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ACORDM CERTi. iCATE OF LIABILITY INSuIRANCE DATE(MMIDD/YYM <br /> 03/05/2010 <br />PRODUCER 818.776.2700 FAX 818.776.2722 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Stone, Harris & Stone A Division of ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> <br />Brown & Brown of CA, Inc. (+r• +' <br />`' YUs 17 PI 3 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />17835 Ventura Blvd., #210 <br />Encino, CA 91316-3675 SURERS AFFORDING COVERAGE NAIC # <br />INSURED CONSENSUS, INC. I SURER A: The Travelers Indemnity Co <br />626 Wilshire Blvd. .,? <br />CL E' <br />CLE <br />NSURERB: Travelers Prop. Cas. Co of Ameri <br />a <br />Sul to 1000 INSURER C. <br />Los Angeles, CA 90017 INSURER D: <br /> INSURER E: <br />CJ <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 <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />, <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR DD' <br />NS <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/D POLI Y EXPIRATION <br />DATE MMI <br />LIMITS <br /> GENERAL LIABILITY 680-1631M951 03/17/2010 03/17/2011 EACH OCCURRENCE E 2,000,00( <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE To R <br />PREMISES occurrence E 300,00( <br /> CLAIMS MADE FX] OCCUR MED EXP (Any one person) E 5,00( <br />A PERSONAL & ADV INJURY E 2,000,00( <br /> GENERAL AGGREGATE E 4,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO PRODUCTS - COMP/OP AGG E 4,000,0010 <br /> POLICY <br />JECT LOC <br /> AUT OMOBILE LIABILITY 680-163IM951 03/17/2010 03/17/2011 <br /> <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Ea accident) <br />E <br /> 1,000,000 <br /> ALL OWNED AUTOS <br /> <br />A <br />SCHEDULED AUTOS BODILY INJURY <br />(Par person) E <br /> X HIREDAUTOS <br /> <br />X <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) <br />E <br /> <br /> PROPERTY DAMAGE <br /> (Per accident) <br />E <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG E <br /> EXCESS I UMBRELLA LIABILITY <br />X CUP-9253Y260 03/17/2010 03/17/2011 EACH OCCURRENCE E 11000,000 <br /> <br />B OCCUR CLAIMS MADE AGGREGATE E 1,000,00 <br /> <br /> <br /> DEDUCTIBLE APPRO V L D AS TO ORM E <br /> RETENTION E F <br /> WORKERS COMPENSATION <br />E <br /> AND EMPLOYERS' LIABILITY Y / N I I ER <br />* <br /> ANY PROPRIETOR/PARTNE <br />EXCLUDR/EXECUTI <br />EXCLUDED? <br />. <br />r.S / <br />L <br />E <br /> (Mandatory In NMI Ifyes, <br />yes. describe Inibe under <br />SP L,3 U C Il[ sh"dy YE E <br /> ECIAL PROVISIONS Wow <br />OTHER AS515C?1 CIC ALLOT e DISEASE <br />IMIT ' E <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />E <br />P <br />. <br />roeject Santa Ana Fixed Guideway System <br />ity of Santa Ana, its officers, employees, agents, volunteers and representatives are included as <br />additional insured under the General Liability policy as required by written contract <br />. <br />giver of Subrogation Applies <br />'Except 10 days notice for cancellation due to non-payment. <br />CERTIFICATE 1-1101 nPR <br />%-ANI.CLLA 1 JUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />???'??ty of Santa Ana: <br />tl 6rk of the Cl.tyt. 44@X7 l NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza (M-30) IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />??00 .-11 9 REPRESENTATIVES. <br />Santa ayCAN§ 70 1988 AUTHORIZEDREFIRE SENTATNE <br />Victoria Hartvi /3EB <br />D25(2009101) FAX; 714.647.6956 ®1988-2009 ACORD CORPORATION. All rights reserved <br />The ACORD name and logo are registered marks of ACORD