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Afire -e ` * A-20/G-/Z? <br /> <br />ACORDM CERT. iCATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) <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 />Brown & Brown of CA, Inc. 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 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED CONSENSUS, INC. 'INSURER A: The Travelers Indemnity Co <br />626 Wilshire Blvd. INSURERB. Travelers Prop. Cas. Co of Ameri Ea <br />Suite 1000 INSURER C. <br />Los Angeles, CA 90017 INSURER D: <br />INSURER E: <br />CnVFRAnFS <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 />' <br />INSR DD <br />LTR NSR <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE (MMIDDIYYYYJ POLICY EXPIRATION <br />DATE (MMIDDIYYYYj <br />LIMITS <br /> GENERAL LIABILITY 680-1631M951 03/17/2010 03/17/2011 EACH OCCURRENCE $ 2,000,00( <br /> X COMM ERCIAL GENERAL LIABILITY <br />- PREMISES Eaoccurtence $ 300,00 <br /> CLAIMS MADE FX <br />1 OCCUR MED EXP (Any one person) $ 5 <br />00( <br />A PERSONAL & ADV INJURY , <br />$ 2,000,00( <br /> GENERAL AGGREGATE $ 4,000,00( <br /> GEWL AGGREGATE LIMIT APPLIES PER: I <br />PRO I PRODUCTS - COMP/OP AGG $ 4, 000, 00 <br /> POLICY <br />JECT LOC <br /> AUTOMOBILE LIABILITY 680-163IM951 03/17/2010 03/17/2011 <br /> COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea accident) 1,000,000 <br /> ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS BODILY INJURY <br />(Per person) $ <br /> X HIRED AUTOS <br /> <br />X <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) <br />$ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY: AGG $ <br /> EXCESS I UMBRELLA LIABILITY CUP-9253Y260 03/17/2010 03/17/2011 EACH OCCURRENCE $ 1 <br />000 <br />000 <br /> __ , <br />, <br /> j CLAIMS MADE <br />X OCCUR AGGREGATE $ 11000,00 <br />B <br /> 1 $ <br /> DEDUCTIBLE APPRO V IL L AS TO FORM <br />T <br />s <br /> <br />RETENTION $ - <br />$ <br /> WORKERS <br />COMPENSATION <br /> <br />AND EMPLOYERS' LIABILITY <br />YIN _ <br />TORY LIMITS ER <br /> ANY <br />PROPRI ETORIPARTNER/EXECUTIVE? <br />OFFICERIMEMBER EXCLUDED? E. EACH ACCIDENT $ <br /> (Mandatory yes. ddInescribe u NH) <br />If yes, under <br />b Lau r <br />i)tIL[ ').; C:,dy <br />E.L. DISEASE -EA EMPLOYE $ <br /> SPECIAL PROVISIONS below AssISLa - CIL ALLOC E E, I. DISEASE -POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />E: Proeject Santa Ana Fixed Guideway System <br />City 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 />giver of Subrogation Applies <br />i°Exce t 10 days notice for cancellation due to on- a ment. <br />CERTIF CA <br />I TE HOLDER reurFl I ATlnu <br />{Ci,ty of Santa Ana. J1? <br />06rk of the CiviI4 4401ci1 <br />20 Civic Center Plaza (M-30) <br />Santa 19 <br />a , CAS 9i? 70Zt1988 <br />(2009101) FAX: 714.647.6956 <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. <br />AUTHORIZED REPRESENTATIVE <br />Victoria Hartvi /JEB <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />the ACORD name and logo are registered marks of ACORD