TRANSPORTATION STUDIES INC. (2) - Laserfiche WebLink

Home Browse Search

ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1 `.l 9/28/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Erica Hornaday The Empire Company PHONE No1: 550 North Park Center Drive nM —11, hornaday@empire-co. com Suite 205 INSURERS AFFORDING COVERAGE NAIC N INSURERA:OhiO Security Insurance Company 24082 Santa Ana CA 92705 INSURED INSURERS :Arnerican Pire and Casualty Insurance Cc 24066 Transportation Studies Inc INSURERC:United States Liability Insurance Compel 25895 INSURERD; 2640 Walnut Ave Ste L INSURER E ; Tustin CA 92780 INSUReRF: GUVttKAUGS GER1iFIQAtE NUMBER:2U15/2019 MASTER REVISION MINI THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LXP TR TYPE OF INSURANCE 1 L R POLICYNUMBER POLICY9 EFF R&URMO LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 PREMISES .coca once $ $00,000 A CLAIMS.MADE o OCCUR MED EXP(Any one Orson) $ 15,000 BK959050939 10/1/2010 10/1/2019 PERSONAL &ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY ❑ JRCT ® LOC GENBRALAGGREGATE $ 2,000,000 PRODUCTS •COMP/OP AGO $ 2,000,000 5 OTHER: A AUTOMOBILE LIABILITY ANY AUTO ALL OS SCHEDULED AUTOS BAS59050934 10/1/2010 10/1/2019 COMBINEDI LIMIT ell.cdomIL $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY Per ocCdent ( ) $ NON-OAUTOS HIREOAUTOS AUTOS Per acddTY DAMAG er PERnt (Per $ SACEE S X UMBRELLA UPS X. OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE S 1,000,000 B EXCESS LIAS CLAMS -MADE CEO I X I RETENTION $ 10 000 S USA59050934 10/1/2010 10/1/2019 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEIOMEMSER EXCLUDED ❑ (Mandatory in NH) U yes, tlescriba under PESCRIPI'ION OFOPERATIONS below NIA XW559050934 30/1/2018 10/1/2019 X ER 0 b &TAT TET. R E.L. EACH ACCIDENT S 1 000 000 E.L. DISEASE � EA EMPLOYEE S 11000,000 E.L. DISEASE• POLICY LIMIT S 1 000 000 C ERRORS 6 OMISSIONS SPI0227439 10/1/2018 30/1/2019 LIMIT 1,000,000 DEDUCTIBLE 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additionel Remarks Schedule, TV be atmohad It... spaceiarequlmd) —• Re: Agreement to Provide Traffic Counting Services on an On -Call Basis The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insureds with primary/non-contributory wording in respect to the general liabilty coverage per forms CG88100413 attached a$ required by written contract. .REVIEWED BY. �EUNICE HEREDIA(PG I OF } Org City of Santa Ana 20 Civic Center Plaza, M-43 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Hornaday/ERICA Vbunilly.- ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)