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CERTIFICATE
<br />OF INSURANCE CERTIFICATENUMBER
<br />THIS CERTIFICATE IB ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
<br />RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY.
<br />PRODUCERq i
<br />- oU J
<br />�
<br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />POLICIES DESCRIBED HEREIN.
<br />Marsh, Inc.
<br />COMPANIES AFFORDING COVERAGE .
<br />1166 Avenue of the Americas
<br />New York, NY 10036
<br />Telephone (212) 345-5000
<br />'COMPANY A: New Hampshire Ins. Co.
<br />COMPANY B: New York Marine & General Insurance Co. (Lead)
<br />!COMPANY C: White Mountain Insurance Co.
<br />COMPANY D: Nat'l Union Fire Ins Cc of Pittsburgh, PA
<br />COMPANY E: Illinois National Insurance Co.
<br />INSURED
<br />Slm IexGfiOnell, LP
<br />p
<br />1701 WEST SEQUOIA AVE
<br />COMPANY F: AI South Insurance Co.
<br />COMPANY G: Commerce & Industry Ins Cc
<br />COMPANY H: Insurance Company of the State of PA
<br />ORANGE, CA 92868
<br />United States
<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 REOUIRMENTS, TERM OR CONDITION OF ANY CONTRACT OR 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
<br />LTR
<br />TVPEOFINSURANCE 'POLICY NUMBER IPOLICY EFFECTIVE
<br />DATE (MMIDOIYY)
<br />POLICY
<br />EXPIRATION
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />GL 1871924 (Primary GL)
<br />10/112008 '10/1/2009
<br />GENERAL AGGREGATE $4,000,000.00
<br />PRODUCTS-OOMPIOP AGO $4000000.00
<br />'X�
<br />COMMERCIAL GENERAL
<br />PERSONAL B ADV I NJURY
<br />i CLAIMS MADE Ex:1OCCU
<br />EACH OCCURRENCE =$2,000,000.00
<br />OWNERS BGONTRACTOR's
<br />FIRE DAMAGE(Any one fire)
<br />MED EXP (Any one person) $10,000.00
<br />D
<br />D
<br />D
<br />AUTOMOBILE LIABILITY CA 1607774 (MA)
<br />X ANY AUTO CA 1607775 (VA)
<br />X HIRED AUTOS CA 1607776 (AOS)
<br />10/1/2008
<br />101112008
<br />10/1/2008
<br />10/112009
<br />10/112009
<br />10/1/2009
<br />COMBINED SINGLE LIMIT $7,500,000.00
<br />X NOAUTOS
<br />0
<br />E
<br />F
<br />A
<br />G
<br />H
<br />D
<br />D
<br />A
<br />WORKERS COMPENSATION AND WC 1872471 (CA) 11011/2008
<br />' EMPLOYERS'LIABILITY SWC 1872475 (MI)
<br />THE PROPRIETOR/ WC 1872478(CT,GA,PA,SC)
<br />PARTNERSIEXECUTIVE WC 1872477 (NY, OH, WI)
<br />OFFICERS ARE: WC 1872472 (FL)
<br />WC 1872476 (AR,MA,VA)
<br />WC 3754201 AOS)
<br />WC 1872473 (OR)
<br />WC 1872474 (TX)
<br />10/1/2006
<br />10/1/2008
<br />101112008
<br />1011/2008
<br />1011/2008
<br />10/112008
<br />10/112008
<br />10/112008
<br />1011/2009X
<br />11011/2009
<br />1011/2009
<br />101112009
<br />110/112009
<br />10/112009
<br />110/1/2009
<br />10/1/2009
<br />10/1/2009
<br />ILMss>Tmaar so'E
<br />CIDENT
<br />EL EACHAC$2,000,000.00
<br />EL DISEASE-POLICYLIMIT $2,000,000.00
<br />EL DISEASE -EACH $2,000,000.00
<br />--
<br />_
<br />EXCESS LIABILITY
<br />GENERAL AGGREGATE
<br />$11.000,000.00
<br />PRODUCTS - COMPIOPAGG
<br />$11,000000.00
<br />A
<br />X OTHER THAN UMBRELLA FORM
<br />GL1871990(Excess GL)
<br />10/1/2008
<br />1011/2009
<br />EACH OCCURRENCE
<br />$5,500,000.00
<br />UMBRELLA FORM
<br />_
<br />D
<br />PROPERTY
<br />WM-ARP-05-01-D8 115/1/241)8
<br />5/1/2010
<br />AMT OF INSURANCE
<br />VALUE OF REAL
<br />PROPERTY INVOLVED IN
<br />All Risk' of direct physical loss w damage:
<br />CONTRACT BETWEEN
<br />Earthquake, Flood Personal Property,
<br />Business Income, Building, Extra Expense,
<br />.NAMED INSURED AND
<br />1, CERTIFICATE HOLDER
<br />Rental Value and Boiler and Machinery
<br />OTHER
<br />B
<br />B
<br />B
<br />Builders RisklinstallationlContracf Warks
<br />Rental EqulpmenVContractoes Equipment
<br />Blanket Transit
<br />JP -TI -20072
<br />JP -TI -20072
<br />JP -TI -20072
<br />51112008
<br />511/2008
<br />51112008
<br />51112009
<br />51112009
<br />51112009
<br />USO $10,000,000.00 par lobsite
<br />USD $10,000,000.00 per pl site
<br />LED $10,000 000.00 per conveyance
<br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
<br />Certificate Holder or any other Nib party shall not be afforded status of an additional insured, a waiver of subrogation, coverage under "se pollees as primary and
<br />non contributory except as expressly agreed to and subject to the terms and conditions of a written agreement between the Named Insured and the Certificate Halder.
<br />Other Additional Insureds: CITY OF SANTA ANA
<br />CERTIFICATE HOLDER CANCELLATION
<br />BHOULD
<br />SANTA ANA POLICE DEPARTME1iJT. _ INSURER
<br />ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE
<br />AFFORDING CDVERAGE WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN
<br />60 CIVIC CENTER PLAZA
<br />SANTA ANA, 92710
<br />United States�
<br />MARSH
<br />-- BwiC
<br />USA INC, BY: Sarah Karg. Property Program Franklin Hallock, Global Marine
<br />Kong, Casualty Program Transit Program
<br />VALID AS OF: 9/27/2008
<br />
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