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<br /> '."'~E'RnFJ.e-A~E..OF',,'rNSURANCE CERTIFICATE NUMBER
<br /> ,,,"",.....,,,,,,;;:>..:..:,.,,,:,,:0....,,.:...::0.:.:0::::.:.:',,..:....::..:.... ..n:., LOS-000225213-00
<br />PRotJIlcER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br /> Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
<br /> 4445 Eastgate Mall, Suite 300 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
<br /> San Diego, CA 92121-1979 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
<br /> Attn: Samantha Gilman 858 552 4298 COMPANIES AFFORDING COVERAGE
<br /> COMPANY
<br />3210Q.-CAS- A TRAVELERS INDEMNITY CO OF CT
<br />INSURED COMPANY
<br /> ANACOMP, INC. B
<br /> A TTN: CHRIS VAN DER WOERD
<br /> 12385 CROSTHWAITE CIRCLE COMPANY
<br /> POWAY, CA 92064 C
<br /> COMPANY
<br /> D
<br />COVERAGES .tlii~.o:$ttifle:.ilt~~~ii$.liWa"Plali!<ii$Ii~~.iIllli~I~,lily:l~il1i<!<I!'lII'li1i""t",fQi:tllll.PQi[<;!JP$r)i>ll.~BI$d'belo\v. ,2
<br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
<br /> NO"TVollTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IJIIITH RESPECT TO Vv'HICH THE CERTIFICATE MAY BE ISSUED OR MAY
<br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES LIMITS SHOWN
<br /> MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />co TYPE OF INSURANCE POLICY NUMBER POL.ICY EFFECTIVE POLICY EXPIRATION LIMITS
<br />LT" , DATE (MM/DDfYY) DATE (MM/DDIYY)
<br />A GENERAL LIABILITY , 260T046801 06/30/01 06/30/02 GENERAL AGGREGATE 1$ 2,000,000
<br /> 7 COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000
<br /> CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $ 1,000,000
<br /> - OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
<br /> FIRE DAMAGE (Anyone fire) $ 1,000,000
<br /> MED EXP A""'onenerson) $ 5,000
<br />A AUTOMOBILE LIABILITY 260T044401 (AOS) . 06/30/01 06/30/02 $ 1,000,000
<br />~ ANY AUTO COMBINED SINGLE LIMIT
<br />A 260T045601 (TX) 06/30/01 06/30/02
<br />A - 06/30/02
<br /> - ALL OYJNED AUTOS 261T247901 (MA) 06130/01 BDOIL Y INJURY $
<br /> SCHEDULED AUTOS (Per person)
<br /> - -
<br /> X HIRED AUTOS BODILY INJURY $
<br /> X NON-DWNED AUTOS (Per accident)
<br /> - I ~-
<br /> - PROPERTY DAMAGE $
<br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
<br /> jq ANY AUTO OTHER THAN AUTO ONLY: ' ....
<br /> EACH ACCIDENT $
<br /> I AGGREGATE 1 $
<br /> EXCESS LIABILITY EACH OCCURRENCE $
<br /> q UMBRELLA FORM AGGREGATE $
<br /> OTHER THAN UMBRELLA FORM $
<br />A WORKERS COMPENSATION AND 260T039A01 (AOS) 06/30/01 06/30/02 X ' TO~m,WS 1 I uER'
<br />EMPLOYERS' LIABILITY
<br />A 260T042001-AZ,MA,OR,WI,MI 06/30/01 06/30/02 EL EACH ACCIDENT $ 1,000,000
<br /> - $ 1,000,000
<br /> THE PROPRIETOR! hlNCL EL DISEASE-POLICY LIMIT
<br /> PARTNERSIEXECUTIVE EL DISEASE-EACH EMPLOYEE. $ 1,000,000
<br /> OFFICERS ARE: EXCL
<br /> I"'"'"
<br />j I
<br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
<br />CERTIFICATE HOLDER .'. >'> ....................i.i. . .................... .... ........ .
<br /> ..........".., "..'" ",'
<br /> SHOULD AN'f OF THE POLICIES DESCRIBED HEREIN Be CANCELLED BEFORE THE EXPIRATION DATE THEREO .
<br /> mE INSURER AFFORDING COVERAGE WILL ~ MAIL ......3.D..- DAYS WRITTEN NOTICE TO n
<br /> CITY OF SANTA ANA APPROVED AS TO F l MIi.TIilCATE HOLDER NAMED HEREIN. R
<br /> ATTN: LYNDA KELLY
<br /> 20 CIVIC CENTER PLAZA M-12~ Ii,
<br /> SANTA ANA, CA 92701 ~ ~OD '1
<br /> MARSH USA INC. ~~
<br /> MiKe Mathews ;,..-.'!!Ii',G. .... -
<br /> ~~~~yS~~~:~ttO"~fY. .i; BY:
<br /> '..i.. M"'~I.!Ii.1 '. ..... ~ ''-.
<br /> .....
<br />
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