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4 --)?D ? 0 --0 -Z!?D?, ?5 <br />ACO1Dn CERTIFICATE OF LIABILITY INSURANCE Pa$e of a August 12, 2010 <br />PRODUCER <br />Pro-Form Insurance Services 905-305-1054 <br />15 All <br />P <br />220 <br />k <br />S THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HOLDERONLY THISOCERT PICA E DOES NOTOAMEND, EXTEND OA <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />ar <br />state <br />way, <br />uite <br />Markham, ON UR 5B4 INSURERSAFFORDING COVERAGE <br />INSURED N9URER A. XL Insurance America Inc. <br />113I Group NsuRms: XL Insurance Com an Limited <br />18401 Von Karman, Suite 110 NSURERC XL Specialty Insurance Company <br />Irvine, CA 92612 INSURERQ <br /> a+sualR 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. TEAM OR CONDmON 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. A0 REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />y <br />LTyR <br />TYPROPINSURANCE <br />POLICYNUMBER <br />PO Y F E <br />POLIOY <br />UMTS <br />A GE NERALLURILITY EACHOCCURRENCE I000000.US <br /> COMMERCIALGENERALLIABILIrY US00008537LI10A 0430/10 04/30/11 FIRE DAMAGE onsbe $ <br /> CLMW MADE OCCUR MEDEJIP An one S <br /> PERSONAL &ADVINJURY E 1,000,000.US <br /> GENERALAGGREGAIE Z 000 000.US <br /> GEN LAGGREOATE UWT APPLIES PER; <br />- PROO=S•COW?OPA00 S 2000000.US <br /> BF] POLICY F] SM F <br />1 wo <br /> <br /> <br />B AU rOlAOR&N LLABILmr <br /> <br />ANYAUTO <br /> <br /> <br />A00000956UIOA <br /> <br />04/30/10 <br /> <br />04/30111 <br />COMBINED ,SINGLE ULVT <br /> <br />3 2,000,000.US <br /> ALL OWNEDAUTOS <br />SCHEDULEOAUTOS BODILY INJURY <br />(Perpwm4 <br />$ <br /> X HNEDAUTOS <br />N0N01W'E°"`T°S <br /> <br />APPROVE BODILYIVJURY $ <br /> D S TO F RM <br /> / cPPao ?DAMAOe $ <br /> GARAOEUABILrLY CYAa AUTOONLY-EAACCADFM S <br /> ANYAUTO OTHEliTHAN EAACC S <br /> u I SL :? „ Snccdy AUTOONLY: AGO S <br /> EXCFSSUABIUTY """'put 1, Ly A1Loracy EACHOCCURRENCE s <br /> OCCUR FICLAWSMAOE AGGREGATE S <br /> $ <br /> DEDUCTIBLE <br /> RETENnON <br />3 <br /> WORKERS COMPENSATIONAND <br />EMPLOYERS LIABILITY <br /> E I. EACHACCIOENT 11 <br /> E L DIBFJIOE-EANAPLOYEE b <br /> E.t.as e.POLICYUMR I s <br /> <br />C OTHER <br />Professional Liability <br />DPR 9619860 <br />04/30/10 <br />04/30/11 <br />US$ 1,000,000 per claim <br />US$2,000,000 annual aggregate <br />DESCRI11 K7N OF OPERAnONSILOCATIONSNEHrA BlEXMUSIORS ADDED BYENDORSELIENTMEGAL PROVISIONS <br />RFQ: City of Santa Ana Regional Transportation Center (SARTC) Master Plan <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are added as additional insured but only with <br />respect to the liability arising.out of the operations of the Named Insured for Commercial General Liability and Non-Owned <br />Aurtotnobile coverage only. <br />City of Santa Ana <br />20 Civic Center Plaza (X11-30) <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANYOFTHB ABOVL DISCRIBID POUC1ES BE OANCELLED BEPOR! THE EXPIRATION <br />DATE THEREOF THE IBSUBLD INSURER WILL eRDRAvOR To mA L 30 DAYS WRRTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAIAD TO THB LEFT BUT FAILURE TO DO SO SHALL <br />WPOSE NO OBLIGATION OR UABRJTY OF ANY =0 UPON THE INSURER, n8 AGENTS OR <br />ACORD 25-S (7197) ?- CAtORD CORPORATION 1208