SIMPLEX/GRINNELL, LP 3B - 2008 - Laserfiche WebLink

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EXT WORKERS COMPENSATION POLICIES CERTIFICATE NUMBER 426501 ADOrt NAtINFORM ATION Policy Number COMPANIES AFFORDING COVERAGE - PRODUCER State Marsh, Inc. Carrier 1166 Avenue of the Americas -- — - — -- — -- --- New York, NY 10036 1616576 Telephone (212) 345-5000 6/29/2008 INSURED IB) SimplexGrinnell, LP . --- - -- _ - 1701 WEST SEQUOIA AVE WC ORANGE, CA 92868 6/29/2007 United States MI EXT WORKERS COMPENSATION POLICIES LIA31LITY PROGRAM Certificate holder and any parties listed below are added as an additional insured for General Liability and Artc Liability, but only to the extent ofthe Named Insured's negligence. The iaamed insured also waives its right of subrogation in favor of certiticate holder and the parties listed below with respect to General Liability, Auto Liability, Workers Compensation. The insurance will be primary and non-contributory, with respect tc any other insurance carried by the certificate holder. but only to the extent of the Named Lnsur ed's negligence. Additional Insureds: SANTA ANA POLICE DEPARTMENT, CITY OF SANTA ANP Prcject WITH RESPECT TO ALL OPERATIONS AT SANTA ANA PCLICE DEPARTMENT SANTA ANA POLICE DEPARTMENT 60 CIVIC CENTER PLAZA SANTA ANA. 92710 Policy Number Eft. Date Exp. Date State Carrier WC 1616576 6/29/2007 6/29/2008 CA IB) American Home Assurance Co. WC 1616577 6/29/2007 6/29/2006 MI ID) Illinois National Insurance Co. WC 1616578 6/29/2007 6/29/2008 GA (A) Al South insurance Co. Insu WC 1616579 6/29/2007 6/29/2008 PA (BI American Assurance Some Assurance Co. WC 1616580 6/29/2007 6/29/2008 NY,OH,WI (F) New Hampshire Ins. WC 1616581 6/29/2007 6/29/2008 NJ (B) American Home Assurance Co. WC 1616582 6/29/2007 6/29/2008 FL ICI Commerce & Industry Ins Co 1616583 6/29/2007 6/29/2008 AO6MA'VA ('c) Insurance Company of the State of PA WC WC 1616584 6/29/2007 6/29/2008 (BI American Home Assurance Co. WC 1616585 6/29/2007 6/29/2006 OR (BI American Home Assurance Co. WC 1616749 6/29/2008 10/1/2008 CA (B) American Home Assurance Co. WC 1616750 6/29/2008 10/1/2008 MI IDI Ill roots National Insurance Co. WC 1616751 6/29/2008 10/1/2008 GA (A) AI South Insurance Co. WC 1616752 6/29/2008 10/1/2008 PA (BI American Home Assurance Co. WC 1616753 6/29/2008 10/1/2008 NY,OH,WI (2') New Hampshire Ins. Cc. WC 1616754 6/29/2008 10/1/2008 NJ IB) American Home Assurance Co. WC 1616755 6/29/2008 10/1/2008 FL !C1 Commerce & Industry Ins Co 1616756 6/29/2008 10/1/2008 AR,MA, VA (E) Insurance Company of the State of PA WC WC 1616757 6/29/2008 10/1/2008 OR (B) American Home Assurance Co WC 1616752 6/29/2000 10/1/2008 AOS IS) American Home Assurance Ce. WC 1616759 6/29/2008 10/1/2008 TX (BI American Home Assurance Co. LIA31LITY PROGRAM Certificate holder and any parties listed below are added as an additional insured for General Liability and Artc Liability, but only to the extent ofthe Named Insured's negligence. The iaamed insured also waives its right of subrogation in favor of certiticate holder and the parties listed below with respect to General Liability, Auto Liability, Workers Compensation. The insurance will be primary and non-contributory, with respect tc any other insurance carried by the certificate holder. but only to the extent of the Named Lnsur ed's negligence. Additional Insureds: SANTA ANA POLICE DEPARTMENT, CITY OF SANTA ANP Prcject WITH RESPECT TO ALL OPERATIONS AT SANTA ANA PCLICE DEPARTMENT SANTA ANA POLICE DEPARTMENT 60 CIVIC CENTER PLAZA SANTA ANA. 92710