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Righ4Fax N3-2 1/28/2010 4:16:27 PM PAGE 2/003 Fax Server <br />DATE <br />ACORL?; CERTIFICATE OF LIABILITY INSURANCE 0 <br />1/28/2010 Y" <br />PRODUCER THIS CERTIFICATE 1S ISSUED S A ATE O FORMATION <br />AUTOMATIC: DATA PROC INS AGCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />71 HANOVER RD MS 825 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />FLORHAM PARK, NJ 07932 ALTER THE COVERAGE AFFORDED Y T POLICIES BELOW. <br />(877) 877-0428 <br />XV770 70A INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER ATRAVELERS CASUALTY AND SURETY COMPANY <br />CONSENSUS, INC <br />828 WILSHIRE BLVD. #1000 INSURER 8: <br />LOS ANGELES, CA 90017 INSURER C: <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 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. 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 EFF CTIVE <br />DATE M/DD/YY POUCY EXPIRATION <br />DATE MM/DD/Y <br />LIMITS <br /> GENERAL LIABIITY EJ1 H OCCURREN E $ <br /> COMMERCIAL GENERAL LIABILITY <br />F_? IUHLNItU <br />PREMISES (Fa occurrence) <br />$ <br /> CLAIMS MADE <br />OCCUR MED EXP An one emon $ <br /> <br /> P RSONA & A DV INJURY <br /> GENERAL AGGREGATE $ <br /> GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRO <br /> - <br />PO ICY JECT LOC <br /> AUTOM?BILE LIABILITY <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Ea acddent) <br />$ <br /> ALL'OWNED AUTOS BODILY INJURY <br /> SC?EDULEDAU70S <br />(Per person) <br /> HIRtD AUTOS <br /> <br />- A S 'Tp Ep <br />O <br /> NON-OWNED AUTOS U <br />AppRpV E A (Per accideni) $ <br /> <br /> P?IOPE RaY DAMAG E <br />er ecci enl <br />$ <br /> GARAG LIABILITY <br />T Stttt <br />ptt?Tnz <br />AUTO ONLY - EA ACCIDENT <br />$ <br /> ANl( AUTO XSS1SLa t C1ty EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br /> EXCE",UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> i $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />A WORKERS CO PENSATIONAND <br />EMPLOYERS' LIABILITY UB-9081 C486-1 0 01/01/2010 01/01/2011 X <br /> <br />TORY LIMITS A"' <br /> <br /> <br />ANY PROPRIE7/PARTNER/EXECUTIVE E.L. EAC <br />H ACCIDENT <br />$1,000,000 <br /> OFFICER/MEM ER EXCLUDED? <br />yes <br />describe <br />nd E, L. DISEASE - EA EMPLOYEE $1,000,000 <br /> <br />S EC <br />PROVIUU <br />, IAL <br />erSIONS below <br />SP <br />E L <br />DISEASE -POLICY LIMIT <br />000 <br />$1 <br />000 <br /> OTHER , <br />, <br />. <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />IN THE EVENT 6F NON-PAYMENT OF PREMIUM, ONLY TEN(10) DAYS NOTICE OF CANCELLATION SHALL BE GIVEN. <br />PROJECT: SOTA ANA FIXED GUIDEWAY SYSTEM <br />?.Cn 1 IT-Ia.N 1 C <br />CLERK OF TOE CITY COUNCIL <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M-30) <br />PO BOX 1988 <br />SANTA ANA, CA 92702 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 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. i-% <br />AUTHORIZED REPRESENTATIVE