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DATE (MMOONYYY) <br />12/22/09 <br />INFORMATION <br />CERTIFICATE <br />I EXTEND OR <br />NAIC # <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER 1-212-994-7100 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OI <br />Arthur J. Gallagher a Co. of Now York <br />ONLY AND CONFERS NO RIGHTS UPON THI <br />HOLDER, THIS CERTIFICATE DOES NOT AMEN <br />444 Madison Avenue <br />ALTER THE COVERAGE AFFORDED BY THE PC <br />20th Floor <br />A <br />Now York, NY 10022 - <br />GENERAL LIABILITY <br />INSURERS AFFORDING COVERAGE " <br />INSURED <br />Greyhound Lines, Inc. <br />INSURER A: INSURANCE CO OF THZ STATS or PA <br />INSURERB:NATTOMM 13=0111 PTAs INS Co or PTTTS <br />350 N. St. Paul St. <br />INSURERC:ILLINOIS NATL INS CO <br />�J <br />Dallas, TX 75201/r <br />INSURERD:NSN RM&SHIBE INS CO <br />INSURER E: <br />�/vV (fes <br />(�`(J�'/ (gip z/ <br />COVERAGES <br />DATE (MMOONYYY) <br />12/22/09 <br />INFORMATION <br />CERTIFICATE <br />I EXTEND OR <br />NAIC # <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 />INSR <br />AWL <br />POLICY NUMBER <br />POLKY EFFECTIVE <br />12/31/09 <br />FNx ICIr EXPIRATION <br />LIMITS <br />A <br />GENERAL LIABILITY <br />GL949389 <br />12/31%10 <br />EACH OCCURRENCE i 5 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO, FEEN TI ED $3,000,000 <br />CLAIMS MADE ❑X OCCUR <br />MED E» ens arson $50,000 <br />PERSONAL'aADVINJURY 15,000,000 <br />GENERAL AGGREGATE i 10,000,000 <br />GENLAGGREGATE LIMIT APPUESPER <br />PRODUCTS -COMPIOPAGO $5,000,000 <br />POUCY JECTPRO X LOC <br />B <br />AUTOMOBILE <br />LIABILITY <br />CA949247(AOS) <br />12/31/09 <br />12/31/10 <br />C <br />X <br />ANYAUTO <br />C&949248(TX) <br />12/31/09 <br />12/31/10 <br />COMBINED SINGLE LIMIT <br />(FAQ") $3,000,000 <br />8 <br />ALL OWNED AUTOS <br />C"49249(VA) <br />12/31/09 <br />12/31/10 <br />BODILY INJURY <br />i <br />SCHEDULED AUTOS <br />(Pw parson) <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJURY i <br />(Per wdderrt) <br />O <br />PROPERTY DAMAGE <br />91 lo <br />(Per aoddw t) : <br />GARAGE LIABILITY <br />ACCIDENT i <br />OTHER THAN EA ACC III <br />1 <br />ANY AUTO <br />R <br />pRALITOONLv-EA <br />I'll, <br />AUTO ONLY: AGO III <br />EXCESS I UMBRELLA LIABILITY <br />EI <br />` <br />At <br />CAI <br />MY <br />EACH OCCURRENCE f <br />AGGREGATE 1 <br />OCCUR CLAIMS MADE <br />g <br />t21(1t <br />i <br />i <br />DEDUCTIBLE <br />- i <br />RETENTION i <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />NC11705104,1C1705100 <br />12/31/09 <br />12/31/30 <br />X STA <br />D <br />YIN <br />ANY PROPMETORIPARTNER(EXECUTIVE ❑MC1705102,NC1705303,1705 <br />OFFICERIMEMBER EXCLUDED? <br />99 12/31/09 <br />12/31/10 <br />E.L.EACHACCIDENT 1.'5,000,000 <br />E.L. DISEASE-EA'SOLOYEE 1113 000,000 <br />D <br />(MsndtimInNH) <br />NC1705096, MC1705097 <br />12/31/09 <br />12/31/10 <br />E.L. DISEASE -POLICY LIMIT $3,000,000 <br />D <br />e drAR sOdsb.. <br />MC1705101 1705095 170509 <br />12 <br />12/31/10 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATION$ I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana /-(20 Civic Center Plaza, Santa Ana, CA 92701), its officers, employees, agents, and <br />representatives are iheluded as Additional Insured as per insured contract subject to policy terms, conditions and <br />exclusions. Primary and non-contributory is afforded as required by written contract excess of self-insured retention. <br />The Depot at Santa Ana <br />Attn: Carolyn Fullerton <br />1000 Bast Santa Ana Blvd., <br />Suits 108 <br />Santa Ana, CA 92701 <br />USA <br />ACORD 25 (2DO9/01) tanstep <br />SHOULD ANY OFTHEA13OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />LMIX E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. 0 <br />01988-2008 ACORD CORPORATION. All rights reserved_ <br />13932604 The ACORD name and logo are registered marks of ACORD <br />