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CERTIFICATE OF COVERAGE ' 07/05/2016 <br />PRODUCER: ! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br />RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />Alliant Insurance Services, Inc. I EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MEMORANDUM OR POLICY <br />P.O. BOX 6450 I BELOW: <br />NEWPORT BEACH, CA 92658-6450 COMPANIES AFFORDING COVERAGE <br />PH (949) 756-0271 / FAX (949) 756-2713 <br />LICENSE NO. OC36861 �CpMPANY LETTER (A) BIG INDEPENDENT CITIES EXCESS POOL <br />I COMPANY LETTER (B) <br />BIG INDEPENDENT CITIES EXCESS POOL MEMBER: <br />CITY OF SANTA ANA ATTN: ED RAYA COMPANY LETTER (C) <br />RISK MANAGER COMPANY LETTER ( D <br />P.O. BOX 1988 ) <br />SANTA ANA, CA 92702-1988 <br />COMPANY LETTER (E) <br />COMPANY LETTER (F) <br />THIS IS TO CERTIFY THAT THE MEMORANDUM OF COVERAGE OR POLICY(IES) LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br />FOR THE POLICY OR MEMORANDUM PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGES AFFORDED BY THE <br />MEMORANDUM OR POLICY(IES) DESCRIBED HEREIN ARE SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM <br />OR POLICY. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPES MEMORANDUM MEMORANDUM MEMORANDUM <br />OF OR OR POLICY OR POLICY I <br />LTR COVERAGES POLICY NUMBER EFFECTIVE I EXPIRES i LIMIT <br />EXCESS LIABILITY i DIFFERENCE BETWEEN <br />II $10,000,000 POOL LIMIT <br />A OCCURRENCE FORM I BI & PD <br />' 80-05 07/01/2016 07/01/2017 COMBINED AND <br />INCLUDING AUTOMOBILE $1,000,000 <br />LIABILITY I SELF -INSURED RETENTION <br />� I <br />1 <br />I <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS: <br />AS RESPECTS AGREEMENT #C-2-0148 SENIOR MOBILITY PROGRAM. <br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED SOLELY WITH RESPECT TO BODILY INJURY AND PROP���tT`( DAMAGE <br />ARISING OUT OF OPERATIONS AS DESCRIBED BY OR ON BEHALF OF THE NAMED INSURED \A 7 <br />SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS, ol, <br />r P;PTIFIr ATF II nFR <br />ORANGE COUNTY TRANSPORTATION AUTHORITY <br />ATTN: REBECCA POTTER, CPM <br />SENIOR PROCUREMENT ADMINISTRATOR <br />550 S. MAIN STREET <br />ORANGE, CA 92863-1584 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR <br />REPRESENTATIVES. <br />I+' <br />