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<br />aGORb. CERTIFICATE OF LIABILITY INSURA <br />NQF!M <br /> <br />of <br /> <br />DATE <br />r' 18, 2011 <br />PRODUCER <br /> <br />905-305-1054 <br />Pro-Form Insurance Services <br />15 Allstate Parkwa <br />Suite 310 THIS CERTIFICATE I <br />949 U IV S A A R F INFORMATION <br />ONLY AND CONFERS Np RI(iHT8 UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT_AME D E TEND OR <br />ALTER THE COVERU!EM F DED eY T P BELOW. <br />y, <br />Markham, ON DR 5B4 INSURT AF.FORDIN4COVERAGE - <br />INSURE INsUREAA: - XL Insurance America Inc. <br />IBI Group INSURERS: XL Insurance Company Limited <br />18401 Von Karnlan, Suite 110 INSURERC: XL Specialty Insurance Company <br />Twine, CA 92612 INSURER& <br /> TNSURER E: <br />VVV=M^ qQ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED NOTWITHSTANDING <br />ANY REQUIREMENT, TEAM 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.AO REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R TYPEOFUNURANCE POTCYHUMSPR P E E I LIMITS <br />A GE NERAL LIABILITY 4/ EACH OCCURRENCE $ 1,000,000.US <br /> COMMERCIALOENERALLIASUhY US00008537LI1IA 04/30/11 0 <br />30/12 FIREOAMAGE ona S <br /> <br />CLAIMSMADE ©OCCUR _ <br /> MEDEXP one aon S <br /> W PERSONAL&ADVILIURY E I.00000,US <br /> 7 <br /> GENERALAOOREOATE 000 <br />US <br /> OENLAGGREGATELIMITAPPLEESPER: PRODUCTS-COMP/OPAOG . <br />S 2 00O 000.US <br /> POLICY P Loa <br /> <br />B AU TOMOBILBLIASILRY <br />04/30/11 <br />04/30/12 COMBI?1EDSC HOLE LIMIT <br />%E <br />0 <br />E; Z000 <br />000.US <br /> ANYAUTO CA00000956LI11A ) <br />IE.. <br />, , <br /> ALLOWNEOAUTOS BODILYINJURY <br /> SCHEOULEDAUTOS (Pupa-) $ <br /> X HIREDAUTOS <br />BODILY <br /> NOWMWED ALWOS (Per S <br /> <br /> FORIV <br />PROPERTYDAMAGE <br />(P-M-0 <br />$ <br /> OA RAGELIABIUW t,-"p PR AUTOONLY-EAACCIDENT $ <br /> ANYAUTO OTHE TPAN EAACC $ <br /> <br />-J <br />AM ONLY- <br />AGO t <br /> EXCESSLL4 1UTY ?-' <br />I'1eeCly EACHOCCURRENCE S <br /> OCCUR M CLAIMSMADE Stti! <br /> AGGREGATE S <br /> 'istant. <br /> DEDUCTIBLE d <br /> RETENTION S t <br /> WORKERS COMPENSATION AND pTH. <br /> EMPLOYERS'LIASILRY <br /> EL EACHACCIDENr <br /> E L INWASE -EA EMPLOYEE <br /> EL DISEASE-POLICY LIMIT <br />C P ofessional Liability DPR 9691449 04/30/11 04/30/12 US$1,000,000 per claim <br /> US$2,000,000 annual aggregate <br />DESCRfPRONOFOPERATK)N&LOCATIONSNEHICLEBIEIICLUS[ONS ADDED BYENDORW41ENTATPECIALPROVNIONS <br />RFQ: I2-27980; City of Santa Ana Regional Transportation Center (SARTC) Master Plan <br />"City of Santa Ana <br />its officers <br />employees <br />agents <br />volunteers and re <br />resentatives" <br />dd <br />d <br />ddi <br />i <br />l i <br />d b <br />, <br />, <br />, <br />, <br />p <br />are a <br />e <br />as a <br />t <br />ona <br />nsure <br />ut only with <br />respect to the liability arising out of the operations of the Named Insured for Commercial General Liability and Non-Owned <br />Aurtomobile coverage only. <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />P.O. BOX 1988 <br />Santa Ana, CA 92702 <br />D 25-B <br />SHOULD ANYOF THE ABOVE DESCRIBED POIJOIES BE OANCELLEO BEFORE THE EXPIRATION <br />DATE THEREOF THS ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRRTIEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br />z>ervlces <br />®A'ICORD CORPORATION 1