| PRODUCER 
<br />Marsh, Inc. 
<br />1166 Avenue of the Americas 
<br />New York, NY 10036 
<br />Telephone (212) 345-5000 
<br />INSURED 
<br />SimplexGrinnell, LP 
<br />1701 WEST SEQUOIA AVE 
<br />ORANGE, CA 92868 
<br />United States 
<br />WORKERS COMPENSATION POLICIES 
<br />COMPANY I: White Mountain Insurance Co. 
<br />CERTIFICATE NUMBER 
<br />301886 
<br />LIABILITY PROGRAM 
<br />Certificate holder and any parties listed below are added as an additional insured for General Liability and Auto 
<br />Liability, but only to the extent of the Named Insured's negligence. 
<br />The Named Insured also waives its right of subrogation in favor of certificate holder and the parties listed below 
<br />with respect to General Liability, Auto Liability, Workers Compensation. 
<br />The insurance will be primary and non-contributory, with respect to any other insurance carried by the certificate 
<br />holder, but only to the extent of the Named Insured's negligence. 
<br />Insureds: SANTA ANA POLICE DEPARTMENT, CITY OF SANTA ANA 
<br />Project: SANTA ANA POLICE DEPARTMENT 
<br />'If there is a question regarding this certificate please contact JOANNA FAZIO 
<br />(Email: jfazio@tycoint.coni Phone: 714-712-3726) 
<br />SANTA ANA POLICE DEPARTMENT 
<br />60 CIVIC CENTER PLAZA 
<br />SANTA ANA, 92710 
<br />Carrier 
<br />Policy Number 
<br />E£f. Date 
<br />Exp. Date 
<br />State 
<br />(B) 
<br />American 
<br />Home Assurance Co. 
<br />RMWC 
<br />2920260 
<br />10/1/2006 
<br />10/1/2007 
<br />CA 
<br />(B) 
<br />American 
<br />Home Assurance Co. 
<br />RMWC 
<br />2920292 
<br />10/1/2006 
<br />10/1/2007 
<br />K,AL,AZ,CO,CT,DC,HI,IA,ID,IN,KS,KY,LA,MD,ME,MN,MO,MS,MT,NC,NE,NH,NM,OK,RI,SC,SD,TX,UT,VT 
<br />(C) 
<br />Illinois 
<br />National Insurance Co. 
<br />RMWC 
<br />2920289 
<br />10/1/2006 
<br />10/1/2007 
<br />MI 
<br />(B) 
<br />American 
<br />Home Assurance Co. 
<br />RMWC 
<br />2920287 
<br />10/1/2006 
<br />10/1/2007 
<br />FL 
<br />(R) 
<br />American 
<br />Home Assurance Co. 
<br />RMWC 
<br />2920290 
<br />10/1/2006 
<br />10/1/2007 
<br />NJ 
<br />(A) 
<br />Al South 
<br />Insurance Co. 
<br />RMWC 
<br />2920281 
<br />10/1/2006 
<br />10/1/2007 
<br />GA 
<br />(E) 
<br />National 
<br />Union Fire Insurance Co. 
<br />RMWC 
<br />2920283 
<br />10/1/2006 
<br />10/1/2007 
<br />NV 
<br />(C) 
<br />Illinois 
<br />National Insurance Co. 
<br />RMWC 
<br />2920286 
<br />10/1/2006 
<br />10/1/2007 
<br />IL 
<br />(B) 
<br />American 
<br />Home Assurance Co. 
<br />RMWC 
<br />2920291 
<br />10/1/2006 
<br />10/1/2007 
<br />PA 
<br />(B) 
<br />American 
<br />Home Assurance Co. 
<br />RMWC 
<br />2920265 
<br />10/1/2006 
<br />10/1/2007 
<br />DE 
<br />(F) 
<br />New Hampshire Ins. Co. 
<br />RMWC 
<br />2920282 
<br />10/1/2006 
<br />10/1/2007 
<br />NY,WI 
<br />(E) 
<br />National 
<br />Union Fire Insurance Co. 
<br />RMWC 
<br />2920284 
<br />10/1/2006 
<br />10/1/2007 
<br />OR 
<br />(D) 
<br />Insurance Company of the State of PA 
<br />RMWC 
<br />2920286 
<br />10/1/2006 
<br />10/1/2007 
<br />AR,MA,TN,VA 
<br />LIABILITY PROGRAM 
<br />Certificate holder and any parties listed below are added as an additional insured for General Liability and Auto 
<br />Liability, but only to the extent of the Named Insured's negligence. 
<br />The Named Insured also waives its right of subrogation in favor of certificate holder and the parties listed below 
<br />with respect to General Liability, Auto Liability, Workers Compensation. 
<br />The insurance will be primary and non-contributory, with respect to any other insurance carried by the certificate 
<br />holder, but only to the extent of the Named Insured's negligence. 
<br />Insureds: SANTA ANA POLICE DEPARTMENT, CITY OF SANTA ANA 
<br />Project: SANTA ANA POLICE DEPARTMENT 
<br />'If there is a question regarding this certificate please contact JOANNA FAZIO 
<br />(Email: jfazio@tycoint.coni Phone: 714-712-3726) 
<br />SANTA ANA POLICE DEPARTMENT 
<br />60 CIVIC CENTER PLAZA 
<br />SANTA ANA, 92710 
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