<br />rAp.;;~GII~'UFe:rgt<oUln."uranlcCeSeErvlcReTssloFutlheCastA'ITncE. OF LIABILITY INSURANCE DATED';;;;"'}
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />1100 Johnsoo FenyRoad, Suilo 250 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />Atlanta, GA 30342 ALTER THE COVEI!.~GE AFFORDED BY THE POUCIES BELOW.
<br />(404}531-5400 INSURERS AFFORDING COVERAGE -J NAlC #
<br />
<br />-- INSURER A: Natlonaf Union Fire Ins. Co. of Plttsburah
<br />II<SURED ,1~L. ---
<br />TransCore ITS LLC i
<br />j A Division of Roper Industries INstlRER B: Ulinols Nationallnsurance Company 23817
<br />18158 Adams Drive INSURER c: American International Soecialtv lines Ins. Co. I 26883 -- --
<br />Hummelstown PA 17036 INSURERD:
<br />i ' INSURER E:
<br />
<br />COVERAGES
<br />
<br /> THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE lNSURED NAMED ABOVE FOR THE POLICY PER100 INDICA TED. NOTWITHSTANDING
<br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH1SCERTJACATE MAY BE ISSUE:O OR
<br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1$ SUBJECT TO All THE TmMS. EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POlICIES. AGGREGA.TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> I"lSR' :'~I POLlCY EfFECTIVE POUCY EXPIRATION
<br /> lTR TYPE Of 54SURANCE POL~Y NUMBER DATE .AlE UMlTS
<br /> A jlENERAL LlABIUTY 7218932 04101108 04101109 EACH OCCURRENCE .2,000,000
<br /> DAMAGE TO RENTED
<br /> ..! pERCIAl... GENERAL UABIU'TY .1 O~,OOO
<br /> - CLAIMS MADE 0 OCCUR MEDEXPIAn"onenlM'SOf1\_ . .10,000
<br />, X Vendors. Coverage P'E:RSONAl. & ArN INJURY .1,000,000
<br /> --
<br />I GENERAl AGGREGATE .2,000,000
<br /> - -
<br /> 4~'LAGGRE~TE~~T ~AIES PER: PRODUCTS-~PAGG .3,000,000
<br /> poUCY X'';'';:;' LOC .
<br /> A ~ouomLE LIABILITY 9S00346 (MA) 04101108 04101109 COMBINED S1NGlf UUlT $ 2,000,000
<br /> ~! Am AUTO 9800345 (AOS) 04101108 04101/09 (EaBeCiQer\t)
<br /> - ALL OWNED AUTOS BODlL V INJURY .
<br /> SCHEDULEO AUTOS (PerpefSOfl)
<br /> -
<br /> I ...! HIRED AUTOS BOOll Y ltWRY
<br /> .
<br /> ~ NON-OWNEO AUTOS (f>\Jrilcddent~
<br /> ---
<br /> ~ $100,000 Hired Car PO PROPE.RTY DAMAGE
<br /> xl $2500 ComolS25OQ Co/I (Per acddent) .
<br /> GARAGE UABlUTY AUTO ONLY - EA ACCIDENT $
<br /> ,~ mY AUTO , OTHER TtW-l ""Ace $
<br /> AUTO ONLY; $
<br /> AGG
<br /> A ~CESSlUMBREll.A LIABtt.rN 5300802 04101108 04101109 EACH OCCURRENCE .50,000 000
<br /> X OCCUR 0 CLMMS W\DE AGGREGATE .50,000,000
<br /> -- . - -
<br />, ~ OEDUCTl"'"
<br /> -. $
<br /> X fU:TENT10N . 25,000 .
<br /> B WORKERS COMPENSAllOH ANO 8950898 (FL, OR) 04101108 04101/09 xl T~S;~~ I I o~
<br /> EMPLOYERS' UABIUTY
<br /> A AW PROffilETOM'ARlllERlEXEClmVE 6950696 (CA) 04101/08 04101/09 E.L. EACH ACCIDENT ..1,000,000
<br /> DFFICER!MEMJER EXClUDED?
<br /> A If!l'$S,de6c~btunder 6950895 (AOSI 04101/06 04101/09 E:..L DISEASE. EA EMPLOYE .1,000,000
<br /> B SPECIAl PROVISIONS ~ 8950897 IMII; 8950899 (TIll 04101/08 04101109 .1,000,000
<br /> E..L DtSEASE. POlICY LIMIT
<br /> OTHER Work Camp -Includes
<br /> USL&H, OCS & Maritime
<br /> C P"""ssional LiabilRv 003728788 04101108 04101109 Each Occl""n $25,000,000
<br /> DESCRIPTION Of OPERATJONS f LOCAllOH$/ VEHtClES J EXCLU$ONS ADDED BY ENDORSEMENT I SPECIAL PROVlSlQNS
<br /> Re: .Santa Ana On..cal~ Service Agreement 2005-06, City of Santa Ana Its officers, employees, agents. voluntees and representatives are named as
<br /> additional Insured as it relates to general & auto lIablUty & waiver of subrogation is granted as It relates to general and auto liabiUty and workers
<br /> romp regarding work perfonned by the named insured. UmbreUa follows fonn as it relates to additional Insureds.Coverage is primary & noo-
<br /> contributory
<br /> , . -- ,. ~ /"i,.) Tn "
<br /> CERTIFICATE HOLDER .j- ~VANCELLATION
<br /> -- '-7-7f-e-~ /~~ SHOULD Nl'f OF THE ABOVE OESCReEO POLICIES BE CANCEllED BEFORE THE EXPIRATION
<br /> City of Santa Ana DATE THEREOF. THE ISSUING INSUReR WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
<br /> Alto: TC Sutoria, Traffic Eogr . y- E TO THE CE.RTFtCATE ~R NAMEO TO THE LEFT, BUf FAILURE TO DO SO SHAll
<br /> 20 Civic Center Plaza f.,.,..". I . '-.il IMPOSE NO OBLIGATION OR LIA6ILITY OF NIY IUND UPON THE INSURER, rr5 AGENTS OR;
<br /> Santa Ana, CA 92701 USA \_ ,lY A l.ior'.cy REPRESEHTATlVfS.
<br /> (Orig. Cert 10 #: 7C-CALL-0054) AUTHOR1ZED REPRESENTATIVE e~.. 4-..~O
<br />i (LUIE AXE.LROO) ]
<br />
<br />ACORD 25 (20011O8)
<br />
<br />@ACORD CORPORATION 1988
<br />
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