|
?acoRO CERTIFICATE OF LIABILITY INSUKANCE DATE (MM/DD/WYY)
<br />`? 06/07/10
<br />PRODUCER 1-770-552-4225 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Amax & Gough, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND
<br />EXTEND OR
<br />450 xorthridge Parkway ,
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Suite 102
<br />Atlanta, GA 30350
<br />Mati ae ormaza INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED
<br />TRC Solutions
<br />Inc ? _? ?1\ I _ \ ?
<br />` Q?
<br />??J-? v INSURER A: Comm9rca 6e Indus tr Inaur anca COm an
<br />,
<br />. J
<br /> ? INSURER B: Chartia S ecialt Insurance Com an
<br />123 Technology Drives \
<br />?,-7 ? ? ?? INSURER G: Twin City Fire Insurance Company
<br />2 rvine, CA 92618 INSURER D:
<br /> INSURER E:
<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 MAV HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR DD'L
<br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
<br />LIMITS
<br />A GENERAL LIABILITY GL 7168709 07/01/10 07/01/11 EACH OCCURRENCE $ 1,000,000
<br />
<br />X
<br />COMMERCIAL GENERAL LIABILITY DAMA E TO REN ED
<br />PREMISES Ea occurrence
<br />$ 500, 000
<br /> CLAIMS MADE ?X OCCUR
<br /> MED EXP (Any one person) $ 5, 000
<br /> PERSONAL 8 ADV INJURY $ 1, 000
<br />000
<br /> ,
<br /> GENERAL AGGREGATE $ 2
<br />000
<br />000
<br /> ,
<br />,
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , 000, 000
<br /> POLICY X PRO- X LOC
<br />A AUT OMOBILE LIABILITY CA 7168886 A/O 07/01/10 07/01/11
<br />
<br />A
<br />X
<br />ANY AUTO
<br />CA 7168888 MA
<br />07/01/10
<br />07/01
<br />/
<br />1
<br />1 COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br /> ALL OWNED AUTOS ?
<br />??
<br />g/
<br />
<br />SCHEDULED AUTOS
<br />AS T FpK,v1
<br />O BODILY INJURY
<br />(Per parson) $
<br /> <' ? L?
<br />`
<br /> X HIRED AUTOS ?
<br />p V
<br /> A
<br />? / BODILY INJURY $
<br /> X NON-OWNED AUTOS / (Per accitlenl)
<br /> X Comp. Dad_ $2,000 [/
<br />v
<br /> / S es?
<br />y DAMAGE
<br />O $
<br /> X Coll. Dad. $2, 000 1LC Par
<br />a citlenl
<br /> GARAGE LIABILITY ?St&a C•,Cy AUTO ONLY - EA ACCIDENT $
<br /> ANY AUTO yg
<br />OTHER THAN EA ACC
<br />$
<br /> AUTO ONLY: qGG $
<br />8 EXCESS/UMBRELLA LIABILITY LiMH 7168710 07/01/10 07/01/11 EACH OCCURRENCE $ 10,000,000
<br /> X OCCUR ? CLAIMS MADE AGGREGATE $ 10,000,000
<br />
<br /> DEDUCTIBLE
<br /> RETENTION $ $
<br />C ENS
<br />A
<br />T OIY 20 WN MF5434 A/O 07/01/11 X WC STATU- OTH-
<br /> A
<br />B
<br />AND EMPLOYERS 07/01/10
<br />C Y/N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? 20 WHR MF5433 WI 07/01/10 07/01/11 E. L. EACH ACCIDENT $ 1,000,000
<br /> (Man tlatory in NH)
<br />If
<br />tl
<br />i E.L. DISEASE -EA EMPLOYE $ 1, 000, 000
<br /> yes,
<br />escr
<br />be untler
<br />SPECIAL PROVISIONS below
<br />EL DISEASE -POLICY LIMIT
<br />$ 1, 000, 000
<br /> OTHER
<br />H Professional Liability 3778255 07/01/10 07/01/11 per Claim 10,000,000
<br /> EF?O-Including Pollution Liab. Aggregate 15,000,000
<br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
<br />Tha City of Santa Ana, 20 Civic Canter Plaza, Santa Ana CA 92701, its officers, employees, agents, volunteers 6
<br />reprasantativea are named as Additional Insureds under the General Liability 8 Automobile Liability where required by
<br />written contract. This insurance is primary ? non-contributory over any exieiting insurance 6 is limited to liability
<br />arising out of the operations of the named insured ? where required by written contract. Waiver of Subrogation is
<br />applicable where required by written contract ? allowed by law_
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOV E DESCRIBED POL ICIES B E GANC EL LED B EFORE THE EXPIRATION
<br />City of Santa Ana 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 />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />20 Civic Canter Plaza - Roar Annex (M-36)
<br />REPRESENTATIVES.
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ? v ?%%?
<br />USA ?^?K
<br />ACORD 25 (2009/01) jnoyola ©'1988-2009 ACORD CORPORATION. All riGhts reserved.
<br />16100243 The ACORD name and logo are registered marks of ACORD
|