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Ri~htFa-~ N1-2 1/2,8/2010 4:16:17 PM PAGE 2/003 Fax Server <br /> <br />ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY) <br />01 /28/2010 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />AUTOMATIC DATA PROC INS AGCY INC <br />- - HOLDER. THIS CERTIFICATE DOES NOT AMEND <br />EXTEND OR <br />71 HANOVER RD MS 62s <br />FLORHAM PARK <br />NJ , <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, <br />07932 <br />~ ~ ' <br />(877) 677-0428 <br />XV770 70A INSURERS AFFORDING COVERAGE NAIC # <br />INSURED C'~ ~ ~ '~ ~ <br />CONSENSUS <br />INC INSURER A:TRAVELERS CASUALTY AND SURETY COMPANY <br />, <br />1~( (~ <br />C~~ <br />' <br />}~J <br />` <br />I <br />I <br />~~~~' ~r +,~t <br />"' <br />626 WILSHIREBLVD. #1000 INSURER B: <br />, <br />LOS ANGELES, CA 90017 INSURER C: <br /> <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <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 CONDffION 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 />INSR <br />LTR ADD' <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE M/DD/YY POLICY EXPIRATION <br />DATE MM/DD/YY <br />UMITS <br /> GENERAL LIABIITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY AM <br />P I r rc <br />$ <br /> CLAIMS MADE ~ OCCUR MED EXP An one arson $ <br /> <br /> PERSONALBADVINJURV <br /> <br /> T $ <br /> GEN'L AGGREGATE~IMIT APPLIES PER pR T _ p/ p A $ <br /> PRO- <br />POLICY JECT LOC <br /> AU TOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br /> <br />$ <br /> ANV AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Par parson) <br /> <br />$ <br /> SCHEDULED AUTOS <br />HIRED AUTOS <br />c F` ~i~ <br />T~ <br />M <br />BODILY INJ URY <br /> NON-OWNED AUTOS App Q ~ AS (Per accident) $ <br /> •- PROPERTYDAMAGE <br /> ~~ ~ , (Per accident) $ <br /> GARAGE LIABILRY <br />tl .SL1t.eCly <br />AUTO ONLY - EAACCIDENT <br />$ <br /> ANY AUTO ~ Laura <br />t <br />' ~ it AttOTIIe}r <br />~ OTHER THAN EA ACC $ <br /> ,Assistan AUTO ONLY. <br />AGG <br />$ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION ~ $ <br />A WORKERS COMPENSATION AND UB-9081 C486-10 01/01/2010 01/01/2011 X T Y IT R <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />1 000 000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 <br /> 11 es, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1 ,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS! LOCATIONS /VEHICLES /EXCLUSIONS ADDED BV ENDORSEMENT! SPECIAL PROVISIONS <br />IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN(10) DAYS NOTICE OF CANCELLATION SHALL BE GIVEN. <br />PROJECT: SANTA ANA FIXED GUIDEWAY SYSTEM <br />CERTIFICATE HOLDER CANCELLATION <br />CLERK OF THE CITY COUNCIL <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M-30) <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />ACOR^ 25 (2001 /081 <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORQED REPRESENTATIVE i _ <br />CORPORATION 198. <br />