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Marsh, Inc. 8/24/2006 4:54 PM PAGE 3/008 Eastern Time Zone
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<br />1 1
<br />(JS/ 4/ 006
<br />PRODUCER
<br />THIS CERTIFICATE IS 'ISSUED AS A MATER GF INFORMATION ONLY ANC CONFERS
<br />NO Rr;HTS iI PONT HE' FRTIFICATF HOI DFR OTHFR THANTHOSF PROVIDEC IN THE
<br />Marsh USA Inc- 4831 SE
<br />411 East Wisconsin Avenue
<br />Suite 1600
<br />Milwaukee, Wisconsin 53202 -4419
<br />POLICY THIS CERTITICATE DOES NOT AMEND EXTEND UR ALTER THE COVERAGE
<br />A= FCRDED BY THE POLiCIES DES..'RIBED HEREIN
<br />COMPANIES AFFORDING COVERAGE
<br />AM east Raring
<br />'A: t(tereeroe)
<br />*See Below
<br />Attn_ CPU, Phone (414) 290 -4912 Fax (414) 290 -4953
<br />CPL1 Milwaukee(omarshcorn
<br />Company Illinois Union Insurance Company
<br />A P,_) B2x 41494, Philadelphia, PA 13',e1
<br />A+ XV
<br />INSURED
<br />Johnson Controls, Inc. Attn_ Corp isk mt. X -92
<br />P- M9
<br />Johnson Controls Battery Group, Irx:. P.O. Box 591
<br />Johnson Controls Interiors, L L C Milwaukee, WI 53201
<br />Johnson Controls of Puerto Rico, Inc
<br />Company Sentry Insurance A Mutual Co.
<br />B 19C10 N�rtb Runt Dnve, Slevens R;Int, WI r,"P1
<br />A+ XV
<br />Company Indemnity Insurance Company of North America
<br />C and for CA: ACE American Insurance Company
<br />A+ XV
<br />Cal Air, Inc
<br />P U 80x41494 Philadelphia, PA 13'01
<br />Company
<br />GFS America, I I C
<br />Optima Batteries, Inc-
<br />USI Companies, Inc_
<br />D Lexington Insurance Company
<br />100 Summer Street, Boston, MA 021 CI
<br />A+ XV
<br />Pro -1 el, Inc
<br />............. *****................... .......... ............. ........
<br />THIS IS TO CERTIFY 'HAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSIIRFD NAMED HEREIN FOR THE Pn1ICY PFRIOD INDI:;ATFD
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIClI -HE CERTIFICATE MAY BE SS'UED OR MAY
<br />PERTAIN, THE IN'S'JRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 1 ERMS CUNUI TIUNb AND EXCLUSIVNS OF SUCH PU LNJIES, LIMITS SHOWN
<br />MAY HAVE BEEN REDLCED BY PAID CLAIMS
<br />c0
<br />LT
<br />R
<br />TYPE OF INSURANCE
<br />I
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />DATE (MM /DDrYV)
<br />POLICY EXPIRATION
<br />DATE (MMlD DrYY)
<br />LIMITS
<br />A
<br />GENERAL LIABIL'TY (1) (2).;3';
<br />X COMMERCIAL- GENFRAI I IABILITV
<br />CLAIMS MADE Fx I OCCGR
<br />HDOG21723551
<br />10 -1 -2005
<br />10 -1 -2006
<br />i;ENERALAGGREGATE
<br />$ 5,000,000
<br />AGG
<br />$ 5,000,000
<br />PERSONAL & A CV NJ URV
<br />$ 5,000,000
<br />EacH JeRI I rCuENr.E
<br />$ 5,000,000
<br />OW NLR'S &CON T RACI Ur^; S PROT
<br />o
<br />FIRE DAMAGE IAn ne file)
<br />$ 5,000,000
<br />�( Contractual
<br />X
<br />X LI (Exposion. Gollai Jrdergrcund)
<br />ME EXP(Ary one pe, son
<br />$ 50,000
<br />X
<br />Aadmonal Insured- owne's Lessees or
<br />Contrattors See Below
<br />B
<br />AUTOMOBILE LIABIL'TY; 1) (2) l3)
<br />X ANY AUTO
<br />90- 04606 -01
<br />10 -1 -2005
<br />10 -1 -2006
<br />';OMBINFF) S�NG F !MIT
<br />$ 2,000,000
<br />ALL OW NE D AUTOS
<br />BOCl1 V INJ,IRY
<br />SCHEUIJLED A�_ LOS
<br />(Per person)
<br />X HIRFD A'. ITOS
<br />BOCILV INJURY
<br />X NON OWNED AUTOS
<br />(For acclaent)
<br />FRr'IPCRTY DAMAGF
<br />GARAGE - !ABILITY
<br />AU i U ONLY -EA RCCIDEN i
<br />OTHER THAN AUTO UNL1'
<br />............................
<br />ANY AUTO
<br />EACH ACCICENT
<br />D
<br />FXCFSS LJABIi ITV
<br />NOTIiIER UMBRELLA FORM
<br />5577313
<br />10 -1 -2005
<br />10 -1 -2006
<br />EACH OCCLRRGNCC
<br />$ 5,000,000
<br />A�'u' R E� 'AT E
<br />$ 5,oao,000
<br />THAN UMBRELLA FORM
<br />C
<br />WURKERSCOMPE NSA- ION ANC
<br />EMPL ,vERS uABluTV (a)
<br />WLRC44333879
<br />WLRC44333880 CA
<br />10 -1 -2005
<br />10 -1 -2006
<br />X
<br />WcSTAIU
<br />TORY OMITS'
<br />o;,H
<br />ER
<br />EL EACH ACC UENI
<br />$ 1,000,000
<br />THE PR, )OPRIETOR! X INCL
<br />PARTNERS— EOLITIVE
<br />OFFICERS ARE EX(_
<br />The Intlemnily Insurance _'omGany et North
<br />America proglarn applies to all JC' P ilties In afl
<br />stalesexcepl to r the se l -- rsurwJ Bnicies and the
<br />monopolistr. states
<br />EL DISEASE -Pi ILI ^1' LiMI-
<br />$ 1,000,000
<br />Fl DSFAS: -EACH FMPI ;�YFE
<br />$ 1.000,000
<br />OTHER
<br />(1) ADDITIONAL INSURED /LOSS PAYEE: Includes coverage for Additional Insureds 6 Loss Payees as required by lease or contract.
<br />11 specific naming is required: 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 />(3) WAIVER OF SUBROGATION: Insured waives subrogation to the extent required by contract.
<br />DESCRIPTION OF OPERATION,C,'_OCATIONS /VEHICLESISPE CIAL ITEMS JCI Cnniract Nc�
<br />� roja n Name
<br />Customer PU Number
<br />CERT1FiC1kTE :.. •.. ....................................................... ............................
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<br />-
<br />Clerk of the City' Council
<br />...............................
<br />SHOULD ANY OFTHE POLIC'ESDESCRIBED HEREIN BE GANGELLED BEFORETI -E EX?IRATION DATE THEREOF.
<br />THE ISSUING C'�MFANY WII 19. ^9x"^^ T^ MAIL 3_0 DA"5 WRI -TFN NOTICE T:i'THF CERTIFICATE HC LDFR
<br />/e /
<br />City Of Santa . Ana
<br />NAMED HEREIN,
<br />20 Civic Center Plaza IM -3
<br />P.O. BOX 1988
<br />MARSH ! ISA INJ BY
<br />Santa Ana, CA 927021988
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