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<br />CERTIFICATE "t: LIABILITY INSURANCf 1 OA~~/~7:~
<br />
<br />"- Senal # 506062 THIS CERTIFICATE IS ISSlJ.Ell.. 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 />ACORD
<br />, rl.O
<br />
<br />PR0DUCER
<br />
<br />Ao" 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 />INSURED
<br />
<br />COMPANY
<br />A AMERICAN CASUAL TV CO, OF READING PA (NAtC #20427)
<br />
<br />PB AMERICAS, INC,
<br />ON E PENN PLAZA
<br />NEWYORK,NY 10119
<br />
<br />COMPANY
<br />B
<br />
<br />eOM~ANY TRANSPORTATION INSURANCE COMPANY (NAIC #20494)
<br />
<br />I
<br />
<br />COVERAGES
<br />
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABove FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TEAM 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 />
<br />!
<br />
<br />COMPANY
<br />D
<br />
<br />eo
<br />LTR
<br />
<br />POLICY EFFECTIVE
<br />DATE (MMlDDJYY)
<br />
<br />POLICY EXPIRATION
<br />DATE (MMfDOI......)
<br />
<br />LIMITS
<br />
<br />TYPE OF INSURANCE
<br />
<br />POLICY NUMBER
<br />
<br />A GENERAL LIABILITY
<br />)(' COMMERCIAL GENERAL LIABILITY
<br />C = ~ CLAIMS MADE [KJ OCCUR
<br />I OWNERS & CONTRACTOR'S PROT
<br />-
<br />c-
<br />
<br />"
<br />PRODUCTS - COMP/OP AGG $
<br />
<br />11/01/2007
<br />
<br />11/01/200B
<br />
<br />GENERAL AGGREGATE
<br />
<br />GL 20957B8109
<br />GENERAL LIABILITY (AfS)
<br />GL 20957B8093
<br />GENERAL LIABILITY -STOP GAP
<br />
<br />, PERSONAL & ADV INJURY $
<br />EACH OCCURRENCE $
<br />FIRE DAMAGE (Anyone fire) $
<br />MED EXP (Anyone person) $
<br />
<br />A AUTOMOBILE LIABILITY
<br />m ANY AUTO
<br />ALL OWNED AUTOS
<br />f-
<br />SCHEDULED AUTOS
<br />f-
<br />HIRED AUTOS
<br />-
<br />NON-OWNED AUTOS
<br />-
<br />f-
<br />
<br />11/01/2008
<br />
<br />11/01/2007
<br />
<br />BUA 2095768112
<br />I COMMERCIAL AUTO
<br />BUA 20957B8126 PD
<br />AUTO PHYSICAL DAMAGE
<br />
<br />COMBINED SINGLE LIMIT S
<br />---,
<br />
<br />BODILY INJURY
<br />(Perpersonl
<br />
<br />$500 OED CaMP
<br />$1,000 OED CaLL
<br />
<br />BODILY INJURY
<br />(Per accident)
<br />
<br />_...... Pi S 'to YOt\:1l
<br />P:;?'tLV, ' , /.
<br />:() ',;, ~S1ORC\l.
<br />- , ~SI'- E ~1\Ofl\lY
<br />... .. \\'1 '"
<br /><:J:3 )
<br />
<br />PROPERTY DAMAGE
<br />
<br />GARAGE LIABILITY
<br />~ ANY AUTO
<br />
<br />,-
<br />
<br />" .
<br />
<br />AUTO ONLY EA ACCIDENT
<br />OTHER THAN AUTO ONLY:
<br />EACH ACCIDENT 5
<br />
<br />AGGREGATE 5
<br />EACH OCCURRENCE $
<br />AGGREGATE $
<br />"
<br />x I ib~I~J~s T lDJ~.
<br />EL EACH ACCIDENT " $
<br />EL DISEASE. POLiCY LIMIT $
<br />EL DISEASE. EA EMPLOYEE $
<br />
<br />EXCESS LIABILITY
<br />~ UMBRELLA FOAM
<br />, OTHER THAN UMBRELLA FORM
<br />A WORKER'S COMPENSATION AND
<br />A EMPLOYERS' LIABILITY
<br />C
<br />
<br />,.,...
<br />
<br />(
<br />
<br />THEPRQPRETORl
<br />IPARTNERSlEXECUTIVE
<br />OFFICERS ARE
<br />
<br />['XlINeL
<br />. . -I EXCL
<br />
<br />we 2095788059 AOS
<br />WC 2095788062 CA ONLY
<br />WC 2095788076 RETRO (OR,VA,WI)
<br />
<br />11/01/2007
<br />11/01/2007
<br />11/01/2007
<br />
<br />11/01/2008
<br />11/01/2008
<br />11/01/2008
<br />
<br />OTHER
<br />
<br />5,000,000
<br />5,000,000
<br />1,000,000
<br />1,000,000
<br />300,000
<br />5,000
<br />
<br />2,000,000
<br />
<br />$
<br />
<br />,
<br />
<br />,
<br />
<br />..-
<br />
<br />1,000,000
<br />1,000,000
<br />1,000,000
<br />
<br />DESCRIPTION OF OPERATIONS!LOCATlONSNEHICLESISPECIAL ITEMS
<br />(PB #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 />L1ABILlTV TO WHICH THEY MAY BE SUBJECT TO AS A RESULT OF PB'S NEGLIGENCE & 2)UP TO COVERAGE AMOUNTS HEREON,
<br />
<br />,
<br />
<br />, .
<br />
<br />,
<br />
<br />CITY OF SANTA ANA, M - 30
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA, CA 92702
<br />
<br />,-, >,
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EN~X>>X MAIL
<br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
<br />~~~~lIM~
<br />~~"""~-,
<br />
<br />AUTHOR;r~tr~
<br />
<br />. .~"~"'i' .,o,;ji;;i~1iYdm~\':,\./~"l"",i\l":;';
<br />
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<br />
<br />,
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<br />.",~.
<br />
<br />,
<br />
<br />.
<br />
<br />PARSON 2000 2fi'S.FP~PARSONS LIABILITY OS..oli.FP5
<br />
<br />1 0242936
<br />1_
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