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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID M DATE (MMIDD/YY) UTH-1 10/31/03 PRODUCER ~ f .~.PJ< 3 _ ~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION .- ~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Consolidated Orange Co. Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1920 E . Seventeenth St. , #130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana CA 92705 Phone: 714-558-1334 Fax: Lic #0559854 INSURERS AFFORDING COVERAGE INSURED i S thl d C ti INSURER A: SAFECO/AmerlCdn States Ins Co ommun ca ou an ons b Data Inc. INSURER 6: Markel American Insurance Co DBA: SOUTHLAND CAR COUNTERS DBA: PHOENIX DATA SERVICES INSURER C: 1407 N. Batavia St. Suite 107 O CA 92867 INSURER O: range INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANV REQUIREMENT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/ YVE DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , 000 A X COMMERCIAL GENERAL LIABILITY O1-CD-677669-0 09/30/03 09/30/04 FIRE DAMAGE (Any ane fre) $ 2DD, 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL BADV INJURY $S,000,OOO GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMP/OP AGG $2,000, DOD POLICY PRO- LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000 000 A ANV AUro O1-CD-677669-0 09/30/03 09/30/04 (Ea accitlenp , ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accidenp ~, ~ ~ ~ ~ ~ PROPERTY DAMAGE (Per accitlenq $ GARAGE LIABILITY _ ___ ,___,_____ AUTO ONLY-EA ACCIDENT $ ANV AUTO - OTHER THAN EA ACC $ ... AUTO ONLY'. AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ^ CLAIMS MADE EI~FlG'c~TE SU `I THIS C ERSEDF S AGGREGATE $ i AL4 PREVIOiJS CERT _ FICATES $ DEDUCTIBLE - $ RETENTION $ $ WORKERS COMPENSATION AND ' TORY LIMITS ER EMPLOYERS LIABILITY EL EACH ACCIDENT $ E.L. DISEASE-EA EMPLOYEE $ E.L. DISEASE-POLICY LIMIT $ OTHER B PROF LIAB INS MG-817294 03/01/03 03/01/04 EA CLAIM $1,000,000 "CLAIMS MADE" PRIOR ACTS: 03-01-00 AGGREGATE $1 000 000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLEBIEXCLU$IONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *CANCELLATION - EXCEPT 10 DAYS NOTICE FOR NON PAYMENT OF PREMIUM. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS & VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS CONTRACT ARE CONCERNED PER FORM #CG7635 10/O1. RE: TRAFFIC COUNTING CONTRACT -PROJECT 5512 CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION SANTOI3 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL J(~ MAIL ~~ DAYS WRITTEN THE CITY OF SANTA ANA, ITS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OFFICERS, EMPLOYEES, AGENTS ATTN: ZED KEKULA 20 CIVIC CENTER M-21 ~ ___ SANTA ANA CA 92702 AUTHORIZED REPRE$ENTATIV ~yy ~ ~ yn~ ._____~ .. ..__ ~/ "~'"-O'er- ~ w.l