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PRODUCER <br />Marsh USA Inc. <br />4 Stamford Plaza <br />107 Elm Street <br />Stamford, CT 06902 <br />Marybeth Torelli (203) 964-2678 <br />INSURED <br />MBIA MuniSerivices Company <br />Attn: Monica Keller <br />714 Market Street, 3rd Floor <br />Philadelphia. PA 19106 <br />CERTIFICATE NUMBER <br />... 0006004-00308 <br />THIS CERTIFICATE IS ISS AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN <br />THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A FEDERAL INSURANCE CO <br />COMPANY <br />B PACIFIC INDEMNITY CO <br />COMPANY <br />C <br />COMPANY <br />D <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS <br />OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />T <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DD/YY) <br />POLICY EXPIRATION <br />DATE IMM/DD/YY) <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br />35291862 <br />12130101 <br />12130102 <br />GENERAL AGGREGATE $ 2.000.000 <br />X <br />PRODUCTS - COMP/OP AGG $ 1.000.000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />EACH OCCURRENCE $ 1,000,000 <br />FIRE DAMAGE (Any one fire) $ 1,000,000 <br />MED EXP (Anyone person) $ 10.000 <br />A AUTOMOBILE LIABILITY 73186088 <br />X ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />NON -OWNED AUTOS <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCEU <br />S LIABILITY <br />MBRELLA FORM <br />THER THAN UMBRELLA FORM <br />3 WORKIEWS COMPENSATION ANO 71608583 <br />EMPLOYERS' LIABILITY <br />THE PROPRIETOR/ INCL <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE: FIEXCL <br />OTHER <br />A AUTO DEDUCTIBLES: 73186088 <br />12130101 1 12130102 <br />aura Sheedy <br />Dcptity City /%ttm A -v <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / SPECIAL <br />THE CITY OF SANTA ANA, ITS OFFICERS, SERVANT <br />PERFORMED BY THE NAMED INSURED AS REQUIRED B <br />CITY OF SANTA ANA <br />ATTN: RODERICK COLOMA <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />(* 10 DAYS FOR NON-PAYMENT) <br />}} <br />j� -eG� 0-r;)C <br />Marsh USA Inc. <br />BY: <br />COMBINED SINGLE LIMIT Is <br />BODILY INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />IPer accident) <br />PROPERTY DAMAGE Is <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT $ <br />AGGREGATE $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />S <br />i <br />I 1 TURY w�aLIMiHiuITS -i UiERny <br />. EACH ACCIDENT $ ,�j 00. 000 <br />_ DISEASE - POLICY LIMIT $ 500,000 <br />_ DISEASE - EA EMPLOYEE $ 500,000 <br />.omprehensive: $1,000 deductible <br />.ollision: $1,000 deductible <br />SUREDS WITH RESPECT TO THE WORK <br />D HEREIN BE CANCELLED BEFORE THE <br />R AFFORDING COVERAGE WILL ENDEAVOR <br />CE TO THE CERTIFICATE HOLDER NAMED <br />TICE SHALL IMPOSE NO OBLIGATION OR <br />ER AFFORDING COVERAGE, ITS AGENTS <br />