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<br />Aon RiSk Services, Inc. 01 New York
<br />199 Water Street
<br />New York. NY 10038
<br />PHONE: 866-266-7475
<br />FAX: 866-467-7847
<br />
<br />CERTIFICATE '-1: LIABILITY INSURANCf , DA;~i;1~:O~';")
<br />
<br />\"".- Senal # 506062 THIS CERTIFICATE IS ISSI[~ AS A MATTER OF INFORMATION
<br />ONLY ANO 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 />COMPANY
<br />A AMERICAN CASUALTY CO. OF REAOING PA (NAlC #20427)
<br />
<br />ACORD,.
<br />
<br />PR0DUCER
<br />
<br />PB AMERICAS. INC.
<br />ONE PENN PLAZA
<br />NEW YORK, NY 10119
<br />
<br />COMPANY
<br />B
<br />
<br />COM~ANY TRANSPORTATION INSURANCE COMPANY (NAIC #20494)
<br />
<br />INSURED
<br />
<br />,
<br />
<br />; C9VEIlAOES '. .....
<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, TERMOR 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 />I COM~ANY
<br />
<br />co
<br />LTR
<br />
<br />TYPE OF INSURANCE
<br />
<br />POLICY NUMBER
<br />
<br />POLICY EFFECTIVE POLICY EXPIRATION
<br />DATE (MMlDDlYY) DATE (MWDDlYY)
<br />
<br />LIMITS
<br />
<br />A GENERAL LIABILITY
<br />-
<br />X COMMERCIAL GENERAL LIABILITY
<br />C ri CLA!MS MADE IX] OCCUR
<br />OWNER'S & CONTRACTOR'S PROT
<br />f-
<br />h
<br />
<br />GL2095788109
<br />GENERAL LIABILITY (A/S)
<br />,GL 2095788093
<br />GENERAL LIABILITY-STOP GAP
<br />
<br />11/01/2007 ! 11/01/2008
<br />
<br />GENERAL AGGREGATE
<br />PRODUCTS - COMPIOP AGG
<br />PERSONAL & ADV INJURY
<br />EACH OCCURRENCE
<br />
<br />FIRE DAMAGE (Anyone fire)
<br />MED EXP (Anyone parson)
<br />
<br />A AUTOMOBILE LIABILITY
<br />7 ANY AUTO
<br />~
<br />ALL OWNED AUTOS
<br />f--
<br />SCHEDULED AUTOS
<br />f--
<br />HIRED AUTOS
<br />f--
<br />NON-OWNED AUTOS
<br />-
<br />
<br />1---
<br />
<br />BUA 2095788112
<br />COMMERCIAL AUTO
<br />BUA 2095788126 PO
<br />AUTO PHYSICAL DAMAGE
<br />
<br />11/01/2007
<br />
<br />11/01/2008
<br />
<br />COMBINED SINGLE LIMIT
<br />
<br />BODILY INJURY
<br />(Per person)
<br />
<br />$500 OED COMP
<br />,$1.000 OED COLL
<br />
<br />__t"\ . 10 :'O?:,II
<br />p:i~1 7.H
<br />!C/. 'c. S10~\I..
<br />,:\51\ 1'1 ~ ,..~ne'
<br />,..,... 0. (;/5)
<br />
<br />BODILY INJURY
<br />(Paraccidanl)
<br />
<br />GARAGE LIABILITY
<br />- ANY AUTO
<br />-
<br />-
<br />
<br />. .
<br />
<br />PROPERTY DAMAGE $
<br />AUTO ONLY. EA ACCIDENT ,
<br /> --
<br />OTHER THAN AVTO ONLY: I,
<br /> -
<br />EACH ACCIDENT
<br />AGGREGATE "
<br />EACH OCCURRENCE ,
<br />AGGREGATE ,
<br />.-------------
<br /> ,
<br />
<br />i EXCESS LIABILITY
<br />n- UMBRELLA FORM
<br />H OTHER THAN UMBRELLA FORM
<br />A WORKER'S COMPENSATION AND
<br />A EMPLOYERS' LIABILITY
<br />C THE PROPRIETOR'
<br />PARTNERS/EXECUTIVE
<br />a'FlCER$ARE-
<br />
<br />'wc 2095788059 AOS
<br />IWC 2095788062 CA ONLY
<br />fi': wc 2095788076 RETRO (OR.VA,WI)
<br />,INCL
<br />i EXCL
<br />
<br />11/01/2007 11/01/2008 X ! ib~~~J~s T lD~~' ..
<br />11/01/2007 11/01/2008 EL EACH ACCIDENT $ 1,000.000
<br />11/01/2007 11/01/2008 EL DISEASE - POLICY LIMIT $ 1,000,000
<br /> EL DISEASE - EA EMPLOYEE $ 1.000,000
<br />
<br />OTHER
<br />
<br />i
<br />
<br />DESCRIPTION OF OPERATIONSlLOCATIONS/YEHICLESJSPECIAL ITEMS
<br />(PB ~11972) SARTC METROllNK EXTENSION STUDY
<br />EXCEPT FOR WORKERS COMPESATION, CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS AODITIONAL INSURED: 1) FOR
<br />LIABILITY 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 />
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<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 E~~ MAIL
<br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
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<br />AUTHORlZ~:~:~EN;~.T~/IV,: 1 mA.{)
<br />7 ifl/'-'A.. (.( - -/9 or 10242936
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<br />PARSON 2000 2fi'S.FP:"iPARSONS LIABILITY Ofi-0fi.FPfi
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