|
<br />Aon Risk Services, Inc. of New York
<br />199 Water Street
<br />New York, NY 10038
<br />PHONE: 866-266-7475
<br />FAX: 866-467-7847
<br />
<br />CERTIFICATE"'C LIABILITY INSURANCf , DA;~/~7~~)
<br />
<br />'-' Serial # 506062 THIS CERTIFICATE IS ISSUro- 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 />COMPANIES AFFORDING COVERAGE
<br />
<br />--
<br />COMPANY
<br />A AMERICAN CASUALTY CO. OF READING PA (NAIC #20427)
<br />
<br />ACORD
<br />. TId
<br />
<br />PR0DUCER
<br />
<br />INSURED
<br />
<br />COMPANY
<br />B
<br />
<br />PS AMERICAS, INC.
<br />ONE PENN PLAZA
<br />NEW YORK, NY 10119
<br />
<br />COMPANY
<br />C TRANSPORTATION INSURANCE COMPANY (NAIC #20494)
<br />
<br />COMPANY
<br />D
<br />
<br />COVERAGES
<br />THIS IS TO CERTIFY THAT THE POLlCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B YTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IpOLlCY EFFECTIVE POLICY EXPIRATION
<br />TYPE OF INSURANCE POLICY NUMBER, DATE (MMlDDlYY) DATE (MMfDDlYY)
<br />
<br />LIMITS
<br />
<br />CO
<br />LTA
<br />
<br />A GENERAL LIABILITY Gl2095788109 11/01/2007 11/01/2008 GENERAL AGGREGATE , _5,000,000
<br /> -
<br /> X COMMERCIAL GENERAL L1AB\L1TY GENERAL LIABILITY (AlS) PRODUCTS - COMPIOP AGG , 5,000,000
<br />C ~~ [K] Gl 2095788093
<br /> r---- ~ CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000
<br /> GENERAL LIABILITY-STOP GAP --
<br /> OWNER'S & CONTRACTORS PROT ~~URREJ\CE S 1,000,000
<br /> f---
<br /> f-- -'--- F\RE DAMAGE (Anyone fire) , 300,000
<br /> I MED EXP (Anyone parson) " 5,000
<br />A AUTOMOBILE LIABILITY BUA 2095788112 11/01/2007 11/01/2008
<br /> f- COMBINED SINGLE LIMIT , 2,000,000
<br /> X ANY AUTO COMMERCIAL AUTO
<br /> ~ BUA 2095788126 PD
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> f- AUTO PHYSICAL DAMAGE ,
<br /> SCHEDULED AUTOS (Per person)
<br /> f-
<br /> HIRED AUTOS ,$500 DED COMP BODILY INJURY
<br /> f- ,
<br /> ~ NON-OWNED AUTOS $1,000 DED COll (Per aCCident)
<br /> ....'"' Ns 'to fO?;'\
<br /> PROPERTY DAMAGE .
<br /> ~RAGE LIABILITY J\P1I~ {7 If ,.. ~~ ONLY - EA ACCIDENT ,
<br /> f--- ANY AUTO --
<br /> " ',;,'-:; 'gtORP'tI- OTHER THAN AUTO ONLY: -
<br /> , _ ~\Sf'-. ~ I\'J ",Wflne~ EACH ACCIDENT S
<br /> ~-
<br /> AGGREGATE $
<br /> EXCESS LIABILITY ,... ( (./5 ) EACH OCCURRENCE ,
<br /> -
<br /> =1 UMBRELLA FORM AGGREGATE "
<br /> -
<br /> OTHER THAN UMBRELLA FORM ,
<br />A WORKER'S COMPENSATION AND WC 2095788059 AOS 11/01/2007 11/01/2008 X I T~~~lfJ~s I I~~'
<br />A EMPLOYERS'L1ABILlTY WC 2095788062 CA ONLY 11/01/2007 11/01/2008 1,000,000
<br /> EL EACH ACCIDENT ,
<br />C THEPAOPRIETOAI :l:NCL ,WC 2095788076 RETRO (OR,VA,WI) 11/01/2007 11/01/2008 ELDISEASE POLICY LIMIT 1,000,000
<br /> PARTNERSlEXECUTIVE I EXCL '.
<br /> a'FK;ER$AAE. EL DISEASE EA EMPLOYEE S 1,000,000
<br /> OTHER
<br />
<br />
<br />,
<br />
<br />DESCRIPTION OF OPERATIONSlLDCATIONSIVEHICLESfSPECIAL ITEMS
<br />(PS #11972) SARTC METROLlNK EXTENSION STUDY
<br />EXCEPT FOR WORKERS COMPESATION, CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED, 1) FOR
<br />L1ASILlTYTO WHICH THEY MAY BE SUBJECT TO AS A RESULT OF PB'S NEGLIGENCE & 2)UP TO COVERAGE AMOUNTS HEREON.
<br />
<br />JlOtlll!R
<br />
<br />,;'(N'
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL E~MAIL
<br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
<br />CITY OF SANTA ANA, M - 30
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA, CA 92702
<br />
<br />_, I,.
<br />
<br />. '.
<br />
<br />.. ""',,
<br />
<br />.
<br />
<br />~~~IiM)OB::~
<br />~""~~"'""'.
<br />
<br />AUTHOA;r~NCX~ 10242936
<br />
<br />, . ':i!ji'(V~&j;.",,;'.,'i'; O.ACoAl:I!' :IJOI!l1888
<br />Page 1
<br />
<br />,- :..~.:'
<br />
<br />,
<br />
<br />PARSON 2000 2!i'S1 FP~PARS()NS LIABILITY O!i-on.FP!'i
<br />
|