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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 />ADDITIONAL INFORMATION CERTIFICATE NUMBER <br />389517 <br />COMPANIES AFFORDING COVERAGE <br />TEXT <br />WG,KKL`S <br />1.OMk'GNSA:IUN "r'C!LTC1F.� <br />'arl <br />F<".I <br />i,,y Fluaibu: <br />F f - Ual.c• <br />Lxp. Date <br />State <br />iRi <br />Art(,r.ran <br />Iicm� Assurance <br />;;o. <br />WC <br />1616576 <br />6/t9/230i <br />c/29i20ce <br />C'F. <br />{Ri <br />Arric•r .(an <br />4omP Assurance <br />:;n. <br />WC <br />1616'89 <br />b/z9/2;117 <br />E/29/2(lCP <br />(rri <br />t i l i nV i r: <br />N.il lona l T :surance Cc. <br />W(' <br />1616r +7+ <br />b/<7%2:!0? <br />i':/2r+/20C:R <br />M7 <br />fCl <br />Cavrr:r•r::r' <br />S : III lit r Tris <br />i"r;161 <br />FGF2 <br />6; :: r1i 2•^'(1^ <br />?Ui <br />Amer.can <br />ilcc+c nS[iur[iilr:o <br />C:v. <br />WC <br />lI W7 <br />6,4 ,:f i(Ii <br />r. :u!7 f)i'C <br />N 1 <br />(A) <br />AI So::th <br />lnsurarice (1--_ <br />Wc: <br />I 1 f>'•!£s <br />b/7 S?/;'{ill? <br />?:i 1.4; .'f1i: P. <br />Gr'. <br />ik; <br />Am(.•r.t-.i ri <br />3+:rw AssoranCr: <br />fib. <br />h'i" <br />Ih.I Fr:?"} <br />6/2q/ron-3 <br />6/;9/ilu;N <br />_'P, <br />(I"') <br />N(_W Harr'{)al+i <br />rt: :nr:, r, :, <br />Wr' <br />I0,1 W: h.n <br />r,/;'4!jr;ri? <br />:,/i'+/i FIC it <br />-JY,WI <br />(H) <br />Amer� -.an <br />--lamp. Assu:an::c- <br />i'C, <br />KC <br />Ii.l Pati <br />67JQ/;,COi <br />is/: `l; :'(i('tl <br />OR <br />IF: <br />lv!jur.rn':o <br />Cc.,nl r.ny ,",f Ihr! <br />St it r' of FA <br />h•r <br />1ti]c'r, i <br />r 4 ;Y`fii <br />f ;uCN <br />Alat, MA, VA <br />.:lily::.: i - - :':ki;M <br />;:r•r'.. .. ._ ..lr•r i'; r(Idod .— .m . IdiI i,:n.i. in::.:rr,d 1:,r t•r•nrral Li:r:n I,!y ,uld Ih:to hi,(l,i l:ty, hid ,,._.y I,: III- <br />xt• ., H:emrd [n;a.r •d'.. IwoI i,rr•r:: o. <br />.. .... ... i. ...II I,r I,t::n.�ty .ad n.ri al l il+:t f, y, mil'. :ocln v•I Ic. .ori}' Itin nr•ni�'„ •it: in,i ay I' . r•rt is r. <br />f • i u• .,::ty ' o 7 tit, ext ent" o! I Li- N,iia , :.: r.urr•a' noq. !rlr,:::�i•. <br />it: J: t':TY :'AN'I'A <br />ANA <br />Ili (j je::t: WI'T'H LE:'14(:•]'tit At.:. •.:SE;cATION:: <br />Lt i}:( -Ir. 19 ,1 y.-r:S C. i;::. _ `r,1.rCd::(J t`:_s CL.—, i t I:•,tl. _ �•,I Sr• -AL' - ­:L HCLL4id K,• f(n J,.iy <br />iF:mai l: r PkPnnerlyCr yroinr._•om Pnore: ._A.71�.+6r1� <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA <br />ATTN: PURCHASING DEPARTMENT <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CALIFORNIA 92701-4010 <br />