Laserfiche WebLink
A I C Ul- LIAbILI I Y INZJ :ANGL <br />02/22/12 <br />TRANS -2 OP ID: IL <br />HLVK/J CERTIF. ATE OF LIABILITY INSL -. ANCE <br />DATE(MN1 /DDIY""' <br />02/22/12 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCF„j)QE$.AOT CONSTITtiTE-)C5CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE IFICAS'EHbLDER. '' — J <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must t1e endorsed. If SUBROGATION IS WAIVED, Subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endomement(s)_ <br />PRODUCER 818- 246 -2500 <br />TIB Transportation Ins Brokers <br />425 West Broadway, Suite 400 - 818 - 246 -4690 <br />Glendale, CA 91204 <br />Ron Geller <br />CONTACT <br />NAME: <br />[HOMED ar. FNC N.): <br />E -MAIL <br />ADDRESS: <br />INSURER 5 AFFORDING COVERAGE <br />NAC p <br />_ _ <br />INSURER A:American CaS. CO. Of <br />20427 <br />INSURED Transportes Inter - Californias <br />5013 Telegraph Road <br />East Los Angeles, CA 90022 <br />- <br />INSURERB - _ <br />INSURER C. <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LM <br />TYPE <br />TYPE OF INSURANCE <br />A O <br />U6 <br />NUMBER <br />POLICY EFF <br />MMIDDIYVYY <br />POLICY EXP <br />MMIODIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 3,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />X <br />GL4034022393 <br />02/22/12 <br />02/22/13 <br />PREMISES Eacoxurr0e e <br />$ 100,00 <br />CLAIMS�IAOE �X OCCUR <br />MED EXP (Any we parson <br />$ 5,00 <br />PERSONAL S ADV INJURY <br />S 3,000,00 <br />GENERAL AGGREGATE <br />8 3,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS AGO <br />$ 3,000,00 <br />POLICY PRO- LOG <br />- <br />S <br />AUTOMOBILE <br />LIABILITY <br />SINGLE LIMIT t <br />g 5,000,00 <br />A <br />ANY AUTO <br />X <br />SUA4034022376 <br />02/22/72 <br />02122J13 <br />URY(Per person) <br />$ <br />ALL OWNED SCHECULED <br />X <br />U RY(Per acadsnl) <br />$ <br />AUTOS AUTOS <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />DAMAGE <br />$ <br />5 <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />g <br />EXCESS OAe <br />CLUMS -MAnE <br />DED RETENTION <br />$ <br />WORKERS COMPENSATION <br />WC BTATU- OTH- <br />AND EMPLOYERS LIABILITY YIN <br />Y LIMUS FIR <br />EL. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNERiEXECUTIVE <br />T.IA <br />OFRCERIMEMBER EXCLUDED? � <br />EL DISEASE -EA EMPLOYEE <br />$ <br />(Ma dW., in NH) <br />tty desvibeunder <br />EL DISEASE - POLICY LIMIT <br />S <br />DESCRIPTION OF DPERATIONSbelow <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlMonal RemwM Schedule. H more space Is required) <br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH <br />RESPECTS TO THE OPERATIONS OF THE NAMED INSURED. <br />Airxu V f, D AS TO FORM <br />Laura S(,H S cdy <br />0000000 <br />The City of Santa Ana <br />Transportation Center/ Santa <br />Ana Public Works Agency <br />20 Civic Center Plaza M21 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATNE <br />W Tana -[UTU AOVKD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />