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<br />A CORD,M CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD09I) <br /> 9/26/2007 <br />PRODUCER (714)836-9945 FAX: (714)836-9946 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />The Empire Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE; <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND O~ <br />550 Parkcenter Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. , ! <br />Suite 205 I <br /> , <br />Santa Ana CA 92705-3521 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Hartford Insurance Co. <br />Transportation Studies, Inc. INSURER B: <br />1350 Reynolds Ave. A-2007 -227 INSURER C: <br />Suite 115 INSURER D: ; <br />Irvine CA 92614 INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY T~~ ~~2J~~EI=Snl~;,SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />A(:;GRF(:;ATF liMITS SHOWN MAY f-lll\ N En ~v Pllln CLIIIU~ <br />IN;;: f:.,~~,L P'?l+~~~~\,gg,w\E POLICY I~XPIRA TI~N I LIMITS <br /> TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY <br /> GENERAL LIABILITY E RRENr.F $ 1,000,000 <br /> ~ DAMAGE TO RENTED 300, (00 <br /> ~ 3MMERCIAL GENERAL LIABILITY PR $ <br />A CLAIMS MADE ~ OCCUR 72SBARB0803 10/1/2007 10/1/2008 MED EXP IAnv one nerson' $ 10, ( 00 <br /> I--- <br /> PFR!';nNA on" I"'J' 'RY $ 1,000, ( PO <br /> GENERAL AGGREGATE $ 2,000, ( 00 <br /> @'LAGGRnE LIMIT AFlES PER: pRnn"r.T" _ r.n"p/np 6r.G $ 2,000, ( 00 <br /> X POLICY P,fR.; LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,( :)0 <br /> (Ea accident) $ <br /> ~ ANY AUTO <br />A - ALL OWNED AUTOS 72UECAH3841 10/1/2007 10/1/2008 BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> =i ANY AUTO OTHER THAN "6 6r.C $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY ,oM'L $ I <br /> o OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ <br />A WORKERS COMPENSATION AND X I fc;~$T~I,\t;,T OJ61- <br /> EMPLOYERS' LIABILITY 1,000,( bo <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACC!D"NT $ <br /> OFFICER/MEMBER ~)(CLUDED7 72WECRR7609 10/1/2007 10/1/2008 E.L. DISEASE - EA EMPLOYEE $ 1,000, ( bo <br /> If yes, describe under 1,000, ( 00 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OP!:RATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Certificate Holder is additional insured as respects to general liability' auto liability but only ifrequired by <br />written contract with the named insured prior to an occurrence. Coverage subject to all policy terms and <br />conditions.RE: On-Call traffic counting service.*10 day notice of cancellation applies for nonpayment of premium <br />and/or non-reporting <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T E <br /> City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~~*X M L <br /> Attn: Shahir Gobran '173:> ;Ie 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, i!I ~X <br /> 20 Civic Center Plaza, M-43 ~~~~~*~~'"'''' v' , <br /> Santa Ana, CA 92702 ~~~~~~~ <br /> AUTHORIZED REPRESENTATIVE i:-- ~~~ <br /> Larry Jones/ERICA <br />ACORD 25 (2001/08) @ ACORD CORPORATION 988 <br />....on.....c ,..~........... '""--- o. 0 <br /> <br />, <br />