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<br />°R° CERTIFICATE OF LIABILITY INSURANCE oAT10/9/2009 '
<br />.
<br />.,
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Marsh USA Inc. 10838SE HOLDER. THIS CERTIFICATE DOES NOT AMEND
<br />EXTEND OR
<br />411 East Wisconsin Avenue
<br />Suite 1600 ,
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Milwaukee, WI 53202 - 4419 *SEE REVERSE FOR AM BEST RATING
<br />Attn: CPU, Phone (414) 290-4912 Fax (414) 290-4953 NAIC #
<br />CPU Milwaukee marsh.com INSURERS AFFORDING COVERAGE SEE REVERSE
<br />INSURED
<br />Johnson Controls, Inc. Attn: Corp Risk Mgmt. X-92 INSURER A: SEE REVERSE SIDE FOR INFORMATION
<br />Johnson Controls Battery Group, Inc. P.O. Box 591
<br />Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201 INSURER B: SEE REVERSE SIDE FOR INFORMATION
<br />JCIM US LLC
<br />Cel-Air, InC. INSURER C: SEE REVERSE SIDE FOR INFORMATION
<br />GES America, L.L.C.
<br />Metro Mechanical Inc.
<br />Optima Batteries, InC. INSURER D: SEE REVERSE SIDE FOR INFORMATION
<br />USI Real Estate Brokerage Services Inc.
<br />York International Cor oration INSURER E:
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />NSR
<br />LTR ADD'L
<br />NSRD
<br />TYPE OF INSURANCE
<br />POLICY NUMBER POLICY
<br />EFFECTIVE POLICY
<br />EXPIRATION
<br />LIMITS
<br /> DATE DATE
<br /> MM/DD/YY MM/DD/YY
<br />
<br />A GENERAL LIABILITY (i) (3) (4)
<br />H DOG24934056
<br />10/1 /2009
<br />10/1 /2010 EACH OCCURENCE $ S~QQQ~QQQ
<br /> ® COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED $ 5
<br />000
<br />000
<br /> PREMISES Ea occunence ,
<br />,
<br /> ^^ CLAIMS MADE ®OCCUR
<br />
<br />® MED EXP (Any one person) $ SO,000
<br /> Contractual
<br />
<br />
<br />®
<br />PERSONAL & ADV INJURY $ 5,000,000
<br /> X,C,U
<br />
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE
<br />$ S,000,OOO
<br /> :
<br />PRODUCTS-COMP/OP AGG
<br />$ 5,000,000
<br /> POLICY PROJECT LOC
<br />B AUTOMOBILE LIABILITY (2) (3) (4) ~~ g0-04606-01 10/1/2009 10/1/2010 COMBINED SINGLE LIMIT $ S
<br />000
<br />OOO
<br /> ® ANY AUTO (Ea Accident) ,
<br />,
<br />
<br /> ^ ALL OWNED AUTOS '{
<br />Al FRO `JL~) ~ `~(`~ ~' i3 T q
<br />d\lYl BODILY INJURY $
<br /> ^ SCHEDULED AUTOS (Per person)
<br />
<br />® HIRED AUTOS ~"~'
<br />t %
<br />~ ~
<br />~
<br />`
<br />'7
<br />~ BODILY INJURY
<br />(Per accident)
<br />$
<br /> ® NON-OWNED AUTOS ~'-
<br />~ /
<br />1
<br />! PROPERTY DAMAGE
<br />
<br /> GARAGE LIABILITY -
<br />~
<br />' C ~' ~" -
<br />~
<br />'
<br />%
<br />AUTO ONLY - EA ACCIDENT
<br />$
<br /> ^ ANY AUTO AJSISI
<br />l f1Ci01
<br />ile5 OTHER THAN EA ACC $
<br /> AUTO ONLY: AGG $
<br />
<br />D EXCESSIUMBRELLA LIABILITY
<br />XOO 624901154
<br />10/1/2009
<br />10/1/2010 EACH OCCURRENCE $ S,000~QQQ
<br />
<br />® OCCUR ^ CLAIMS MADE
<br />AGGREGATE -
<br />$ 5,000,000
<br /> ^ $
<br /> DEDUCTIBLE
<br /> ^
<br /> RETENTION $
<br /> $
<br />
<br />C WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY (4) WLRC45702017 - AOS 10/1/2009 10/1/2010 ® WC STATU- ^ OTH-
<br />TORY LIMITS ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE WLRC45702029 - CA E.L
<br />EACH ACCIDENT $ 1
<br />QQQ
<br />QQQ
<br /> SCFC45702030
<br />WI . ~
<br />~
<br /> OFFICER/MEMBER EXCLUDED? ^ Y/N - --~
<br /> (Mandatory in NH) WCUC45702042 - EX WC E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br /> If yes, describe under WCUC45702625 - EX WC FL E.L. DISEASE -POLICY LIMIT $ 1 ,000,000
<br /> OTHER
<br /> (1) ADDITIONAL INSURED: If required by contract, includes coverage for Additional Insureds per attached endorsement.
<br /> (2) ADDITIONAL INSURED: If required by contract, includes coverage for Additional Insureds and Loss Payees as required by contract
<br /> (3) PRIMARY COVERAGE: Where required by lease or contract, this coverage is primary and not excess of or contributing with other Insurance or self-insurance
<br /> 4 WAIVER OF SUBROGATION: Insured waives subro ation to the extent re wired b contract.
<br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />JCI Comroq No. JCI Protect Name:All work paMomred by above IroureG Customer PO Number:
<br />VGKIIrIl.A1C 1'7VLUGK ~~ C4NCF11 OTI(]N
<br />~ - ~ - ,.~ ~ ~
<br />City of Santa Ana - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />Building Maintenance M 11 !'' ` EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL LMDGAVGA-7a
<br />20 Civic Center Plaza Y I ` _ ; ~ MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, IiliT
<br />Basement
<br />Santa Ana, CA 92701
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<br />f» tr i it „ ,,,yj~, AUTHORIZED REPRESENTATIVE
<br /> /~ ~' /~,.. - ~ - /' j i .., ..
<br />Of MARSH USA INC. ~ `
<br />Na.Vlcu ca (cvvyrv-1~ ©ACORD CORPORATION 1988
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