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CERTIFICATE
<br />OF INSURANCE CERTIFICATE NUMBER'
<br />- .._648068
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO
<br />PRODUCER
<br />It! (0; 53
<br />-
<br />RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE PODGY.
<br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />POLICIES DESCRIBED HEREIN.
<br />Marsh, Inc.
<br />1166 Avenue of the Americas _ , , I A
<br />New York, NY 1
<br />Telephone (212) ISV0 AT
<br />COMPANIES AFFORDING COVERAGE
<br />COMPANY A: At South insurance Co.
<br />COMPANY 8: Commerce & Industry Ins Co
<br />COMPANY C: Fireman's Fund Insurance Company
<br />COMPANY D: Illinois National Insurance Co.
<br />_
<br />INSURED `
<br />1701 WEST SEQUOIA AVE
<br />1701 WEST SE U
<br />ORANGE, CA 92868
<br />COMPANY E: Insurance Company of the State of PA
<br />COMPANY F: NaVI Union Fire Ins Co of Pittsburgh, PA
<br />COMPANY G: New Hampshire Ins. Co.
<br />United Slates
<br />COVERAGES
<br />THIS IS TO CERIIFY 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 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 i9 SUBJECTTO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY RAVE BEEN REDUCED BY
<br />PAID CLAIMS
<br />CO
<br />Lift
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />DATE(MM,UDAY)
<br />POLICY
<br />EXPIRATION
<br />LIMITS
<br />G
<br />GENERAL
<br />LIAa1LITY
<br />GL 090-73-63 (Primary GL)
<br />10/1/2009
<br />10/1/2010
<br />GENERAL AGGREGATE
<br />$2,000,000.00
<br />X
<br />COMMERCIALGENERAL
<br />CMKI37AADE Ix IOCCU
<br />PRODUCTS- COMP /OP AGO
<br />z o00 oao.Do
<br />-
<br />PERSONAL&ADV INJURY
<br />1 Q-
<br />EACH OCCURRENCE
<br />1000000.00
<br />OWNER'S &CONTRACTOR'S
<br />FIRE DAMAGE(An,.a. fire)
<br />$1,000,D00.00
<br />MEDEXP(Mydneperaon)
<br />$10,000100
<br />F
<br />F
<br />AUTOMOBILE - MBIUTY
<br />X ANYAUTO
<br />CA 091 -93 -98 (MA)
<br />CA 091- 93.97(VA)
<br />1011/2009
<br />1011/2009
<br />1107/2010
<br />10/112010
<br />COMBINED SINGLE LIMIT
<br />$1,000,000.00
<br />F
<br />X HIREDAUTOS
<br />CA 091- 93- 06(AOS)
<br />10/112009
<br />10/1/2010
<br />X NON - OWNEDAUTOS
<br />A
<br />D
<br />D
<br />E
<br />WORKERS COMPENSATION AND
<br />EMPLOYERTUABILITY
<br />THE PROPRIETOR?
<br />PARTNERSMXECUOVE
<br />WC 01 (CT,GA,PA,SC)
<br />WC 060.16-8741(FL)
<br />WC 060 -16-8744 (MI)
<br />WC 060- 16- 8746(AR,MA,VA)
<br />10/1/2009
<br />101112009
<br />10/112009
<br />10/1/2009
<br />10/1/2010
<br />10/1 /2010
<br />101112010
<br />1011/2010
<br />X "° "770X1' meat
<br />ELPACRACCIDENT
<br />$2,000,000,0_0
<br />aDISEASE- POLICY LIMIT
<br />$2,000,000.00
<br />ELOISEASE -EACH
<br />$2,000,000.00
<br />F
<br />F
<br />OFFICERS ARE:
<br />WC 060.1&8742 (OR)
<br />WC 060 - 16.8740 (CA)
<br />101112009
<br />10/1/2009
<br />1CIII2010
<br />10/12010
<br />- --
<br />G
<br />G
<br />G
<br />WC 080- 16.8748(AOS)
<br />WC 060 - 16.6743(7X)
<br />WC 060168746(ND,NY,OH,WA,WI,WY
<br />10/1/2009
<br />10/1/2009
<br />) 10/1/2009
<br />10/12010
<br />10/12010
<br />10112010
<br />EXCESS LIABILITY
<br />GENERALAGOREDATE
<br />PRODUCTS- COMPfOPAGG
<br />OTHER THAN UMBRELLA FORM
<br />J/
<br />App}y AS
<br />FORM
<br />EACH OCCURRENCE
<br />UMBRELLA FORM
<br />uVc(,rw V.—
<br />i
<br />9 �
<br />PROPERTY
<br />Deptity City
<br />'ttorney
<br />MIT
<br />C
<br />C
<br />C
<br />Rulde's RISWnslallallorJDMDaa Wake
<br />Rental EgoipmenVCOnVeCOla EgMpmenl
<br />Wankel Trent
<br />OC 9512860
<br />OC 91/2880
<br />OC 9112880
<br />6x172009
<br />N1/200g
<br />WV 2009
<br />6n110f0
<br />6!12010
<br />6MEID10
<br />USD 51,000,000.00 perlobs�te
<br />USE, $1,000,000.00 parjobalte
<br />USD SI.000.000100 peroomeyance
<br />DESCRIPTION OF OPERATLONS /LOCATIONSNEHtCLSMSPECIAL ITEMS
<br />SANTA ANA POLICE DEPARTMENT is named ee Additional Insured aubjent to the condition. of the written contract between the Named insured and SANTA ANA
<br />20LIC6 OSPARTMEYT.
<br />Na iver of Subroga[Son applies per the conditions of the written contract beeeen Named Insured and SANTA ANA POLICE DEPARTMENT.
<br />Coverage indicated alumna Shall ba prlmar, and non - contributory to ocher Similar insurance per conditions of the written contract between the Named
<br />Insured and SANTA ANA POLICE D¢PARIM¢R.
<br />Project; ACCESS OCVPROL SYWEM AT SAWA ANA POLICE DEPARTMENT
<br />Other Additional Insureds: The city of Santa Ana, 20 civic Center Pines, Santa Ana, California 927011 its officers, employees, agents, volunteers and
<br />CERTIFICATE HOLDER--- }: -- -
<br />CANCELLATION - -
<br />SANTAANAPOLICEDEPARTMENT
<br />s8ouounoFtiPOUaes oesraie¢oHERDN eE MrvcEUeD PEEOnE THE EXPUUTaHoniE TMEREOF,THE
<br />RSBRER NFOROINO COVERAGE VML MAR 30 MYS VIRITTEN NO REE TD ME CERTFlGTE HOLDER NAMED HERELY
<br />60 CIVIC CENTER PLAZA
<br />SANTA ANA, 92710
<br />United Stales
<br />MARSH USA INC. BY. FTanli n Halock, Gbbal Marine
<br />D&Ad Kong. Csa.alty Prcgrem TfaaPt Ro9rem
<br />'- VALID AS OF912712009
<br />For quesclone regarding this certificate contact, N Peck (Email: daNmekwelnptergzlnnell.tom Phone, 114- 870 -1010 170)
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