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CERTIFICATE (3F tN$URANCE CERTIFICATE NUMBER <br />400692 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br />UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Marsh, InC. POLICIES DESCRIBED HEREIN. <br />1166 Avenue of the Americas <br />New York, NY 10036 COMPANIES AFFORDING COVERAGE _ __ <br />Telephone (212) 345-5000 COMPANY A: AI South Insurance Co. <br />COMPANY B: American Home Assurance Co. <br />INSURED A-2003-189 A-20 <br />COMPANY C: Commerce & Industry Ins Co <br />A-2004-230 A-2OO6-~ 68 <br />i <br />l COMPANY D: Illinois National Insurance Co. <br />- <br />mp <br />exGrinnell, LP <br />S -- <br /> <br />1701 WEST SEQUOIA AVE A-ZOOS-056 A-ZOO6-168-01 COMPANY E: Insurance Com <br />pany of the State of PA <br />ORANGE, CA 92868 COMPANY F: New Hampshire Ins. Co. <br />United States COMPANY G: New York Marine & General Insurance Co. (Lead) <br /> COMPANY H: White Mountain Insurance Co. <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIRMENTS, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE <br />AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br />PAID CLAIMS. <br />CO rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MMIDDIYY) DATE (MMIDD/YY) <br />B GE NERAL LIABILITY GL 1595415 6/29/2007 10/1/2008 GENERAL AGGREGATE $15,000,000.00 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPIOP AGG $15,000,000.00 <br /> CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $7,500,000.00 <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $7,500,000.00 <br /> FIRE DAMAGE (Any one fire) $1,000,000.00 <br /> <br /> MED EXP (Any one person) $10,000.00 <br />B AUT OMOBILE LIABILITY CA 1606993 (VA) 6/29/2007 10/1 /2008 COMBINED SINGLE LIMIT <br />$7,500,000.00 <br />B )( ANY AUTO CA 1606992 (MA) 6/29/2007 10/1/2008 <br /> CA 1606994 <br />ADS <br />B ( <br />) 6/29/2007 10l1/2008 <br /> ALLOWED AUTOS gODILY INJURY (Per person) <br /> SCHEDULED AUTOS <br /> ~( HIRED AUTOS BODILY INJURY (Per accident) <br /> X NON-OWNED AUTOS <br /> PROPERTY DAMAGE <br /> <br /> PROPERTY <br /> <br /> <br /> <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> UMBRELLA FORM AGGREGATE <br /> OTHER THAN UMBRELLA FORM <br />g WORKERS COMPENSATION AND SEE PAGE TWO SEE PAGE TWO SEE PAGE TWO X WC STATUTORY OTHER <br />D EMPLOYERS' LIABILITY uMlTs <br /> <br />C <br />THE PROPRIETOR/ EL EACH ACCIDENT $Z,000,OOO.UO <br />A PARTNERS/EXECUTIVE ~ INCL EL DISEASE-POLICY LIMIT $2 Q~Q 00.1)0 <br />F OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE <br />$2,000,000.00 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS <br />Please see page 2 for additional insureds and any additional language. <br />..CERTIFICATE"HOLDER CANCELLAT}ON <br />SANTA ANA POLICE DEPARTMENT SHOULD ANY OF THE VGLI DIES DESGkIBED HEREIN BE CANC tL~ED BEF DkE I Nt ExYIKAIIVN DATE THEREOF, THE <br /> <br />60 CIVIC CENTER PLAZA INSURER AFFORDING COVERAGE WILL MAIL 30 GAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN. <br />SANTA ANA, 92710 <br /> MARSH USA INC. BY: f '"` <br /> <br />~~ ~~ <br />David Kong, Casualty Program i "}. ,~~ <br />~.k__..~L`L' <br /> MM1(3/02} VALID AS OFt`12/10A2007 <br />