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MARSH CERTIFICATE OF INLSURANCE LERTIFIDATE"°MBER <br /> ATL-001024488-15 <br />PRODUCER THIS CERTIFICATE IG ISSUED AS A MATTER OF INFORMATION ONLY AND CDNFERs <br />Marsh USA Inc. (Nashville) NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />PO Box 198975 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />Nashville TN 37219-8975 AFFORDED BV THE POLICIES DESCRIBED HEREIN. <br />615-340-2400 Fax615-340-244037219-8975 COMPANIES AFFORDING COVERAGE <br />Attn: Redaoss.cenn:quest@marsh.com <br /> COMPANY <br />02212-ALL-CAS-07-OS GRAN CA CLIE NONE MAIL A OLD REPUBLIC INSURANCE CO <br />INSURED COMPANY <br />ORANGE COUNTY CHAPTER B <br />AMERICAN RED CROSS <br /> <br />601 N GOLDEN CIRCLE DR N <br />SANTA ANA <br />CA 92705 <br />2007-111 GD O ANY <br />_ <br />, <br /> COMPANY <br /> D <br />COVERAGES This cenificate supersedes andlreplades;any previously Issuetl certificate for the policy padddnotedbelow. 10 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN H AVE BEEN IBSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIGD INDICAIEO. <br />NOTWITHSTANDING ANV REOWREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDRIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOW N MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />TYPE OF INGURANCE ~ <br />POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATIDN <br />LIMITS <br />LTR GATE (MMIDOIYY) DATE (MMIDDIYY) <br />A GEN ERAL LIaeILln MWLZ50458 07/01/07 07/01/08 <br />000 <br />060 <br />$ 5 <br /> GENERAL AGGREGATE , <br />. <br /> X COMMERCIAL GENERAL LIABILITY ,PRODUCTS-COMPIOP AGG $ INCLUDED <br /> X 'CLAIMS MApE OCCUR PERSONAL B ADV INJURY $ S,000,OOO <br /> <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 5,000,000 <br /> FIRE DAMAGE (An <br />one fret $ SEE OTHER <br /> y <br /> ' MED EXP Pn ana erspn) $ 10,000 <br />A AUT OMOBILE LIABILITY MWTB19871 07/01/07 07101!08 <br /> COMBINED SINGLE LIMIT $ 5,000,000 <br /> X ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULE^ AUT0.5 IPer perHOn) <br /> HIRED AUTOS ~ BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (PeremGenO <br /> X U10 Phy5CB Damage- Al <br />Y~~l' ~/~ -~ (E <br />) d ' ~i <br />f'\)sas~'Y PROPERN DAMA <br /> 1 + GE <br />$ <br /> X eductible ComplColl $1,000 <br /> GAR AGE LIABWTY <br /> <br />^- AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO / <br />_ ._1_ -~- OTHER THAN AUTOONLY: <br /> L, 1Ci : ~~ ~.. EACH ACGIpENT $ <br /> /i 5..c n[i: li ,a'': i~ILL`T' AGGREGATE $ <br /> E%CESS LIABILITY ~ EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br />A I WDRKERB COMPENSATION AND MWC11519200 (INSURED) 07/01/07 07/01/08 XI WCS ATU- 0TH- <br />I EMPLOYERS' LIABILITY TORY LIMITS ER <br /> <br />q I' <br />MWFEX 123 (FL)` <br />07/01/07 <br />07/01/08 _ <br />EL EACH ACCIDENT <br />$ 1,000,000 <br />A THE PROPRIETOR! I rt 'i INCL <br />PARTNERBIEXECUTNE <br />I-J MWXS 798 (AL,CA,G4,MA, MI, 07/01/07 07/01/08 EL DISEASE-POLICY LIMIT : $ 1,000,000 <br />I <br />OFFICERS ARE' EXCL. MG, GH, PA,TN, VA ~~ <br />) <br />EL DISEASE-EACH EMPLOYEE $ 1,000,000 <br /> i <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS <br />RE: TO PROVIDE ADULT CPR, STANDARD FIRST AID AND OTHER SAFETY TRAINING TO BE HELD BETWEEN 711!07 TO 6/30/08. <br />THE CITY OF SANTA ANA CA 97201, ITS OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEERS IS INCLUDED AS ADDITIONAL INSURED EXCEPT <br />FOR WORKERS COMPENSATION. <br />CERTIFICATE HOLDER CANCELLATION <br /> BXOULO ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATIDN DAiE TNEREC£, <br /> THE INSURER AFFOROINO COVEflAGE WILL ENDEAVOR TO MAIL ~Q OAYB W0.1TfEN NOTICE TO THE <br />CITY OF SANTA ANA <br /> <br />ATTN: JIM STIKELEATHER CERTIFICATE N0.0ER NAMED HEREIN, RUT FAILURE TO MAIL SUCH NOTICE 6NALL IMPOSE NO OBLIGATION O0. <br />20 CIVIC CENTER PLAZA, M-24 LIABILITY OF ANY KIND UPON ME INSURER AFFORDING GOVE0.AGE, ITS AGENTS GR REPRESENTATIVES, O0. THE <br />SANTA ANA, CA 92701 <br /> IssDER of rws csanFenre. <br /> MARSH USA INC. <br /> eY: Donna D. Bagley +~~t+-•'M- ~ ~B"t`-1/° <br /> MM7(3f02) VALID AS OF: 08/21!07 <br />