Laserfiche WebLink
A~'ORD CERTIFICATE OF LIABILITY INSURANCE ioio9izoo ) <br />PRODUCER (ggg)263-0606 FAX (949)263-0906 <br />Complete Insurance, Inc. <br />California DOI #0437762 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />19000 MacArthur Blvd., PH Flr <br />Irvine, CA 92612-1447 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED TransportatTOn Stu Tes, Inc. INSURERA: United States Fidelity & Guar. <br />1350 Reynolds Avenue, INSURER R: Fidelty & Guaranty Ins Co <br />Ste. 115 INSURERC: St. Pdul Fire & Marine Ins Co <br />Irvine, CA 92614 INSURER D: (~/O St. Paul - KS) <br />]~~ ~ 3-~~ INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />INSR DD' rypE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br /> GENERAL LIABILITY BK01514910 10/01/2003 10/01/2004 EACH OCCURRENCE $ 1, op0, Q00 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300 QQQ <br /> CLAIh1S MADE OCCUR MED EXP (Any one person) $ 1Q, QQ <br />A PERSONAL 8 ADV INJURY $ 1 ~ QQQ r QQQ <br /> GENERAL AGGREGATE $ 2 r QQQ ~ QQQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> POLICY X jE~ LOC <br /> AUT OMOBILE LIABILITY BA01618060 1Q/Ql/2QQ3 1Q/Ql/2QQ4 COMBINED SINGLE LIMIT $ <br /> ANV AUTO (Ea accident) 1, QQQ, QQQ <br /> X ALL OWNED AUTOS BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br />B X HIRED AUTOS <br />BODILY INJURY <br />$ <br /> X NON-OWNED AUTOS (Per accitlenp <br /> PROPERTY DAMAGE $ <br /> ~ ~ , (Per accitleni) <br /> ~; <br /> GARAGE LIABILITY `" "~ ~ AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO ,~ OTHER THAN EA ACC $ <br /> <br />v ~ AUTO ONLY: qGG $ <br /> EXCESS/UMBRELLA LIABILITY ~,. <br />~ EACH OCCURRENCE $ <br /> OCCUR ^ CLAIMS MADE fi)~ t. '~ "'~"" AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WVA7735793 10/01/2003 10/01/2004 X WC SrATU- OTH- <br /> EMPLOYERS' LIABILITY <br />NV PROFRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1, QQQ, QQQ <br /> A <br /> OFFIGEFUMEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYE $ 1,000,000 <br /> I(yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$ 1,000,QQQ <br /> OTHER 10 day notice applies t0 <br /> non-payment and/or <br /> non-reporting <br />DESCRIPTION OF OPERATIONB I LOCATIONS I VEHICLES / E%CLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS <br />ertificate holder is additional insured as respects general liability and auto liability but only if <br />equired by written contract with the named insured prior to an occurence and as per coverage form <br />L/BF26090903 and endt. form CL/GA99090895. Coverage subject to all policy terms and conditions. <br />E: On-call traffic counting service. <br />ERTIFI ATE H LDER ELLATI N <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL XY MAIL <br /> 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />City of Santa Ana I(Jfi~6KMt(~(dbWhtlXs'GYXXd(t(dE76rIX~'J(MDEikY74iQ61(a(dW6XifJf~WOW1gX]tXXX <br />20 Civic Center Plaza, M-43 dfi(dWFXc~N(~£MKX13€XdCq(-Q14~KX%Xd(~fJtY~SKX~trX304YDfd~XXXXXXXXXX <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE /J„~~ <br />Y <br />s~ <br /> ~ <br />_ <br />Alicia I ram/MICHMA /. <br />ACORD 25 (2001/08) ©ACORD CORPORATION 7988 <br />