co.
<br />United States
<br />COMPANY G: New York Marine & General Insurance Co. (Lead)
<br />COMPANY H: Noetic S ecial Insurance Com an
<br />��WW d[' n �p� P
<br />..i'+�'ii"atntl..:I EGx`4flt.. . )`9aT,M`i'1� s a, I S. EPmin.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REOUIRMENTS, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
<br />AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY
<br />PAID CLAIMS.
<br />CO
<br />LTR
<br />TYPE OF INSURANCE
<br />POUCYNUMBER
<br />POLICY EFFECTIVE
<br />DATE(MMIDDryY)
<br />POLICY EXPIRATION
<br />DATE(MWDDNY)
<br />LIMITS
<br />B
<br />GENERAL
<br />LIABILITY
<br />RMGL5749708
<br />10/1/2005
<br />10/1/2006
<br />GENERAL AGGREGATE $15,000,000.00
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE X OCCUR
<br />PRODUCTS - COMP/OP AGG $15,000,000.00
<br />fu
<br />PERSONAL&ADV INJURY $7.500,000.00
<br />OWNER'S& CONTRACTOR'S PROT
<br />EACH OCCURRENCE $7,500,000.00
<br />FIRE DAMAGE (My one lire) $1,000,000.00
<br />MED EXP (My one person) $10,000.00
<br />B
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />RMCA3017798 (TX)
<br />RMCA3017799 (AOS)
<br />10/1/2005
<br />10/1/2005
<br />10/1/2006
<br />10/1/2006
<br />COMBINED SINGLE LIMIT $7.500,000.00
<br />B
<br />B
<br />ALLOWED AUTOS
<br />RMCA3017797 (MA)
<br />RMCA3017796(VA)
<br />10/1/2005
<br />10/1/2005
<br />10/1/2006
<br />10/1/2006
<br />BODILY INJURY (Per person)
<br />SCHEDULED AUTOS
<br />X
<br />HIREDAUTOS
<br />BODILY INJURY (Per eca"BI)
<br />X
<br />NON-OWNED AUTOS
<br />PROPERTY DAMAGE
<br />PROPERTY
<br />EXCESS LIABILITY
<br />EACH OCCURRENCE
<br />UMBRELLA FORM
<br />AGGREGATE
<br />OTHER THAN UMBRELLA FORM
<br />B
<br />E
<br />D
<br />C
<br />F
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />THE PROPRIETOR/
<br />PARTNERVEXECU71VE INCL
<br />OFFICERS ARE: EXCL
<br />SEE PAGE TWO
<br />SEE PAGE TWO
<br />- -
<br />-
<br />SEE PAGE TWO
<br />X W`�"TVroBY on" t51iLARRO},` If tP;
<br />uurts i, jleEf'- ,' iti ^}?!
<br />EL EACH ACCIDENT $2,000,000.00
<br />EL DISEASE-POLICY LIMIT $2'000'OOO'00
<br />EL DISEASE-EACH EMPLOYEE $2,000,000.00
<br />OTHER
<br />,
<br />01
<br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESSPECIAL ITEMS
<br />Please see page 2 for additional insureds and any additional language.
<br />P,iC $"'iB6itl{. il3l d: f,'} t ((B Vt F S ((��V !i i r'
<br />'Mill 2F nss,_Pi i.. tiii....iplf0i�: r,..t.� ,.I E� 3:IuL,rE,tiI',°�P.. ski'"; }is=:!
<br />CITY OF SANTA ANA SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE
<br />ATTN: PURCHASING DEPARTMENT INSURER AFFORDING COVERAGE WILL M41L 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NMI OF,
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA, CALIFORNIA 92701-4010
<br />MARSHARSHUSA INC. BY: , /
<br />Ke O'Leary, Casualty Program AAi'.' /✓"/ OWC•
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