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MARSH USA INC. CERTIFICATE OF INSURANCE.
<br />DATE
<br />09/27/2005
<br />PRODUCER
<br />Marsh USA Inc. 965SE ,�( —2 1 -- 4
<br />411 East Wisconsin Avenue
<br />Suite 1600
<br />Milwaukee, Wisconsin 53202 -4419
<br />Attn: CPU, Phone (414) 290 -4912 Fax (414) 290 -4953 y� d �' !C}o
<br />CPU_Milwaukee @marsh.com
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<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 />COMPANIES AFFORDING COVERAGE
<br />AY peat Rasing
<br />(A. orgv¢mps)
<br />"See Below
<br />Company Illinois Union Insurance Company
<br />RO. Box 41484, Philadelphia, PA 19101
<br />A+ XV
<br />INSURED
<br />Johnson Controls, Inc. Attn: Corp. Risk MgmL X -92
<br />Company Sentry Insurance A Mutual Co.
<br />B 1800 North Point Drive, Stevens Point, WI 54481
<br />A+ XV
<br />Johnson Controls Battery Group, Inc. P.O. Box 591
<br />Johnson Controls Interiors, L.L.C. Milwaukee, WI 53201
<br />Johnson Controls of Puerto Rico, Inc.
<br />Cal -Air, Inc.
<br />Company Indemnity Insurance Company of North America
<br />C and for CA: ACE American Insurance Company
<br />P O. Box 41484, Philadel hia, PA 19101
<br />A+ XV
<br />Company Lexington Insurance Company
<br />D 100 Summer Street, Boston, MA 02110
<br />A+ XV
<br />GES America, L.L.C.
<br />Optima Batteries, Inc.
<br />COVERAGES - This certificate su ersedes and replaces any jonEviouglY issued certificate,
<br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCH18ED 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 W IFH RESPECT TO WHICH THE CERTIFICATE MAYBE 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 />c0
<br />LT
<br />R
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />DATE (MMIDDMI)
<br />POLICY EXPIRATION
<br />DATE (MMIDDfYY)
<br />LIMITS
<br />A
<br />GENERAL
<br />LIABILITY (1) (2) (3)
<br />COMMERCIAL GENERAL LIABILITY
<br />HDOG1723551
<br />10-1-2005
<br />10 -1 -2006
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />X
<br />PRODUCTS -COMP /OP ASS
<br />$5.000,000
<br />PERSONAL 8 ADV INJURY
<br />$ 5'0'N
<br />CLAIMS MADE X❑ OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />OWNER'S & CONTRACTOR'S PROT
<br />X
<br />FIRE DAMAGE An one fire
<br />$ 5,000,000
<br />ContracwSt
<br />X
<br />X C,V(INpbvon Collapse. Undeymuntl)
<br />$ 50'000
<br />XAdro.a.l
<br />Insured- Ounefs Lessee. or
<br />Comectepe See Below
<br />MED EXP An one arson
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY (1) (2) (3)
<br />ANY AUTO
<br />90- 04606 -01
<br />10 -1 -2005
<br />10 -1 -2006
<br />COMBINED SINGLE LIMIT
<br />$2,000,000
<br />BODILY INJURY
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />(Per person)
<br />BODILY INJURY
<br />X
<br />HIRED AUTOS
<br />X
<br />NON -OWNED AUTOS
<br />(Per acuden0
<br />PROPERTY DAMAGE
<br />GARAGE LIABILITY
<br />AUTO ONLY -EA ACCIDENT
<br />OTHER THAN AUTO ONLY
<br />ANY AUTO
<br />EACH ACCIDENT
<br />D
<br />EXCESS LIABILITY
<br />%t UMBRELLA FORM
<br />5577313
<br />10 -1 -2005
<br />10 -1 -2008
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />OTHER THAN UMBRELLA FORM
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS LIABILITY (3)
<br />WLRC44333879
<br />W LRC4433388CI - CA
<br />10 -1 -2005
<br />10 -1 -2006
<br />X
<br />we sTAru-
<br />TORY LIMITS
<br />oTH
<br />ER
<br />EL EACH ACCIDENT
<br />$1,000,000
<br />THE PROPRIETOR/ X INCL
<br />The Indemnity Insurance Company of North
<br />America program applies to all JCI entties in all
<br />EL DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />PARTNERSIEXECUTIVE
<br />OFFICERS ARE EXCL
<br />states except for the selfinsured entities and the
<br />monopolistic sta \es.
<br />EL DISEASE -EACH EMPLOYEE
<br />$1.000,000
<br />OTHER
<br />(1) ADDITIONAL INSUREDILOSS PAYEE: Includes coverage for Additional Insureds & Loss Payees as required by lease or contract.
<br />If required by contract, this includes: Per Attached
<br />(2) 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 />] WAIVER OF SUBROGATION: Insured waives subrogation to the extent required by contract.
<br />DESCRIPTION OF OPERATIONS/ OCATIONS)VEHICLES /SPECIAL ITEMS JCI Contract No,
<br />Project Name:
<br />Customer PO Number:
<br />CERTtPiCATE HOLDER ,.
<br />CANCELtAT10N '....
<br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
<br />City Of Santa Ana
<br />THE ISSUING COMPANY WILL EMBFAYBF39 MAIL �_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
<br />Office of the City Attorney
<br />NAMED HEREIN'
<br />20 Civic Center Plaza
<br />MARSH USA INC. BY ,
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<br />PO Box 1988
<br />Santa Ana, CA 92702
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