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UI 3 It .
<br />(CERTIFICA►` E OF LIABILITY INSU C; IayAngie
<br />DArE(MMrporYYYY)
<br />Acevedo
<br />7/19/2022
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI H br-b1PIYN1"�H_E1&kI TIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERA SE BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETW HE :aSUINI%:yj$,gftf§j; AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT_ If the certificate }colder is an ADDITIONAL INSURED, the policy(ies) 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 can
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />---_
<br />_--
<br />PRODUCER
<br />Marsh
<br />Marsh & McLennan Agency LLC
<br />309 Webster Street
<br />Dayton OH 45402
<br />CONTACT
<br />NAME -Matt Kush
<br />E
<br />G No E 513-25f-2198 FAX
<br />A1G No
<br />AIL
<br />ADDRESS: Matt .Rush marsh mma.com
<br />INSURERS AFFORDING COVERAGE
<br />NA1C # _-
<br />INSURERA: XL Insurance America, Inc.
<br />24554
<br />-__
<br />INSURED KAPscrRAFP
<br />Kapsch Trafficco Holding 11 LI Corp_
<br />2855 Premiere Parkway, Suite F
<br />INSURER13 r Hartford CasualtyInsurance Com an
<br />29424
<br />INSURERC: Federal Insurance Company
<br />i 20281
<br />INSURER D: Interstate Fire & Casuait COm an
<br />22829
<br />Duluth CAA 30097
<br />INSURER E : _-
<br />_-
<br />INSURER F : _.
<br />_.
<br />COVERAGES CERTIFICATE NUMBER: iR99Airsn'2 1 r-111 Ir%PJ 110111RA OM -
<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, THE 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 />---- -
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE -.
<br />ADDLSUBR'
<br />wyn--
<br />-. -
<br />POLICY NUMBER
<br />POLICY
<br />MMIDDNEPF
<br />MMIDD EXP
<br />LIMITS -
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />US00109972LI22A
<br />71112022
<br />7/112023
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE OCCUR
<br />—DAMAGE TO —RETED
<br />PREMSES Ea oc'currrenr*$
<br />100,000 -.--
<br />I MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRO
<br />---GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS -COMPIOPAGG
<br />$2,000,000
<br />POLICY J'ECT LC7C
<br />E
<br />Deductible
<br />$ $100,000 _-
<br />OTHER;. --
<br />i
<br />B
<br />AUrOMOSILE
<br />LIABILITY
<br />Y
<br />Y
<br />33UENFH2934
<br />7/1/2022
<br />7/112023
<br />CO MBINEaccid�DISINGLE LIMIT
<br />$ 1,000,000
<br />ANY AUTO
<br />X
<br />BODILY INJURY (Far person)
<br />$ -
<br />OWNED j I SCHEDULED
<br />-$ -
<br />_-
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accEdenl)
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />L_-
<br />PROPERTY DAMAGE
<br />.Per accident
<br />--
<br />$
<br />_
<br />$
<br />A
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />US00109973LI22A
<br />7/1/2022
<br />7/112023
<br />EACH OCCURRENCE
<br />$ 9,000,000
<br />AGGREGATE
<br />$9,000,000 --
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />_---
<br />$ --
<br />B
<br />WORKERS COMPENSATION
<br />Y i
<br />33WEAL5RL8
<br />711/2022
<br />7/112023
<br />X PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN
<br />STATUTE ER
<br />E.L. EACH ACCIDENT _--
<br />$1,000,000 - _-
<br />ANYPROPRIETORIPARTNERiEXECUTIVE
<br />OFFICERIMEMSEREXCLUDED?
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000 —
<br />If yes, (Mandatory in NH)
<br />If yes, describe under
<br />-
<br />E.L. DISEASE - POLICY LIMIT
<br />-_
<br />$ 1,000,000
<br />PTION OF OPERATIONS belay
<br />O and' Cyber
<br />USFOO987121
<br />71112022
<br />7/112023
<br />Limit
<br />5,000,000/5,000,00
<br />T
<br />82517120
<br />8/1/2021
<br />8MI2022
<br />Limit
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more spate Is required) - -- -
<br />Policies evidenced herein include the following Named Insureds:
<br />Kapsch TrafficCom Holding Corp.
<br />Kapsch TraffCom, Inc.
<br />Kapsch TrafficCom USA, Inc.
<br />KTC Services USA
<br />Streetline, Inc..
<br />Re: Agreement A-2019-203
<br />See Attached...
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRI13ED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Disk Management Division, 4th Floor
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702 r
<br />Risk tieaatD s m
<br />f �r' REVIEWED & APPROVED BY:
<br />1988-2015 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �� Risk Management SpeeiAsi
<br />
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