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CERTIFICATE NUMBER <br />428501 <br />PRODUCER COMPANIES AFFORDING COVERAGE <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 />TM <br />WORKERS <br />COMPENSATION POLICIES <br />Carrier <br />Policy <br />Number <br />Elf. Date <br />Exp. Date <br />State <br />iB) <br />American <br />Home Assurance <br />Co. <br />WC <br />1616576 <br />6/29/2007 <br />6/29/2006 <br />CA <br />(D) <br />Illinois <br />National Insurance Co. <br />WC <br />1616577 <br />6/29/2007 <br />6/29/2006 <br />MI <br />(A) <br />Al South <br />Insurance Co. <br />WC <br />1616578 <br />6/29/2007 <br />6/29/2008 <br />GA <br />(B) <br />American <br />Home Assurance <br />Co. <br />WC <br />1616579 <br />6/29/2007 <br />6/29/2008 <br />PA <br />(F) <br />New Hampshire Ins. Cc. <br />WC <br />1616580 <br />6/29/2007 <br />6/29/2008 <br />NY,OH,WI <br />(B) <br />American <br />Home Assurance <br />Co. <br />WC <br />1616561 <br />6/29/2007 <br />6/29/2008 <br />NJ <br />(C) <br />Commerce <br />& Industry Ins <br />Cc <br />WC <br />1616582 <br />6/29/2007 <br />6/29/2008 <br />FL <br />(E) <br />Insurance Company of the State of PA <br />WC <br />1616583 <br />6/29/2007 <br />6/29/2008 <br />AR,MA,VA <br />(B) <br />American <br />Home Assurance <br />Co. <br />WC <br />1616584 <br />6/29/2007 <br />6/29/2008 <br />AOS <br />(B) <br />American <br />Home Assurance <br />Co. <br />WC <br />1616585 <br />6/29/2007 <br />6/29/2008 <br />OR <br />(B) <br />American <br />Home Assurance <br />Co. <br />WC <br />1616749 <br />6/29/2008 <br />10/1/2008 <br />CA <br />(D) <br />Illinois <br />National Insurance Co. <br />WC <br />1616750 <br />6/29/2008 <br />10/1/2008 <br />MI <br />(A) <br />AT South <br />Insurance Co. <br />WC <br />1616751 <br />6/29/2008 <br />10/1/2008 <br />GA <br />(B) <br />American <br />Home Assurance <br />Co. <br />WC <br />1616752 <br />6/29/2008 <br />10/l/2008 <br />PA <br />(E') <br />New Hampshire Ins. Co. <br />WC <br />1616753 <br />6/29/2008 <br />10/1/2008 <br />NY,OH,WI <br />(B; <br />American <br />Home Assurance <br />Co. <br />WC <br />1616754 <br />6/29/2008 <br />10/1/2008 <br />NJ <br />(C) <br />Commerce <br />& Industry Ins <br />Cc <br />WC <br />1616755 <br />6/29/2008 <br />10/1/2008 <br />FL <br />(E) <br />Insurance Company of the State of PA <br />WC <br />1616756 <br />6/29/2008 <br />10/1/2008 <br />AR, MA,VA <br />(B; <br />American <br />Home Assurance <br />Co. <br />WC <br />1616757 <br />6/29/2008 <br />10/1/2008 <br />OR <br />(B) <br />American <br />Home Assurance <br />Co. <br />WC <br />1616758 <br />6/29/2008 <br />10/1/2008 <br />AOS <br />(B) <br />American <br />Home Assarance <br />Co. <br />WC <br />1616159 <br />6/29/2008 <br />10/1/2008 <br />TX <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 certiticate holder and the parties listed oelow <br />with respect to General Liability, Auto Liability, Workers Compensation. <br />The insurance will be primary and nun -contributory, with respect to any other insurance carried by the certificate <br />holder, but only to the extent of the Named Insured's regLgence. <br />tional insureds: SANTA ANA POLICE DEPARTMENT, CITY OF SANTA ANA <br />Project WITIi RESPECT TO AIL OPERATIONS AT SANTA ANA POL'CE 'IEPARTMENT <br />SANTA ANA POLICE DEPARTMENT <br />60 CIVIC CENTER PLAZA <br />SANTA ANA. 9?710 <br />