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Marsh, Inc. 8/24/2006 4:54 PM PAGE
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<br />JS/ 4/�)U6
<br />PRODUCER
<br />THIS CERTIFICATE IS O ISSUED AS A MATTER F INFORMATII_IN ONLY ANC CONFERS
<br />NC: RI;HTS I IPON -HE CFRTIFI�-ATF Hc- II DFR f)THFR THAN TH, "rSF PROVIDEC IN THE
<br />Marsh USA Inc- 4831 SE
<br />411 Fast Wisconsin Avenue
<br />Suite 1600
<br />Milwaukee, Wisconsin 53202 -4419
<br />POLICY TI1IS CERTI-KATE DC)ES NIJT AVENE. EXTEND 15R ALTER THE COVERAGE
<br />AFFORDED BY THE POLI,'IES DESCRIBED HEREIN
<br />COMPANIES AFFORDING COVERAGE
<br />(A of 09/2805)
<br />See Below
<br />Attn. CPU, Phone (414) 290 -4912 Fax (414) 290 -4953
<br />CPI _MilwaukeeCa)marshcom
<br />Company Illinois Union Insurance Company
<br />A P CI Box 41484, Fhiladelphia, PA lul 11
<br />A+ XV
<br />INSURED
<br />Johnson Controls, Inc- Attm Corp- Risk Mgmt X -92
<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 />Company Sentry Insurance A Mutual Co.
<br />B 1900 IN At, Paint Drive, slavers Point, WI sa4-1
<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 Ali, Inc.
<br />P U B--',X 414-4, Philadel hie PA 191J1
<br />Company
<br />GFS America, I t C
<br />Optima Batteries, Inc
<br />USI Companies, Inc-
<br />D Lexington Insurance Company
<br />1,ID Summer Street, Boston, MA 11211 1
<br />A+ XV
<br />Pro - Tel, Inc:
<br />COVER AG :::::::::::::::::::::::::T:k�is eeifrfiasf� § sues:aiizfre laasshh :...'sv�us
<br />':is'sitecl ceeEi�ica3e::::::::...................I .............
<br />:::::::: :::::::::::::::::::::::::::::
<br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSIJRED 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 SSUEO OR MAY
<br />PLRTA N, 'HL IN-SJRANCL AFFORDED BY THE PO'J IES DEtiCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONDI IiONS AND cXCLLISIUNS OF SUCH PUUk;ILS, LIMIT5 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(MMIDDrVY)
<br />POLICY EXPIRATION
<br />DATE (MM/DDNY',
<br />LIMITS
<br />A
<br />GENERA- LIAB,I ,TY (1) (2'I (3)
<br />X coMMFRCIAI (3FNFRAI tIAeu_ITV
<br />HDOG21723551
<br />10-1-2005
<br />10-1-2006
<br />GENERAL A3GREGATE
<br />$ 5,000,000
<br />PRODUCTS- COMPIGP AGU
<br />$ 5,000,000
<br />CLA MS MADE OCCUR
<br />PERSONAL is ACV INJURY
<br />$ 5,000,000
<br />CCU
<br />LACK O RRENCE
<br />$ 5,000,000
<br />OWNER'S B CONTRACiOR'S PRO T
<br />FIRE DAMAGE iAn une lira)
<br />$ 5,000,000
<br />X ;ontraMDal
<br />X
<br />X G L (Explosion Goilapse LJrderground)
<br />MED EXP An one pe,scn,
<br />$ 50,000
<br />X
<br />Add,eonal Ins,red- Owners. Lessees or
<br />Cont,acors See Below
<br />B
<br />AU-OVOBILE LIABILITY (1) (2) (3)
<br />X ANY ALITU
<br />90- 04606 -01
<br />10 -1 -2005
<br />10 -1 -2006
<br />r,OMBINFD SING F I 'VIT
<br />$ 2,000,000
<br />ALL OWNED AUTOS
<br />Br-�Dli Y INJURY
<br />SCHEDULED AUTOS
<br />fFer person)
<br />X HIRFD AJTCIS
<br />BODILY INJUR'✓
<br />X NC %NOWNED AL7T05
<br />(Per aCcrcontl
<br />FRn P;PRTY DAMAGE
<br />GARAGE LIABILITY
<br />AUTO UNLV EA ACCIDENT
<br />OTHER THAN AUTO ONLY
<br />............................
<br />ANY AUTO
<br />EACH ACCICENT
<br />D
<br />FXCESS LIABILITY
<br />X UMBRELLA FORM
<br />5577313
<br />10 -1 -2005
<br />10 -1 -2006
<br />Eac "nccuRREN`'`
<br />$ 5,000,000
<br />Ar,GREr,ATE
<br />$ 5,000,000
<br />OTHER THAN UMBRELLA FORM
<br />C
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS unelu TV (')
<br />WLRC44333879
<br />WLRC44333880 - CA
<br />10 -1 -2005
<br />10 -1 -2006
<br />X
<br />I WcSTA111
<br />TO RY LMITS
<br />uIH
<br />E R
<br />LL EACH ACC DENI
<br />$ 1,000,000
<br />THE PRn PRI ETCRi X INCI
<br />PARTNERS'; EXEr" 1 ITIVE
<br />- )FFI('F RS ARE EXCL
<br />The Indemnity Insurance Company of North
<br />America program applies to all JCI entities in all
<br />slates except for the self- Insurel entities and fie
<br />nanopollstc states
<br />EL DISEASE - POLL --Y LIMN
<br />$ 1,000,000
<br />FLD,SEASF -EACH ENPl:-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 />If 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 />DESCRIPT;nN OFOPERATIONS /LOCATIONSIVEHICLESSPEE:IAL ITEMS JCI Contract Nei
<br />Project Name
<br />Customer PO Number
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<br />C�I�fFCELL�ItT.[ ON ................................................... ...............................
<br />Clerk Of the City Council
<br />SHOULD ANY CI-THE ROLI&ES DESCRIBED HEREIN BE GANGELLED BEFDRE THE EX''IRATION DP.TE THEREOF.
<br />THE ISSUIN .'�MPANY WII I F21p€R.4633A MA L. 3�DAYSWRITTFN WJIGF TO THE CF RTIF KATE HG UJER
<br />City Of Santa. Lana. K;.�' %�
<br />NAMED HEREIN
<br />20 Civic Center Plaza
<br />P.O. BOX 1988
<br />MARSH LISA INC BY
<br />Santa Ana, CA 927021988
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