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01!22 %2004 09:02 FAX 215 969 0973 X1002 TRANSCO -01 GLBA ACOM CERTIFICATE OF LIABILITY INSURANCE ° 01291200 PROOIICER Johnson, Kendall &Johnson, Inc. Jo P. h Box 17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW: —_ -_ Newtown. PA 1894MO17 PO ICY BrPECTME INSURERS AFFORDING COVERAGE NAIC # _ INSURED TransCore ITS, InD. 8158 Adams Drive INSURER A: Uberty Insurance UnderwrlterS INSURER B! St Paul Fire & Marine Insurance Compaq 4767 Hummelatown, PA 17036 IHSURERc� National Casualty Company /� 2 A aoo,3 - oa ( •,..1J I NSURER E: GLIVCKALiCS 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W141CH 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. —_ -_ POLICY NUMBER PO ICY BrPECTME POLTCV E%PIRAnON LIMrB T11 A NIS X GENERALLIABILITY X COMMERCW- GENERtIAL JABIUTY IEGLNY199520022 CIAIMS MADE X OCCUR! 1. X]Professional Liability I 913/2003 913/2004 EACH OCCURRENCE $ 1,000,00 PREMIB S ea�«Ao, $ 1,000,00 MED EXP (Arry ma Pwre ) S PERSONA48ADV INJURY S .T 1,000,00 X _I '$25,000 Deductible GENERW.AGGREGATE $ 2100_0100 GENL AGGREGATE LIMIT APPLIES PEA POUCV X P a X LOc PROWCTS- COMPIOP'AOG S 2,OD0.00 Prof Llab- Claims Madr 1,000,00 B X AUTOMOBILE X LIABILITY ANYAUTO AtLOWNEDAUTOS SCHEDULED AUTOS HIRED NON WNW ED AU705 NON-0 TE06401739 .I II ,� _ -! 1012$12003 ' ,' / /Z 10/28/2004 �. COMBINED SINGLE LIMIT BODILY INJURY (Par parson) B 1,900,90 $ BODILY INJURY tPx erciaenq $ I jPROPERTYOAmGE (Par a :ie ) $ GARAGE LIABILITY ANY AUTO '::•,•.. ` .. AUTOONLY- EAACCIDENT IS OTHERTHAN EAACC AUTO ONLY: AGE 3 C � I EXCESSNMBRELLA LIABILITY X OCCUR ❑ CLAM NADE DEDUCTIBLE X RETENTION $ 10,000 UM00030018 � 913/2003 9/3/2004 EACH OCCURRENCE S 5,000,00 AGGREGATE 3 5,000,00 s $ . $ B WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOWPARTNEWEXECUME OFFICERNEMRER PACLUDED9 RYee, cesalbe under SPECIAL PR VI IONS below WVAG403097 10/28/2003 10128/2004 X I wCRMAS I oEH- EL.EACHACCIDENT s 500,00 E.L. DISEASE - EA EMPLOYE 5 SOO,OD - -- E.L. DISEASE UNIT $ 600,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS ]VEHICLES I EXCLUSIONS ADDED RY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder, City Attorney of City, its Officers, agents & employees are included as Additional Insured, ATIMA for GL and AL above but only with respect to services provided by the named insured under contract to the certificate holder. Waiver of abrogation is provided in favor of the certificate holder. Santa Ana On -Call effective February, 2003 JA #2304006 City of Santa Ana Dowling Tsai 20 Civic Center Plaza, M-43 Santa Ana, CA 92701- SHOULD ANY OF THE ABOVE DESCRIBED DATE THEREOF, THE IWUINGIWUR WILLA�MAIL 30 DAYs WRITTEN NOTICE TO THE CERTIFICATE HOLDER HAM ED TO THE LEFT, 'XAfD.()00="LL Le