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<br />1 <br /> <br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE T DATE {MMlDDIYYYY) <br /> 10/10/2005 <br />PRODUCER (714)836-9945 FAX (714) 836-9946 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />The Empire Company ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />550 Parke enter Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 205 <br />Santa Ana CA 92705-3521 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: St. Paul Insurance <br />Transportation Studies, Inc. A-- INSURER B: <br />1320 Reynolds Ave. ;wo5- /:J.4; INSURER c: <br />suite 115 INSURER D <br />Irvine CA 92614 INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLlC1ES DESCRIBED HERE1N IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD'L POLICY fFFECTIVE POLICY EXPlRA110N LIMITS <br />LTR 1 NSRD TYPE OF INSURANCE POLlCY NUMBER DATE (MMfDDNYl DATE (MM/DDNY) <br /> ~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY ~~~~~~J?E~~~Cr?ence\ $ 300,000 <br />A ! CLAIMS MADE ~ OCCUR BKOl961249 10/1/2005 10/1/2006 MED EXP (Anyone person) $ 10,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> ~.~ AGG~EnE LIMiT APlES PER PRODUCTS - COMPIOP AGG , 2,000,000 <br /> X POLICY ~f8T LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT . 1,000,000 <br /> ~ ANY AUTO (Eaacc'ldenl) <br />A - ALL OWNED AUTOS BAOl961267 10/1/2005 10/1/2006 BODILY INJURY <br /> (Per person) . <br /> f-- SCHEDULED AUTOS <br /> f-- HIRED AUTOS BODILY INJURY . <br /> (Per accident) <br /> I- NON-OWNED AUTOS <br /> r-- PROPERTY DAMAGE . <br /> (Per accident} <br /> RRAGE U"'UTY \ .bY':> Q AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO 7c:;;:::? ...e..L"'tv , 12- OTHER THAN EA ACC $ <br /> AUTOQNL Y: AGG . <br /> EXCESS/UMBRELLA LIABILITY / EACH OCCURRENCE . <br /> :=J OCCUR 0 CLAIMS MADE AGGREGATE . <br /> $ <br /> =j ~EDUCTlBLE . <br /> RE"TEN"TION $ . <br />?\ WORKERS COMPENSATION AND I T~1IffJHs I I Ol~- <br /> EMPLOYERS' LIABILITY 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? BW02155033 10/1/2005 10/1/2006 El. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> If yes, describe under 1,000,000 <br />t-- ~PECIAL PROVISIONS belOW E.l. DISEASE POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Certificate Holder is additional insured as respects to general liability & auto liability but only ifrequired by <br />written contract with the named insured prior to an occurrence and as per coverage formCL/BF26090903 and form <br />CL/CA99090895. Coverage subject to all policy terms and conditions,RE: On-Call traffic counting service.*IO day notice <br />of cancellation applies for nonpayment of premium and/or non-reporting <br /> <br />COVERAGES <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 CANCELLfD BEFORE THE <br />EXPIRATION DATE "THEREOF, "THE ISSUING INSURER WILL ~)(O( MAll <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~X <br />x.~~~~*~~~~~ <br />~~~ <br />AUTHORIZED REPRESE TIV <br /> <br /> <br />ORD CORPORATION 1988 <br /> <br />ACORD 25 (2001108) <br />INS025 (0108}.06 AMS <br /> <br />{2,Q, <br /> <br />VMP Mortgage SOlulions, Inc_ (800}327-0545 <br /> <br />Page 1 of2 <br />