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CERTIFICATE
<br />OF INSURANCE CERTIFICATE "UMBER
<br />saaoss
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
<br />PRODUCER
<br />RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY.
<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
<br />COMPANIES AFFORDING COVERAGE
<br />COMPANY A: Al South Insurance Co.
<br />New York, NY 10036
<br />Telephone (212) 345 -5000
<br />COMPANY B: Commerce & Industry Ins Co
<br />COMPANY C: Fireman's Fund Insurance Company
<br />COMPANY D: Illinois National Insurance Co.
<br />INSURED
<br />SimplexGrinnell, LP
<br />1701 WEST SEQUOIA AVE
<br />ORANGE, CA 92868
<br />COMPANY E: Insurance Company of the State of PA
<br />COMPANY F: Nat'l Union Fire Ins Co of Pittsburgh, PA
<br />COMPANY G: New Hampshire Ins. Co.
<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 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 IS SUB.IECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY
<br />PAID CLAIMS.
<br />CO
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />POLICY
<br />LIMITS
<br />LTR
<br />DATE (MMMD/YY)
<br />EXPIRATION
<br />G
<br />GENERAL
<br />LIABILITY
<br />GL 090 -73 -63 (Primary GL)
<br />10/112009
<br />1 101112010
<br />GENERAL AGGREGATE $2,000,000.00
<br />X
<br />COMMERCIAL GENERAL
<br />CLAIMS MADE Ix IOCCU
<br />PRODUCTS- COMP /OPAGG $2000000.00
<br />PERSONAL B ADV INJURY
<br />00000.00
<br />EACH OCCURRENCE
<br />_$i
<br />$1,000,000.00
<br />OWNER'S& CONTRACTOR'S
<br />FIRE DAMAGE (Any one Are)
<br />$1,000,00000
<br />MED EXP (Any one person)
<br />$10,0oo.00
<br />F
<br />AUTOMOBILE LIABILITY
<br />CA 091- 93- 98(MA)
<br />10/1/2009
<br />10/1/2010
<br />COMBINED SINGLE LIMIT
<br />$1,000,000.00
<br />F
<br />X ANYAUTO
<br />CA 091- 93- 97(VA)
<br />10/1/2009
<br />1011/2010
<br />F
<br />X HIRED AUTOS
<br />CA 091- 93- 96(AOS)
<br />10/1/2009
<br />10/1/2010
<br />X NON - OWNEDAUTOS
<br />A
<br />WORKERS COMPENSATION AND
<br />WC 060- 16- 8747(CT,GA,PA,SC)
<br />10/112009
<br />10/1/2010
<br />X '" aTAmroav pmE
<br />B
<br />D
<br />E
<br />EMPLOYERS' LIABILITY
<br />THE PROPRIETOR/
<br />I PARTNERS /EXECUTIVE
<br />WC 060- 16- 8741(FL)
<br />WC 060 -16 -8744 (MI)
<br />WC 060 -16 -8745 (AR,MA,VA)
<br />10/1/2009
<br />101112009
<br />1011/2009
<br />10/1/2010
<br />101112010
<br />10/112010
<br />EL EACH ACCIDENT
<br />$2,000,000.00
<br />I EL DISEASE-POLICY LIMIT
<br />$2,000,000.00
<br />EL DISEASE -EACH
<br />$2,000,000.00
<br />F (OFFICERS
<br />F
<br />G
<br />G
<br />G
<br />ARE
<br />WC 060- 16- 8742(OR)
<br />WC 060 -16 -8740 (CA)
<br />WC 060 -16 -8748 (AOS)
<br />WC 060 -16- 8743(7X)
<br />WC 060168746(ND,NY,OH,WA,WI,WY)
<br />1011/2009
<br />10/1/2009
<br />101112009 1
<br />101112009
<br />10/1/2009 1101112010
<br />10/112010
<br />10/1/2010
<br />10/112010
<br />10/112010
<br />—
<br />EXCESS LIABILITY
<br />GENERAL AGGREGATE
<br />PRODUCTS - COMPIOP AGG
<br />OTHER THAN UMBRELLA FORM
<br />EACH OCCURRENCE
<br />I
<br />UMBRELLA FORM
<br />PROPERTY
<br />'I
<br />OTHER
<br />• Builder's Rlsklmstall811on/Centracl Works
<br />OC 9112860
<br />5!12009
<br />5/1/2010
<br />USD $1,000,000.00 perjobsile
<br />• Rental EquipmentlConkactors Equipment
<br />OC 9112860
<br />5112009
<br />5!112010
<br />USD $1,000,000.00 perjobsite
<br />• Blanket Transit
<br />OC 9112860
<br />5/12009
<br />5/1/2010
<br />USD$1,000,00100 per conveyance
<br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS
<br />SANTA ANA POLICE DEPARTMENT is named as Additional Insured subject to the conditions of the written contract between the Named Insured and SANTA ANA
<br />POLICE DEPARTMENT.
<br />Waiver of Subrogation applies per the conditions of the written contract between Named Insured and SANTA ANA POLICE DEPARTMENT.
<br />coverage indicated above shall be primary and non- contribumry to other similar Insurance per conditions of the written contract between the Named
<br />Insured and SANTA ANA POLICE DEPARTMENT.
<br />Pio`ect: ACCESS CONTROL SYSTEM AT SANTA ANA POLICE DEPARTMENT
<br />Other Auditions/ Insureds: The City of Santa Ia, 20 Civic Center Plaza, Santa Ana. California 92701; its officers, employees, agents, volunteers and
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SANTA ANA POLICE DEPARTMENT
<br />INSURER AFFORDING COVERAGE wlu MAUL HEREIN S WRITTEN rN�OTICEFTO TTHE ERTIFICATE HOLDER NAMED HEREIN.
<br />60 CIVIC CENTER PLAZA
<br />SANTA ANA, 92710
<br />! �, j ='-1 _-� J,+a.2G: �✓'�cQ�,�
<br />United States
<br />MARSH USA INC. BY: Franklin HallOCk, Global Marine
<br />David Kong, Casually Program Transit Program
<br />VALID AS OF: 912712009
<br />For questions regarding this certificate contact: M Beck (Email: daMeckOsimplezgrinnell.com Phone. 714- 870 -1070 x770)
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