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CERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br />389517 <br />PRODUCER <br />THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS <br />UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED MI THE POLICY. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Marsh, Inc. <br />POLICIES DESCRIBED HEREIN. <br />1166 Avenue of the Americas <br />New York, NY 10036//''��//�� / <br />/ <br />i COMPANIES AFFORDING COVERAGE <br />Telephone (212) 345-5000 W V> ! / <br />COMPANY A: At South Insurance Co. <br />COMPANY B: Amencan Home Assurance Co. _ <br />INSURED/) �] <br />' � 0v + O <br />• COMPANY C: Commerce & Industry Ins Co <br />COMPANY D: Illinois National Insurance Co <br />r <br />SirnplexGrinnell, LP <br />COMPANY E: Insurance Company of the State of PA <br />1701 WEST SEQUOIA AVE <br />ORANGE, CA 92868 <br />COMPANY F: New Hampshire Ins. Co. <br />United States A-2008-082 <br />- <br />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 <br />ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REGUIRMIENTS. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br />RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE <br />AFFORDED BY THE POLICIES LISTED HEREIN 15 SUBJECT TO ALL THE TERMS. CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br />PAID CLAIMS. <br />CO j TYPE OF INSURANCE POLICY NUMBER <br />POLICY EFFECTIVE I POLICY EXPIRATION LIMITS <br />LTR ( <br />i <br />DATE (MMIDDIYY) I DATE (MMJDDII'Y) <br />g I GENERAL <br />LIABILITY <br />GL 1595415 <br />6129(2007 <br />101112008 <br />GENERAL AGGREGATE <br />$15,000.000.00 <br />i X <br />COMMERCIAL GENERAL LIABILITY <br />I <br />PRODUCTS - COMP/OP AGG <br />15,000, 000.00 <br />i <br />I CLAIMS MADE X OCCUR <br />PERSONAL A ADV INJURY <br />S7 5 000.00 <br />OWNER'S d CONTRACTORS PROT <br />EACH OCCURRENCE <br />57,500,000,00 <br />FIRE DAMAGE (Any one hrel <br />$1.0D0.000 00 <br />MED EXP (Any one porson) <br />$10,000.00 <br />g AUTOMOBILE LUIBIUlTY CA 1606993 (VA) <br />6/29/2007 1011!2008 COMBINED SINGLE LIMIT E7,500,000.00 <br />e X 'ANY AUTO CA 1606992 (MA) <br />6+2912007 10!1!2008 <br />g CA 1606994 (AOS) <br />6/29/2007 101112008 <br />AL LOWFO AUTOS <br />ROCA Y INJURY {Par person) <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />BODRY INJURY (Pel acmdent) <br />X NON-OWNEDAUTOS <br />PN(WFRTY DAMAGE <br />PROPERTY <br />I <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />IAABRELLA FORM <br />AGGREGATE <br />OTHER THAN UMBRELLA F ORM <br />g <br />WORKERS COMPENSATION AND SEE PAGE TWO <br />SEE PAGE TWO SEE PAGE TWO <br />p <br />EMPLOYF_RE'LIABKJTY <br />- — - <br />– <br />C <br />FL EACH ACCIDENT <br />$2,000.000.00 <br />A <br />THE PROPRIETORI <br />PARTNERS/EXECUTIVE I INCL <br />EL DISEASE-POLICY LIMIT <br />$2,000,000.DO <br />F <br />OFFICERS ARE. EXCL <br />EL DISEASE-EACH EMPLOYE <br />.. <br />52,000,000.00 <br />OTHER <br />i <br />DESCRIPTION OF OPERATIONS&OCATION&VEHICLESISPECIAL ITEMS <br />Please see page 2 for additional insureds and any acklbonaJ language. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE POLICIES DESr~.I1 Mr RCIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF TME <br />ATTN: PURCHASING DEPARTMENT <br />WSIIRER AFFCACNC CCNCHAOE WILL AWL 30 DAYS WRITT EN NOT ICE TO THE CERTF,rA It KXXXN NANED HEREIN. <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CALIFORNIA 92701-4010 <br />MARSH USA INC. BY' <br />Kathe r"Ia OLeary. Casualty Progam <br />MM1(3102) VALID AS OF: 915!2007 <br />