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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDONYVY) <br />" 09/27/2004 <br />PRODUCER (714)836-9945 FAX (714)836 9946 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />The Empire Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />555 Parkcenter Drive, Ste 206 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92705-3521 <br />Emily Fisher INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Transportation Studies lIne. INSURER A St. Paul Insurance Company <br />1350 Reynolds Avenue A-.;lCv::> -/40 INSURER B: <br />Ste. 115 A- .i>uo:;JI'-ID -ci INSURER C <br />Irvine, CA 92614 INSURER 0 <br /> INSURER E: <br /> <br />COVERAGES <br /> <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 BY PAID CLAIMS <br /> TYPE OF INSURANCE POLICY NUMBER rDAT'E'IMMIDDNYj P DATE MMIDDtv'x" LIMITS <br />LTR NSR <br /> GENERAL LIABILITY BK01961249 10/01/2004 10/01/2005 EACH OCCURRENCE $ 1,000,001 <br /> X COMMERCIAL GENERAL LIABILITY I PREM~~S Ea occurencel $ 300,000 <br /> I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 10 , 000 <br />A PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COM PlOP AGG $ 2,000,001 <br /> I' InPRO- n, <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY BA01961267 10/01/2004 10/01/2005 COMBINED SINGLE LIMIT <br /> ex (Eaaccldent) $ <br /> ANY AUTO 1,000,000 <br /> f- <br /> ALL OWNED AUTOS BODILY INJURY <br /> f- $ <br /> SCHEDULED AUTOS {Per person) <br />A f- <br /> HIRED AUTOS BODILY INJURY <br /> I-- $ <br /> NON-OWNED AUTOS (Peraccidenl) <br /> f- <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY J"J AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO ~L3 OTHER THAN EAACC $ <br /> ~Oltu AUTO ONLY' AGG $ <br /> EXCESS/UMBRELLA LIABILITY ~ EACH OCCURRENCE $ <br /> ~ OCCUR o CLAIMS MADE AGGREGATE $ <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND BW01961262 10/01/2004 10/01/2005 I TORY LIMITS ! IUd~- <br /> EMPLOYERS' LIABILITY 1,000,000 <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER <br />r~ESCRIPTION OF OPERATIONS { LOCATIONS { VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT { SPECIAL PROVISIONS <br />~ertificate Holder is additional insured as respects to general liability & auto liability but only if <br />required 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 />~E: On-Call traffic counting service. <br />'10 day notice of cancellation applies for nonpayment of premium and/or non-reporting <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />20 Civic Center Plaza, M-43 <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~~ MAIL <br />...!..3.0.... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />~K)(~K)(~IlIJOlIOOJ{JlllllO)(Ill~KJO(XX <br />K"'~K J{Il(JO()(KllIlOllOJlJlllQJ(<J{liOOl{~XXXXXXXXX <br />AUTHORIZED REP~ENT. V <br />'/ \.... <br />ORD CORPORATION 1988 <br /> <br /> <br />ACORD 25 (2001/08) <br /> <br />