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<br />MARSH USAINO. CER1;I.FICATE OFINSURANCEj DATE
<br /> 01103/2008
<br />PRODUCER A ';;;JO();;,-(;;u. 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 /> Marsh USA Inc, " " POLICY THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
<br /> 411 East Wisconsin Avenue " -01 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
<br /> Suile 1600 " -0:>-
<br /> AM BBBt Rating
<br /> Milwaukee, Wisconsin 53202-4419 A'~D6-:2c3 COMPANIES AFFORDING COVERAGE (As of 01102JD8/
<br /> Attn: CPU, Phone (414) 290-4912 Fax: (414) 290-4953 *See Below
<br /> CPU _Milwaukee@marsh.com Company ACE American Insurance Company
<br /> A P.D 60)(41484, Philadelphia, PA 19101 A+XV
<br />INSURED Company Sentry Insurance A Mutual Co.
<br /> Johnson Controls, Inc. Attn: Corp. Risk Mgmt. X-92 B 1800 North Point Dnve. Slevens Point, WI 54481 A+XV
<br /> Johnson Controls Battery Group, Inc. P.O. Box 591
<br /> Johnson Controls Interiors, LL.C. Milwaukee, WI 53201 Company Indemnity Insurance Company of North America
<br /> Cal-Air, Inc. e and for CA, WI and EX WC: ACE A+XV
<br /> GES America, L.LC, American I nsurance Com pany
<br /> Optima Batteries, Inc. PO Box 41484, Philadelohia, PA 19101
<br /> USI Companies, Inc. Company Lexington Insurance Company
<br /> York International Corporation 0 100 Summer Slreel, Boston, MA 02110 A+XV
<br />(;()VERAGl:S this certifiCate SUPerSedes~ndreDIa<:eSariVDfeViblJSlv.i$$Oed certificate,
<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 MAY
<br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUaJECT TO All THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN
<br /> MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />CO POLICY EFFECTIVE POLICY EXPIRATION
<br />LT TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MM1DDNYI LIMITS
<br />R
<br />A GENERAL LIABILITY (1) (3) 14 ) $ 5,000,000
<br /> b- HDOG2373283A 10-1-2007 10-1-2008 GENERAL AGGREGATE
<br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 5,000,000
<br /> I CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 5,000,000
<br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 5,000,000
<br /> X Contraclual FIRE DAMAGE IAnv one ftrel $ 5,000,000
<br /> X X,C,U(E;o.ploslOn.Collapse,undargroundl
<br /> X Addilional Insured (SaaBa!ow) MED EXP (Anv one oersonl $ 50,000
<br />B AUTOMOBILE LIABILITY (2) (3) (4)
<br /> Cc- 90-04606-01 10-1-2007 10-1-2008 COMBINED SINGLE LIMIT $ 5,000,000
<br /> X ANY AUTO
<br /> I'-'-
<br /> I-- ALL OWNED AUTOS BOOll Y INJURY
<br /> SCHEDULED AUTOS (Per person)
<br /> ex HIRED AUTOS BODILY INJURY
<br /> rx NON-DWNED AUTOS (Per accident}
<br /> PROPERTY DAMAGE
<br /> GARAGE LIABILITY AUTO ONL Y-EA ACCIDENT
<br /> -
<br /> ANY AUTO OTHER THAN AUTO ONLY:
<br /> -
<br /> EACH ACCIDENT
<br /> AGGREGATE
<br />D EXCESS LIABILITY $ 5,000,000
<br /> 5577735 10-1-2007 10-1-2008 EACH OCCURRENCE
<br /> P1 ~MBRELlA FORM AGGREGATE $ 5,000,000
<br /> OTHER THAN UMBRELLA FORM
<br />C WORKERS COMPENSATION AND X j,!"CSTATU-; J I~TH-
<br /> EMPLOYERS' LIABILITY (4l WLRC44473094 - AOS 10-1-2007 10-1-2008 TORY LIMITS ER
<br /> WLRC44473136 - CA EL EACH ACCIDENT $ 1,000.000
<br /> THE PROPRIETOR! H INeL SCFC44473057 - WI $ 1,000,000
<br /> WCUC4447301A - EX WC EL DISEASE-POLICY LIMIT
<br /> PARTNERS/EXECUTIVE EXCl EL DISEASE-EACH EMPLOYEE $ 1,000,000
<br /> OFFICERS ARE
<br /> OTHER
<br /> (1) ADDITIONAL INSURED: If required by contract,lncludes coverage for Addifionallnsureds per attached endorsement
<br /> (2) ADDITIONAL INSURED: If required by contract, includes coverage for Additional Insureds and loss Payee as required by contract.
<br /> (3) PRIMARY COVERAGE: Where required by lease or contract, this coverage is primary and not excess of or contributing with other insurance or self-insurance_
<br /> (4) WAfVER OF SUBROGA. Tl0N: Insured waives subrogation to the extent required by contract
<br />DESCRIPTION OF OPERATIONSJlOCATIONSNEHICLES/SPECIAL ITEMS JC Contract No. 83737111
<br />Project Name: Santa Ana Reg Trans BI Chiller 83737111 Ser
<br />Customer PO Number: SIGNED AGREEMENT 3.73t19E+11 CITY OF SANTA ANA
<br />CERTIFICAtE HOLDER '..CI\I'ICELLATIO/II
<br /> SHOULD ANY OF THE POllOES DESCRIBED HEREIN BE CANCELLEO BEFORE THE EXPIRATION CATE THEREOF.
<br /> CITY OF SA NT A ANA THE ISSUING COMPANY WILL ~~'~r."'~~ T9 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOlOER
<br /> NAMEO HEREIN, n, ,T r'I" ~",Ii' ". l ~ 'CII t1gT:1.: SI" , n'~,;c" rl~ ~~lIQ'T'?rl ~~ "IJL~ -;;T" ~ fllOl
<br /> Mario Ghizzi pm'T' Iii: If c' '<1I;:~ 'T91"l~ '''? ~~, I>~'~~, ITS ":T'I'fE ':'- <1!;;P~~tUIT'~ ~8
<br /> CLERK OF THE CITY COUNCIL MARSH USA INC. BY' cJ '
<br /> 20 CIVIC CENTER PLAZA M-30 IF? /,?;1/r ~.-/ ~I /u-%~?')
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<br /> SANTA ANA, CA 91702-1988
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