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® DATE (MM /DD/YYYY) <br />��� CERTIFICATE OF LIABILITY INSURANCE OP ID SL <br />TRANS -2 01 14 11 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />T2T3 Transportation Sns Brokers <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />425 West Broadway , Suite 400 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Glendale CA 91204 <br />DATE MM /DD/YYYY <br />LIMITS <br />Phone: 818- 246 -2800 Fax: 818- 246 -4690 <br />INSU�E42SrAFFO IN ERz4 E <br />NAIC# <br />INSURED <br />N -any- /�O <br />INSURER A_ American cas- co- of aaaB3ng <br />IN SUE?��B: - <br />$ 3 � OOO � OOO <br />wsLFReRC <br />Transpportas Snter- Ca1i£ornias <br />1305 5. Atlantic Blvd_ <br />East Los Angeles CA 90022 <br />wsuR�ti D�� � �- ' - - � -- <br />01/15/11 <br />INSURER E: <br />PREMISES (Ea occurence) <br />$ 100 f OOO <br />COV <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 POLICIES 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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM /DD/YYYY <br />DATE MM /DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCC VRRENCE <br />$ 3 � OOO � OOO <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE � OCCUR <br />GL4014152842 <br />01/15/11 <br />01/15/12 <br />PREMISES (Ea occurence) <br />$ 100 f OOO <br />MED EXP (Any one person) <br />$rj r OOO <br />PERSONAL &ADV INJURY <br />$ 3 � OOO r OOO <br />GENERAL AGGREGATE <br />$ 3 � OOO r OOO <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODVCTS - COMP /OP AGG <br />$ 3 � OOO r OOO <br />POLICY PRO LOC <br />JECT <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BUA4014152839 <br />01/15/11 <br />01/15/12 <br />COMBINED SINGLE LIMIT <br />(Ea accitlen[) <br />$ 5 r 000 � 000 <br />BODILY INJURY <br />(Par parson) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />i{ <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Par accitlent) <br />$ <br />][ <br />PROPERTY DAMAGE <br />(Per accitlent) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: qGG <br />EXCESS /UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR � CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />c -.�<� � <br />- - <br />'t. %)`..�� <br />$ <br />WORKERS COMPENSATION <br />- <br />AND EMPLOYERS' LIABILITY Y / N <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIV� <br />OFFIC ER/MEMBER EXCLUDED? <br />EL DISEASE - EA EMPLOYEE <br />S <br />(Mandatory in NH) <br />�� __ .__ <br />- -- -- <br />If yes, tlescribe untler <br />SPECIAL PROVISIONS below <br />'� ` <br />1 v <br />- <br />�� � - .. C I <br />�' " -` - � ' - <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />r. �a <br />li. +a1 �,ii -Y `t <br />� •_ <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />CERTSFSCATE HOLDER 2S SNCLUDED AS ADD2TSONAL 2NSURED WSTH <br />RESPECTS TO THE OPE RATSONS OF THE NAMED 2NSURED. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />0000000 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />The City o£ Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br />Transportation Canter / Santa REPRESENTATIVES. <br />Ana Public Works Agency <br />20 C1ViC Canter Plaza 21 AUTOO DREPRESENTATIVE <br />Santa Ana CA 92701 <br />ACORD 25 (2009/0'1) '1988 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />