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JCI BI'aech No LOCation 0120 Sml.c W,al 1-1Ins A,,k, Service
<br />MARSH USA INC. CERTIFICATE OF INSURANCE
<br />DATE
<br />ovo3izoos
<br />PRODUCER n ��3—(.a_--)_
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br />YC
<br />Marsh USA Inc.
<br />411 East Wisconsin Avenue —d
<br />Suite 1600
<br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
<br />POLICY THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE
<br />AFFORDED BY THE POLICIES DESCRIBED HEREIN.
<br />AM Beat Raeng
<br />Milwaukee, Wisconsin 53202-4419
<br />Attn: CPU, Phone (414) 290 -4912 Fax: (414) 290 -4953 A- °'ZOD6 — ,2o3
<br />COMPANIES AFFORDING COVERAGE
<br />IAS w etmvse)
<br />*See Below
<br />CPU_Milwaukee@marsh.com
<br />Company ACE American Insurance Company
<br />A P.O. Box 41404, Philadelphia, PA 19101
<br />A+ XV
<br />INSURED
<br />Johnson Controls, Inc. Attn: Corp. Risk Mgml. X -92
<br />Johnson Controls Battery Group, Inc. P.O. Box 591
<br />Company Sentry Insurance A Mutual Co.
<br />B 1800 North Point Drive, Stevens Pont, WI 54481
<br />A+ XV
<br />Company Indemnity Insurance Company of North America
<br />Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201
<br />Cal -Air, Inc.
<br />GES America, L.L.C.
<br />Optima Batteries, Inc.
<br />C and for CA, WI and EX WC: ACE
<br />American Insurance Company
<br />PO Box 41484, Philadelphia, PA 19101
<br />A+ XV
<br />USI Companies, Inc.
<br />York International Corporation
<br />Company
<br />p y Lexington insurance Company
<br />D 100 Summer Street Boston, MA 02110
<br />A+ XV
<br />COVERAGES This certificate supersedes and replatoesi a •'. previously issued certificate.
<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 BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN
<br />MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />CO
<br />LT
<br />R
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />DATE (MMA)DNY)
<br />POLICY EXPIRATION
<br />DATE (MMIDDNY)
<br />LIMITS
<br />A
<br />GENERAL
<br />LIABILITY (1) (3) (4)
<br />CLAIMS MADE OCCUR
<br />tOIN,ME.R ERCIALGENERALLIABILITY
<br />HDOG2373283A
<br />10 -1 -2007
<br />10 -1 -200$
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />PRODUCTS COMPIOP AGG
<br />$ 5,000,000
<br />PERSONAL 8 ADV INJURY
<br />$ 5,000,000
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />'S 8 CONTRA R'S PROT
<br />atual
<br />FIRE DAMAGE Anyone fire)
<br />$5,000,000
<br />X
<br />x.c UrExnmaon canapae, Undei9,omd)
<br />MED EXP Ann, one erson
<br />$ 50.000
<br />X
<br />AdiiaonalLwred (Sea Below)
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY (2) (3) (4)
<br />ANY AUTO
<br />90-04606-01
<br />10- 1-2007
<br />10-1 -2008
<br />COMBINED SINGLE LIMIT
<br />$ 5,000,000
<br />ALL OWNED AUTOS
<br />BODILY INJURY
<br />SCHEDULED AUTOS
<br />(Per person)
<br />X
<br />HIRED AUTOS
<br />BODILY INJURY
<br />X
<br />NON -OWNED AUTOS
<br />(Peracdden0
<br />PROPERTY DAMAGE
<br />GARAGE LIABILITY
<br />AUTO ONLY -EA ACCIDENT
<br />OTHER THAN AUTO ONLY.
<br />ANY AUTO
<br />EACH ACCIDENT
<br />AGGREGATE
<br />D
<br />EXCESS LIABILITY
<br />X UMBRELLA FORM
<br />5577735
<br />10 -1 -2007
<br />10 -1 -200$
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />OTHER THAN UMBRELLA FORM
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY (4)
<br />W LRC44473094 — AOS
<br />10 -1 -2007
<br />10 -1 -200$
<br />X
<br />WC STATU
<br />TORY LIMITS
<br />OTH
<br />ER
<br />EL EACH ACCIDENT
<br />$ 1.000,000
<br />THE PROPRIETORI X INCL
<br />PARTNERS/EXECUTIVE
<br />ERS EXCL
<br />OFFICERS ARE
<br />OFFIC-
<br />WLRC44473136 — CA
<br />SIC C44473057—WI
<br />WCUC4447301 A — EX WC
<br />EL DISEASE - POLICY LIMIT
<br />$1,000,000
<br />EL DISEASE -EACH EMPLOYEE
<br />$ 1,000,000
<br />OTHER
<br />(t) ADDITIONAL INSURED: If required by contract, Includes coverage for Additional Insureds per attached endorsement
<br />(2) ADDITIONAL INSURED: M required by contract, includes coverage for Additional Insureds and Loss Payee as required by contract.
<br />(3) PRIMARY COVERAGE: Where required by lease or contract, this Beverage is primary and not excess of or contributing with other Insurance or self- insurance.
<br />(4) WAIVER OF SUBROGATION: Insured waives subrogation to the extent required by contract.
<br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES !SPECIAL ITEMS JC Contract No, 03737111
<br />Project Name: Santa Ana Reg Trans BI Chiller 83737111 Ser
<br />Customer PO Number SIGNED AGREEMENT 3 73119Ea11 CITY OF SANTA ANA
<br />CERTIFICATE HOLDER _.
<br />CA14CELLAT40N::.. .
<br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
<br />CITY OF SANTA ANA
<br />Mario Ghizzi
<br />THE ISSUING COMPANY W ILL ENBEAVBR3Q MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
<br />NAMED HEREIN,
<br />CLERK OF THE CITY COUNCIL
<br />20 CIVIC CENTER PLAZA M -30
<br />MARSH USA INC. BY
<br />SANTA ANA, CA 91702 -1988
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