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<br />ACa.BD.. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DAn: (MMIODlYY) <br />04/22/08 <br /> <br />THIS CERTIFICATE IS ISSUED 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 POUCIES BELOW. <br /> <br />RODUCER <br />InlonBanc Insurance Svcs, Inc. <br />i80 Langsdorf Drive #100 <br />'.0. Box 34009 <br />:ullerton, CA 92834.9409 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />Econolite Traffic Engineering & <br />Maintenance, Inc. <br />3360 E. La Palma Ave. <br />Anaheim, CA 92806 <br /> <br />IN~l!.RERA: Fed_erallnsura~ce Comp~ny ._.._____ <br />. INS~ER 8: ~erican Gua~~ntee a~d Liability I~~ <br />INSURER c: <br /> <br />~SURED <br /> <br />INSURER D: <br />INSURER E: <br /> <br />:OVERAGES <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 POUCIES 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 />'JUjTO__ ------~ .-- '.-..---==0 .---..-- .-. ------ <br />f: ' TYPE OF INSURANCE . POUCY NUMBER POi!fY EFFEC11~E POLICY E~IRATI~N UMITS <br />~ ~~~ERAL LIABILITY 35818716 EACH OCCU~.~~~ 1$1 ,000,gPJL.__ <br />, X ~COMMEflCIALGENEflALLIABILI1Y 'FIREDAMAGE{Anyonefire) 51 ODD 000 <br />:- 1 ' CLAIMS MADE LxJ OCCUR ~ ME~~XP{A~~ne~l$on) O' $1.0.000 <br />..K._Ded/SIR:'OO,OOQ PERSONAL &ADY INJURY .. $1.000,OQ~_. <br />; GENERALAGGREG~TE ~,<!OO,OOO <br />PRODUCTS -COMPEP AGG -f-2,OOO.OOO_ <br /> <br />; GEN'LAGGREGATE LIMIT APPLIES PER: <br />I - <br />i POLleY I I PR"i- <br />A AUTOMOBILE LIABIUTY <br /> <br />I ~ :~: ;::0 AUTOS <br /> <br />I SCHEDULED AUTOS <br />! X- HIRED AUTOS <br /> <br />r~ NON-QWNED AUTOS <br /> <br /> <br />73215072 <br /> <br />i 04/27/08 <br /> <br />I <br />I <br /> <br />04/27/09 <br /> <br />COMBINED SINGLE WAIT <br />I (Ee accident) <br /> <br /> <br />BOOIL Y INJURY <br />(Per person) <br /> <br /> <br />r B_ODIL Y INJURY <br />~ eccident) <br /> <br />i $1,000,000 <br /> <br />.$ <br />I <br />\ $ <br /> <br />PROPERlY DAMAGE <br />(per accident) <br /> <br />1$ <br /> <br />B <br /> <br />EXCESS LIABILITY <br />X \ OCCUR <br /> <br />I AUC534614103 <br />i <br />~ I CLAIMS MADE I <br /> <br />I <br /> <br />04/27/08 <br /> <br />04127/09 <br /> <br />AUTO O~L Y - EA ACCIDEI':l.r.~L.. <br />OTHER THAN EA ACC i $__.._ __ <br />AUTO ONLY: AGG ! $ <br />I' ~ OCCURRE~g,~_ $2 OOO,QQL-__ <br />I """"'^" ~ -:- - ;2 00_0,000 _ <br /> <br />is <br />__i~~~I;1-Ws ' .~ <br />E.L EACH ACCIDENT ~ S <br />E:~!?ISEASE -EA EMPL2YE~l_~.._. <br />E.L DISEASE - POLICY LIMIT 1 S <br /> <br />LGARAGE UA81L1TY <br />ANY AUTO <br />;..- <br /> <br />b DEDUCTiBlE <br /> <br />RETENTION S <br /> <br />i WORKERS COMPENSATION AND <br />I EMPLOYERS' LIABILITY <br />I <br />I <br />I <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERA TlONSlLOCA TIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />*10 Days Notice of Cancellation for Non Payment of Premium. Certificate Holder Is added <br />as Additional Insured per polley form #80022305 (4~01); Waiver of Subrogation, Primary <br />and Non Contributory apply per policy form #80022000 (4"()1) both a part of policy <br />#35818716. <br />(See Attached Descriptions) <br /> <br />~/;/g <br /> <br />CERllFICATE HOLDER <br /> <br />ADDIl10NAL INSURED' INSURER LETTER: <br /> <br />CANCELunON <br />SHOULD ANYOFTHE ABOVE D ESCRlBED.POLlCES BE CANCELLED BEFORE THE EXPlRA110N <br />DATE THEREOF, THE IsstJING INSURER WILL ENDEAVOR TO MAIL ~O DA'tS WRITTEN <br />N011CETOTHE CER11FICATE HOLDER NAMED TOTHE LEFT. BUT FAILURE TODOSOSHALL <br />IMPOSE NOOBUGATlON OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENT o\T1VE <br />N~J ~L/~ <br /> <br />City of Santa Ana <br />Attn: Vinh Nguyen <br />P.O. Box 1988/ M043 <br />Santa Ana. CA 92702.1988 <br /> <br />ACORD 25-5 (7/97) 1 of 3 <br /> <br />#S439003/M438969 <br /> <br />CLRAG li) ACORD CORPORATION 1988 <br />