Laserfiche WebLink
<br />. <br /> <br />POLICY <br /> Insurance Company: <br /> Policy Number: <br /> Policy Period: From: To: <br /> 12:01arn Standard time at location <br />CERTIFICATE HOLDER AND ADDITIONALLY INSlJRED <br /> Certificate Holder/Insured: <br />Southern Calitornia Regional Rail Authority (SeRRA) <br />700 South Flower Street, Suite 2600, Los Angeles, CA 90017-4101 <br /> Additionally Insured: <br />Los Angeles County Metropolitan Transportation Authority (MTA) Burlington Northern Santa Fe Corporation (BNSF) <br />Orange County Transportation Authority (OCT A) Union Pacific Railroad Company (UPRR) <br />Riverside County Transportation Commission (ReTe) National Railroad Passenger Corporation (Amtrak) <br />San Bernardino Associated Governments (SAN BAG) <br />Ventura County Transportation Commission (VCTC) <br />LIMITS OF INSlJRANCE <br />Aggregate Limit $6,000,000 Each Occurrence Limit $2,000,000 <br />DESCRIPTION OF WORK AND JOB LOCATlON(S) <br />NAME AND ADDRESS OF DESIGNATED CONTRACTOR <br />NAME AND ADDRESS OF INVOLVED GOVERNMENT AlITHORITV OR OTHER CONTRACTING PARTY <br />PREMIlIM <br />Contract Cost <br />Premium Base Rate per 1,000 of Advance Premium <br />FORM OF ENDORSEMENT <br />Title Number <br />COllNTERSIGNATlJRE <br />Countersigned by Date <br /> (Authori=ed Representative) <br /> <br />EXHIBIT "B" <br />RAILROAD PROTECTIVE LIABILITY POLICY <br />DECLARATION <br /> <br />seRRA FORM NO.6 <br /> <br />Page II of12 <br /> <br />7/12/2004 <br />