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~; CO+'D BATE (MM![?D/YY) <br />--~-_N :CERTIFICATE QF LIABILITY INSURANCE <br />PRODUCER 10128/2008 <br /> Serial # 506062 THIS CERTIFICATE fS ISSUED AS A MATTER OF INFORMATION <br />Aon Risk Services Northeast, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />fkaAonRlskserv)ces,Inc.otNewYork HOLDER. THIS CERTIFICATE DOES NOT AMEND <br />EXTEND OR <br />199 water Street , <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> <br />Newvorx, NYtoo3B <br />PHONE: 888.288.7475 . <br />COMPANIES AFFORDING COVERAGE <br />--- _- - <br /> <br /> <br />FAX. 86s•487a847 <br />_ <br />- -..-- _._____ <br />___ _.- <br />PANV AMERICAN CASUALTY CO. OF READING PA (NAIC #20427) <br />A <br />- <br />------------------ <br />INSURED <br /> <br />- ------ <br />COMPANY <br />PB AMERICAS INC B <br />ONE PENN PLAZA <br />NEW YORK, NY 10119 <br />CO <br />LTR <br />C <br />~ ~ Y TRANSPORTATION INSURANCE COMPANY (NAIC #20494) <br />COMPANY <br />D <br />---- <br />THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE 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 />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MMlDDlYY) DATE (MMIODIYY) LIMITS <br />:NERAL LIABILITY GL 2095788109 11/01!2008 11101!2009 _________ 5,000,0_00 <br />GENERALAGGREGATE $ <br />COMMERCIAL GENERALUABIUTY GENERAL LIABILITY AIS <br />) PRODUCTS C ' <br />-~CLAiMS MADE OCCUR <br />ER'S 8 CONTRACTOR'S PROT <br />A AUTOMOBILE LIAB[LITY <br />X ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />-_ HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIAeI <br />}ANY AUTO <br />EXCESS LIABILITY <br /> UMBRELLA FORM <br /> OTHER THAN UMBRELLA FORM <br />A WO RKER'S COMPENSATION AND <br />A EMPLOYERS'LIABILITY <br /> <br />C ~"'~~ <br />FHE PROPPoETOR! <br />INCL <br /> ~ <br />PARTNERSrEXECUTryE <br /> oFtxFasaRe EXCL <br /> <br /> <br />~~ _• OdPK)PAGG <br />PERSONAL3ADYINJURY <br />~ $ <br />$ 5000,000 <br />2000,000 <br /> ry <br />V <br />is EACHOCCURRENCE <br />- ....-__ .__. <br />FIRE DAMAGE (An <br />on <br />d $ <br />_.. ~ 2,000,000 <br />__ ...____...__.. <br /> y <br />e <br />re) $ <br />.-._ 300,000 <br />._ ...- <br /> MED EXP (Any meperson) $ 5,000 <br />BUA 2095788112 01/2008 ~h'0~009 <br />COMMERCIAL AUTO <br />O ~ P~O~~ COMBINEDSiNGLELIMIT s 2,000,000 <br />~ <br />tt,~ ~• <br />G~ <br />BODILY INJURY -_ _ <br />$ _ <br /> ,C~T' <br />~ (Per person) <br /> ~ <br />~ <br />~ <br /> ~~i5 <br />' BODILY INJURY <br />(Per accitlenl) $ <br /> <br /> `` PROPERTY DAMAGE <br /> AUTOONLY-EA ACCIDENT 5 <br /> OTHER THAN AUTO ONLY; <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EACH OCCURRENCE $ <br /> AGGREG4TE $ <br /> <br />VC 2095788059 AOS <br />VC 2095788082 CA ONLY <br />11/01/2008 <br />11/01/2009 <br />X- RYU4 S OER~ $ <br /> <br />JC 2095788078 RETRO (OR,VA,WI) 11/01/2008 <br />11/01/2008 11/01/2009 EL EACH ACCIDENT <br />$ <br />1,000,000 <br /> 11/01/2009 <br />EL DISEASE-POLICY Lt1.11T <br />$ _ <br />1,000,000 <br /> EL DISEASE - EA EMPLOYEE $ 1,000.000 <br />(PB #11872) SARTC METROLINK EXTENSION STUDY <br />EXCEPT FOR WORKERS COMPESATION, CETY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES ARE INCLUDED A5 ADDITIONAL INSURED: 1) FOR <br />LIABILITY TO WHICH THEY MAY BE SUBJECT TO AS A RESULT OF Pe'S NEGLIGENCE & 2)UP TO COVERAGE AMOUNTS HEREON. <br />re nvLVr=K CANG~I,LATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES ~BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA, M - 30 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EIfCa?t~UMAIL <br />20 CIVIC CENTER PLAZA 34 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />SANTA ANA, CA 92702 <br />XXrx~XXMB1L3Npi)(fi~WE>''AK)U~Q6JE)ml4CRPf60lF7fRRN~eCA11tf[OGIGY <br />~tldQ61Qa(X X>OY9IXX~1lK~CXl~CX51Y~lsy~yl{-~. <br />- I ~ / 7G~/f-~ (.~ ~'~~ 10242: <br />ACCtRD 25-S (1/95J , <br />PARSON 200025'S.FP3PARSONS LIABILITY 65-06.FP5 ' O.ACORD CORPORATION 19.i <br />