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<br />DATE
<br />CERTIFICATE OF INSURANCE
<br />MARSH USA INC.
<br />olio3)z008
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br />PRODUCER �e7Da3�� .'2�
<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 />Marsh USA Inc. • •
<br />-o l
<br />AFFORDED BY THE POLICIES DESCRIBED HEREIN.
<br />AM BaN Raise
<br />(ASarotlova9l
<br />411 East Wisconsin Avenue // t/
<br />Suite 1600
<br />COMPANIES AFFORDING COVERAGE
<br />*See Below
<br />n
<br />Milwaukee, Wisconsin 53 20 2-441 6 oZ��_�IO3
<br />Attn: CPU, Phone (414) 290-4912 Fax: (414) 290 -4953
<br />Company
<br />P y ACE American Insurance Company
<br />A+ XV
<br />CPU Milwaukee @marsh.com
<br />-
<br />A P.O. Box 41484, Philadelphia, PA 19101
<br />Company Sentry Insurance A Mutual Co.
<br />A+ XV
<br />INSURED
<br />Johnson Controls, Inc. Attn: Corp. Risk Mgml. X -92
<br />B 1800 Nonh Point Dnve, Stevens Point, WI 54481
<br />Company Indemnity Insurance Company of North America
<br />Johnson Controls Battery Group, Inc. P.O. Box 591
<br />Johnson Controls Interiors, L.L.C. Milwaukee, Wit 53201
<br />C and for CA, WI and EX WC: ACE
<br />A+ XV
<br />Cal -Air, Inc.
<br />American Insurance Company
<br />GES America, L.L.C.
<br />PO Box 41484, Plnladel ha, PA 19101
<br />Optima Batteries, Inc.
<br />USI Companies, Inc.
<br />Company Lexington Insurance Company
<br />A+ XV
<br />York International Corporation
<br />D 1 D Summer Street Boston, MA 02110
<br />COVERAGE$ This certificate supersedes; and Dee an y ppevi ©usl y issued certificate. -.
<br />_
<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 />ISSUED OR
<br />NOTWITHSTANDING O ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, TS HOWN
<br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IBS SUBJECT OTHER
<br />THE
<br />MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />CO
<br />POLICY
<br />EFFECTIVE
<br />POLICY EXPIRATION
<br />LIMITS
<br />LT
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />DATE(MWDDNY)
<br />DATE(MMIDD/YY)
<br />R
<br />$ 5,000,000
<br />A
<br />GENERAL LIABILITY (1) (3) (4)
<br />HDOG2373263A 10
<br />-1 -2007
<br />10-1 -2008
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />PRODUCTS- COMPIOP AGG
<br />PERSONAL 8 ADV INJURY
<br />$ 5,000,000
<br />CLAIMS MADE OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />OWNER'S 8 CONTRACTOR'S PROT
<br />FIRE DAMAGE An one fire
<br />$ 5,000.000
<br />X Contractual
<br />$ 50,000
<br />X
<br />xCU ExPNR.n Cou.x.e, UM.rV. -d)
<br />MED EYE An one erson
<br />Audit ... I lnNisd(Se. 13- w)
<br />X
<br />B
<br />AUTOMOBILE LIABILITY 12) (3) (4)
<br />90- 04606 -Ot
<br />10-1 -2007
<br />10 -1 -2008
<br />COMBINED SINGLE LIMIT
<br />$ 5,000,000
<br />X ANY
<br />ALL OWNED AUTOS
<br />BODILY INJURY
<br />(Per person)
<br />SCHEDULED AUTOS
<br />X HIRED ACT OS
<br />BODILY INJURY
<br />(Per accident)
<br />X NON OWNED AUTOS
<br />PROPERTY DAMAGE
<br />GARAGE LIABILITY
<br />AUTO ONLY -EA ACCIDENT
<br />ANY AUTO
<br />OTHER THAN AUTO ONLY:
<br />EACH ACCIDENT
<br />AGGREGATE
<br />$ 5,000,000
<br />D
<br />EXCESS LIABILITY
<br />5577735
<br />10 -1 -2007
<br />10 -1 -2008
<br />EACH OCCURRENCE
<br />X UMBRELLA FORM
<br />AGGREGATE
<br />$ 5,000.000
<br />OTHER THAN UMBRELLA FORM
<br />WCSTATU- OTH-
<br />X
<br />-
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS LIABILITY (4)
<br />WLRC44473094 — AOS
<br />10 -1 -2007
<br />10 -1 -2008
<br />TORY LIMITS ER
<br />WLRC44473136 — CA
<br />EL EACH ACCIDENT
<br />$ 1,000,000
<br />EL DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />X
<br />SCFC44473057 — W I
<br />THE PROPRIETOR/ INCL
<br />W CUC4447301 A — EX W C
<br />$1,000,000
<br />PARTNERS/EXECUTIVE EXCL
<br />EL DISEASE -EACH EMPLOYEE
<br />OFFICERS ARE.
<br />OFFICERS
<br />OTHER
<br />(1) ADDITIONAL INSURED: If required by contract, Includes coverage for Additional Insureds per attached endorsement
<br />N required by contract, includes coverage for Additional Insureds and Loss Payee as required by contract.
<br />- insurance.
<br />(2) ADDITIONAL INSURED:
<br />PRIMARY COVERAGE: Where required by lease or contract, this coverage is primary and not excess of or contributing with other insurance or self
<br />(3)
<br />(4) WAIVER OF SUBROGATION: Insured waives subrogation to the extent required by contract
<br />DESCRIPTION
<br />OE OPERATIONS /LOCATIONSN- 1-- SPECIAL ITEMS JC Contract No, 83737111
<br />Project
<br />Name: Santa Ana Reg Trans BI CNller 83737111 Ser
<br />Customer
<br />PO Number: SIGNEDAGREFMENT 373119E +11 CITY OF SANTA ANA
<br />CERTIFICATE HOLDER _..
<br />CANCELEATI4N
<br />SHWID ANY OF THE PoLICIES DESCRIBED HEREIN BE G4NCELIED BEFORE THE EXPIRATION DATE THEREOF,
<br />THE ISSUING COMPANY WIIl ^ °-" Q14 "Q MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
<br />CITY OF SANTA ANA
<br />NAMED HEaEIN.
<br />Mario Ghizzi
<br />MARSH USA INC. BY _
<br />CLERK OF THE CITY COUNCIL
<br />20 CIVIC CENTER PLAZA M -30
<br />SANTA ANA, CA 91702-1988
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