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ACORD CERTIFICATE OF LIABIL ITY INSURANCE DATE (MM/DDIVYYY) <br />PRODUCER <br />(714)836-9945 FAX (714)836-9946 <br />The Empire Company <br />555 Parkcenter Drive, Ste 206 <br /> <br />Santa Ana <br />CA 92705-3521 09/27/2004 <br />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 />, <br />Emily Fisher <br />INSURED Tran $portatl On Studies, Inc. <br /> <br />1350 Re <br />nolds A <br />%tz~3 -i°fU <br />~- INSURERS AFFORDING COVERAGE <br />INSURERA <br />St. Paul Insurance Company NAIC # <br />y <br />venue <br />. <br />Ste <br />115 INSURER B: <br />. <br />. <br />~' ~.~03 .-~tl-h _~ <br />Irvine <br />CA 92614 (VJ INSURER C: <br />, INSURER D: <br /> INSURER B <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W <br />ITH <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN RESPECT TO WHICH THIS CERTIFICATE MAYB E ISSUED OR <br />IS SUBJEC <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM T TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />S. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER <br />DATE MM/DDM' <br />DATE MM/DD/VY <br />LIMI <br />TS <br /> GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY BK01961249 10/01/2004 10/01/2005 EACH OCCURRENCE $ <br />1, OOO, OO <br /> CLAIMS MADE ~ OCCUR PREMISES Ea occurence $ 300, OO <br /> <br />A MED EXP (Any one person) $ lO, OOO <br /> PERSONAL 8 ADV INJURY <br /> $ 1, OOO, OO <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , OOO, OOO <br /> POLICY PRO- <br /> <br />JECT LOC <br />PRODUCTS-COMP/OP AGG <br />$ <br />2,000,00 <br /> <br /> AU TOMOBILE LIABILITY BA01961267 10/01/2004 10/01/2005 <br /> X ANY AUTO COMBINED SINGLE LIMIT <br />(Ea accitlenq <br />$ <br /> ALL OWNEDAUiOS 1,000,00 <br /> <br />A <br />SCHEDULED AUTOB BODILY INJURY <br />(Per person) 5 <br /> HIRED AUTOS <br /> <br /> NON-OWNED AUTOS BODILY INJURY <br />(Per accitlent) <br />$ <br /> <br /> PROPERTY pAMAGE <br />$ <br /> (Per accitlenp <br /> GARAGE LIABILITY <br /> AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br />EXCESS/UMBRELLA LIABILITY <br /> <br />OCCUR ^ CLAIMS MADE EACH OCCURRENCE $ <br /> AGGREGATE $ <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND BW01961262 10/01/2004 <br />EMPLOYERS' LIABILITY 10/01/2005 <br /> TORY LIMITS ER <br />A ANV PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? E. L. EACH ACCIDENT 5 1,000,00 <br />SPEC <br />S E. L. DISEASE-EA EMPLOYEE $ 1 <br />000 <br />000 <br />IAL <br />PROVI$ONS below <br />OTHER <br />E. L. DISEASE-POLICY LIMIT $ , <br />, <br />1,000,00 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROV <br />ertificat <br />H <br />ld <br />i ISIONS <br />e <br />o <br />er <br />s additional insured as respects to general liability & auto liability but only if <br />equired by written contract with the named insured prior to an occurrence and as per coverage form <br />L/BF26090903 and form CL/CA99090895. Coverage subject to all policy terms and conditions <br /> <br />E: On-Call traffic counting service. . <br />•10 day notice of cancellation applies for nonpayment of premium and/or <br /> non-reporting <br />CERTIFICATE HOLDER ......._.. __. _.. <br />City of Santa Ana <br />20 Civic Center Plaza, M-43 <br />Santa Ana, CA 92702 <br />25(2001/08) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEp BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL X~X9~IXt MAIL <br />.'30. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />D(9(nt)FKX9W(9CAPDl9G1WPlKN91D(9t3WN1C9aX9[9061(lQk7Pl(9(9C90AF90(00(9Q10PXXX <br />1988 <br />