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A Rt7Qe CERTIFICATE OF LIABILITY INSURANCE <br />ooi123/201aDmYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, U1e poiicy(ios) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such ondorsoment(s). <br />PRODUCER <br />Marsh Risk & Insurance SoMcesb <br />17901 Van Norman Avenue, Suite 1100:I <br />(949) 399.5800; License p0437153C <br />Irvine, CA 92614 <br />CONTACT <br />NAM[;_..-__..__-_-_-___,_ <br />i <br />PHONE FOX <br />IP!A..N.R.RxfllCAIC "NFL—._._ <br />ADDRESS: <br />ApDREss: <br />INSURERS) AFFORDING COVERAGE <br />NAICN <br />__._... <br />INSURER A: Travelers Internally Co Of CT <br />._--.—_....—.__._ <br />25682 <br />CN102330351-Econo-GAVyU:M-19 <br />INSURED <br />Econolite Systems, IDW! <br />INSURER s : National Union Fire <br />19445 <br />INSURER C: Travelers Pmppygasuegtqomoany OfAmerica..- <br />2567_4_ <br />1260 N. Tustin Avenuet <br />Anaheim, CA 92807 <br />INSURER D: <br />--- <br />INSURERS: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: LOS-002344939.08 REVISION NUMBER: 11 _ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, T14E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />_ TYPE OFINSURANGE <br />ADLBUBB <br />POLICYNUMBER <br />UC <br />POT- --POLICY <br />MMI DIYYYV <br />EXP <br />JRlyQB= <br />LIMITS <br />A <br />X <br />COMMERCALGENERALLIABILRY <br />-- <br />CLAIMS -MADE X OCCUR <br />630BJ492624TCTIB <br />0612712018� <br />0612712019 <br />EACH OCCURRENCE <br />1.000,000 <br />_ <br />____$_ <br />DAMM GAO E�'ElN 5 <br />.�Ep915ESS[e occurrencol <br />S 300,000 <br />_P <br />MED EXP(Any one Person <br />$ 10,000 <br />_ <br />PERSONAL&ADV INJURY <br />$ 1-000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY a PRO- <br />JECT D LOG <br />GENERALAGGREGATE <br />PRODUCTS - CUMPlUP AGE <br />$ 2,000,000 <br />$ 2,000400 <br />GEN'L <br />X <br />$ v <br />OTHER: <br />C <br />AUTOMOBILE <br />DABILI'rY <br />Bt00J496371T118 <br />0612712018 <br />0612712019 <br />COMBINED SING IT <br />ED see cbmtlL <br />$ _ 1,608,OOp <br />BODILY INJURY (Per person) <br />...._.__0'0 <br />$ <br />X <br />ANYAUTO <br />OWNED SCHEDULE[) <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />—' <br />$ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPER rY DAMAGE <br />_(Per @cnkJepl __,___. <br />$ —" <br />X <br />UMBRELLALAS <br />X <br />OCCUR <br />BE014795958 <br />OV2712018 <br />0812712019 <br />EACH OCCURRENCE <br />$ 25,000,000 <br />AGGREGATE <br />$ 25,000,000 <br />EXCESS UAB <br />CLAIMS -MADE <br />DEO I X I RETENTION$ 10000 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y 1 N <br />OFFICE IMEMI RlPARINENIE%ECUTIV[ <br />(Monastery, In REXCLUDED4 <br />(Mandatorybeund <br />NIA <br />US6J496371TL18 <br />061 <br />X PER 'OTH- <br />STATUTE ER <br />E.L.EACH ACCIDENT <br />__. <br />$ 1,000,000 <br />- <br />E.L. DISEASE - EA EMPLOYEE <br />.- -- <br />$� 1,000,000 <br />It yea, describe under1.000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101, Atltlitimlalftemarke Schedule, may 4o allached if mare aRace is raquiratl) <br />Re: Traffic Signal Melntenancedl <br />The City of Santa Ana, Its officers, employees, agents, volunteers and rapresenta fees; are Included as additional Insured where required by written contract with respect to General Liability. Walverof subrogation is <br />applicable where required by written contract and subject to policy terms and conditions. <br />REVIEWED BY: EUNICE FIEHEgiA (yG 1OFIi�) <br />City of Santa Anal. <br />Clerk of the City Council] <br />20 Civic Center Plaza (M-30)J <br />P.O. Box 196E <br />Santa Ana, CA 92.702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurers. Servlcea <br />Jessica Boswell <br />ACORD CORPORATION. All righ <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />