Laserfiche WebLink
RightFax N1-1 1/28/2010 4:16:29 PM PAGE 2/003 Fax Serve`r??/'? <br />?" <br />AMM CERTIFICATE OF LIABILITY INSURANCE 0112&P2010 <br />"Y"' <br /> <br />A <br />AUTOMATIC DATA PROC INS AGCY INC n1 '? e? t F , p <br />71 AUTO HANOVER RD MS S 625 825 <br />! ? <br />FLORHAM PARK, NJ 07932 Y AND CONFERS NO RIGHTS UPON TIE CCE <br />ERTMATE <br />o THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> <br />t C THE <br />(877) 617-0428 '- <br />XV770 70A >. <br />i ERS AFFORDING COVERAGE <br />NAIC # <br />'- <br />CONSENSUS, INC RER AIMVELERB GtUALTY Am S1RETT COIBPANY <br />626 WILSHIRE BLVD. #1000 NSURERB: <br />LOS ANGELES, CA 90017 NSURERC: <br /> INSURER D: <br /> INSURER E: <br />A. V YCHAAlC? <br />nc mmjmrA air ewLRAWE LLgtru BELOW "Avt BEEN RiMMO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING <br />. <br />ANY REOUIREttENT, 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 POLICES DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSENS AND CONDITIONS OF SUCH <br />POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />RiIBR <br /> - TYPEOFUMURANCE POLICY NUMBER DATE DATE ummm <br /> GE NERAL LIASBTY <br /> <br />COYtlLRCU <br />GE <br />L 1 PENCE <br /> I <br />NEFiAL LYIBILRY <br /> =-S MADE D ODCUp PREMISES Agogrormal <br />$ <br /> NED E W me e $ <br /> i INJ Y <br /> GR%IFRAI AGGREGATE <br />s <br /> GEMLAGGREGATE LUTAPPLIESPER <br /> <br />- PRODUCTS PA <br /> POIILW PT LOC <br /> ALITOM&LL LUUNLIMY <br /> COMBINED SINGLE LRIR <br /> ANY AUTO amdMfl S <br /> ALL OWNEDAUTOS APPROVER AS TO F ORM lyl upY <br /> <br />SCHEDULED AUTOS s <br /> <br /> HIRED ALITOS <br />NON <br />OWN 80DILY INJURY <br />(Per WmdwM <br /> EDAUTOS <br />- S <br /> S <br />N <br /> Laura titt, <br />eedy PROPEprv <br />A,AA°E <br /> LP?.me.,$ s <br /> "IN" LIABILITY - - <br /> AUTOONLr - EA ACCIDENT f <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTOONLY: M,? S <br /> EBCE9WMBRELLA LIABWTY <br />r7 EACH OCCURRENCE S <br /> OCCUR <br />IM3 MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE $ <br /> tETUeION $ <br />A, wO E c ?YADON AND UB-90810486-10 01/0112010 01/0112011 X R <br /> ANY PROPRIETORA-ARMEWEXECUTIVE <br />OFFICEp!M9MER EXCLUDED? EL. EACHACCIDENT 1000 ODD <br /> III rpwea?cim-to u,ee, <br />S EL DISEASE - EA EMPLOYEE $1,000,000 <br /> PECIAL PROVISIONS UeIar El DISEASE -POUCYLIMIT $1,000,000 <br /> OTHER <br />OESCRBRION OF OPERAM( B I LOC/ATXM I VBOCLES I E=CLUMONS ADD®BY BMOg8E11 f BPWAL PWNMOM <br />IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN(10) DAYS NOTICE OF CANCELLATION SHALL BE GIVEN <br />. <br />PROJECT. SANTA ANA FIXED GUIDEWAY SYSTEM <br />%.cm 1 LrIGA I t muLuL-H w?....?.. _?_.. <br />CLERK OF THE CITY COUNCIL <br />CRY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M-3M <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />ACORD 25 (2DOIM) <br />SHOYLD AMY OF THE ABOVE DESCRB POLICES RE CARLSLL M BETOM THE EXMRATRON <br />DATE TIEIlBOF, THE Ii16NG BEURER WILL ENDEAVOR TO MAIL 30 DAYS WIBTTEN <br />NOTICE TO THE CERLTIgCATE ROLDERMAMEDTO THE LEFT, BUF FAILURE TORO SO MYLL <br />UFO" ND OMJGATION OR LAAMUTY OF ANY IQMD UPON THE B@URBR rM AO,BRS OR <br />MRPnR&Tonu Teal