Laserfiche WebLink
pfvr-e e ? ---k A -,2- o i 0 - / ? 7 <br />RightFax NI-1 1/28/2010 4:16:29 PM PAGE 2/003 Fax Server - `J bACORQ CERTIFICATE OF LIABILITY INSURANCE 01,!28,2 D/28t2°°'TTYY' <br />0,0 <br />PRODUCER <br />AUTOMATIC DATA PROC INS AGCY INC <br />71 HANOVER RD MS 625 <br />FLORHAM PARK <br />NJ 07932 THIS CERTIFICATE IS ISSUED AS A MATTER OF IIFORIAA <br />ONLY AND CONFERS NO RIGHTS WON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTS THE COVERAGE AFFORDED BY THE POLIO! BELOW. <br />, <br />(877) 677-0428 <br />XV770 70A <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />CONSENSUS <br />INC <br /> <br />INSURER ATRAvE LERB CASUALTY Am suRETT COMPANY <br />, <br />626 WILSHIRE BLVD. #1000 NSURERB <br />LOS ANGELES, CA 90017 INSURER C- <br /> NSURER D: <br /> INSURER E: <br />COVERAGES <br />IHE PULJL;ILS OF NSMANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOIIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE NSURMICE AFFORDED BY THE POLICES DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />NPR <br />LTA -- TYPE OF/6URANC,E POLICY WLSWR DAT <br />P1100DOl" DATE MYD LINTS <br /> GmRAL UABfTY _ - - <br /> MO C <br />RRENCE $ <br /> COMMIE RCUL G?E!VCWLL LIABILITY O Kt <br />III <br /> CLAIMILS MADE F] OCCUR <br /> MED EXP (My Me Lwwn) $ <br /> RSONAL 8 INIUHY <br /> QENFRAj AGGREGATE <br />S <br /> GEN'LAGGREGATE LIMITAPPLES PER <br />RO <br />P P T - PA <br /> r-7- LOC <br />POLICY <br /> AUTOM&LL LIABILITY COMBINED SINGLE I -Mill <br /> ANY MOTO (Fa ecodentj E <br /> ALL OVrNEDAIlIUS APPROVE''' AS 'TO F ORM NJURY <br /> SCHEDULED AUT09 (Pwpg.-) <br /> .7 <br /> HIREDALITOS BODILYINJURY <br />(Per acodwm <br />S <br /> NON-OWNED AUTOS <br /> L ed <br />Stitt <br />h <br /> aura y <br />, <br />e PROPERTYDAMAGE <br /> <br />Gi (Per a deny) <br />E <br /> GARIMM LIABILITY fy AUTOONLY - EA A(Y;IDHC $ <br /> ANY ALUI0 OTHER THAN 6A ACC s <br /> AUTOONLY. AGG S <br /> EXCESSAMBFELLA LIABILITY EACH OCCURRENCE s <br /> OCCUR FiCLIVMS MADE AGGREGATE $ <br /> S <br /> DEDUCTIBLE $ <br /> RETLNIICN $ $ <br />A WORKERS COMPENSATION AND <br />EIPLOTERS U^Mu TY U6-9081 0486-10 01101/2010 01/0112011 X ?P <br /> ANY PRDPRIETORIPAIT NER/EXECUINE E L EACHACODENT $1,000,000 <br /> OFFICERIMBLBER EXCLUDED? EL DISEASE - EA EMPLOYEE $1.000,000 <br /> PEC <br />SUII <br />PROVMONS belor <br /> . EL DISEASE - POOCYL IMIT $1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VBMCLPB I EXCLUSIONS ADDED BY ENDORIMMENi / SPECIAL PFAMSIONS <br />IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN(10) DAYS NOTICE OF CANCELLATION SHALL BE GIVEN. <br />PROJECT: SANTA ANA FIXED GUIDEWAY SYSTEM <br />CLERK OF THE CITY COUNCIL <br />CITY OF SANTA ARIA <br />20 CIVIC CENTER PLAZA (M-30) <br />PO BOX 198$ <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCHIBEDP000ES BE CANS I M INEFORE THE EXPIRATION <br />BATE TIEAEOF. THE ISSUNG INSURER WILL ENDEAVOR TO MAIL 30 DAYS W ITEN <br />NOTICE TO THE CEIRIFWATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 8441 <br />NPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PMRER, ITS ACUM OR <br />REP ESENIARI E <br />ACORD 25 (2001/08) <br />CORPORATION 19BI