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<br />r <br /> <br />M'-t? <br /> <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE IMMJDDIYY) <br />8/01/07 <br />PRODUCER 404-531-5400 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Wells Fargo Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Southeast, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 1100 Johnson Ferry Rd, Ste 250 <br /> Atlanta, GA 30342 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: American Home Assurance Co. <br /> TransCore ITS, LLC A.2005.093.01 American Home Assurance Co. <br /> Roper Industries, Inc. INSURER B: <br /> 8158 Adams Drive INSURER C: National Union Fire Ins Co Pit <br /> Hummelstown PA 17036 INSURER D: Allianz Global Risks US Ins.Co . <br /> I INSURER E: American Int'l SDecialtv Lines <br /> <br />COVERAGES <br /> <br />Insr F: Travelers P&C Ins Co <br /> <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 TYPE OF INSURANCE POLICY NUMBER r,<1~HJ~5g~~ P8k!.fUfJ)~~~ LIMITS <br />LTR <br />A GENERAL LIABILITY EACH OCCURRENCE $ 2000000 <br />- <br /> X COMMERCIAL GENERAL LIABILITY GL7217961 4/01/07 4/01/08 FIRE DAMAGE (Any oile firel $ 100000 <br /> I CLAIMS MADE W OCCUR Incl Vendors MED EXP lAny one person) $ 10000 <br /> ....L Professn'l PERSONAL & ADV INJURY $ 1000000 <br /> - Liab. Prof Liab Policy 4/01/07 4/01/08 GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: 7132522 Claims- PRODUCTS - COMPJOP AGG $ 3000000 <br /> ~ f,;l PRO- r;l Made Occ & AnD Professn'l: <br /> POLICY x :JEer x LOC- 15000000 <br />B AUTOMOBILE LIABILITY AL9721643 & 4/01/07 4/01/08 COMBINED SINGLE LIMIT <br /> - (Ea accident) $ 2000000 <br /> L ANY AUTO AL9721644 <br /> ALL OWNED AUTOS ~~ BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS ~ l.E )~ (Per personl <br /> - <br /> L HIRED AUTOS Hired Car Phy Dmg BODILY INJURY <br /> ~~L $ <br /> L NON-OWNED AUTOS Limit $100,000 (Per accident} <br /> .~ '1-. X- <br /> L Oed. CamP. $2,500 ded hired 13"9~ J~~~~e'l PROPERTY DAMAGE <br /> Oed. Call. .~ (Per accidentl $ <br /> X $2 500 ded hired <br />F GARAGE LIABILITY #QT6600832C767 "J ~~ 't-'C\'I: l"'~- AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO $200,000 Leasedl :rz~~ 4/01/08 OTHER THAN EA ACC $ <br /> X EouiDFloatr -Rented EouiD. ~S AUTO ONLY: AGG $ <br />C EXCESS LIABILITY EACH OCCURRENCE $ 10000000 <br /> =x:J OCCUR D CLAIMS MADE 9834826 4/01/07 4/01/08 AGGREGATE $ 10000000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND WC1592262,63,64 4/01/07 4/01/08 X I ,."X~vSY ~J,~;" I _ 10J~' <br /> EMPLOYERS' LIABILITY & WC1592265 <br /> E.L. EACH ACCIDENT $ 1000000 <br /> Incl. USL&H, OCS E.L. DISEASE - EA EMPLOYEE $ 1000000 <br /> Maritime & AtlEmD E.L. DISEASE - POLICY LIMIT $ 1000000 <br />D OTHER CLP300B160 4/01/07 4/01/08 <br /> Property Cov-Spcl $5,000,000 at $200,000,00He Lim!!; <br /> Causes of Loss unnamed locs Occurrence-Vm.;;:1l.er s ule <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIDNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS rr1-.... ~ <br /> Re: Santa Ana On-Call Service Agreement 2005-06, City of SBnta Ana its -J ~':~) <br /> en <br /> officers, employees, agents, voluntees and representatives are Add'l rv <br /> Insureds under General, Auto & Excess Liability policies where require 0:> <br /> by written contract. Cov is primary & severability applies,see attache <br /> Crime Cov/Employee Dishonesty: Zurich American Policy FID2874652 ~ <br /> Eff. '4/1/07-08, $4,000,000 limit "-""",. <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION :::::~,. -:'t' <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C~BEFO~E EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MJr ~ DAYS WRITTEN <br /> Attn: TC Sutaria, Traffic Engr NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO so SHALL <br /> 20 Civic Center Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Santa Ana, CA 92701 REPRESENT AIIVES. <br /> I AUTHtRl~PRESEN~ATIVE / n <br />ACORD 25-S (7/97) 65- 47 ~l.W. I ~ ' 1 1 JtlACORD CORPORATION 1988 <br /> ""= <br /> <br />- <br />