DOWNTOWN INC. AND CUSA PCSTC, LLC 9 - 2010

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DATE M/DYYIY) A~ R CERTIFICATE OF LIABILITY INSURANCE 08/04/2010 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc. - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1000 Main Street, Suite 3000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR _ Houston, TX 77002 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 016276-Prime-GAXWX-09-1 O PCST LIADDI Combo INSURERS AFFORDING COVERAGE NAIC # INSURED CUSA PCST, LLC (Anaheim) INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 d/b/a Southern California Gray Line, a CUSA Company INSURER B: New Hampshire Insurance Company 23841 2001 South Manchester Avenue Anaheim, CA 92802 INSURER C: Lexington Insurance Company 19437 INSURER D: INSURER E. COVERAGES 2 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. - NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS ADD' TYPE OF INSURANCE POLICY NUMBER Po LICY EsrECTIVE Po UCY Ex PIRATION LIMITS ( /YWl') _E..'. LTR INSR _ DATE MM/DD - D/l GENERAL LIABILITY GL 1738141 09/16/2009 09/16/2010 EACH OCCURRENCE 1 DAMAGE TO RENTED 1,000,000 A X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocrLrrence $ CLAIMS MADE IXI OCCUR MED EXP (Any one person) $ EXCLUDED PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENERAL AGGREGATEPRLIOMIT APPLIES PER PRODUCTS - COMP/OP AG $ 1,000,000 X POLICY JECT LOC A AUTOMOBILE LIABILITY CA 9798679 09/1P/20 d 9 09116/2010 COMBINED SINGLE LIMIT X ANY AUTO (Ea aocitlenp $ 5,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS L~ 1'~O V I (Per person) X HIREDAUTOS BODILY NON-OWNED AUTOS `->CICi~'ay Per cci ent RV $ PROPERTY DAMAGE (P.,er accltleni) $ GARAGE LIABILITY A AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS / UMBRELLA LIABILITY 27471446 09/16/2009 09/16/2010 EACH OCCURRENCE $ 25,000,000 X OCCUR CLAIMS MADE - - AGGREGATE. $ 25,000,000 DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION AND WC 3715758 09/16/2009 09/16/2010 X WC STATU- OTH- EMPLOYERS' LIABILITY WC 3715756 (California) 09/16/2009 09/16/2010 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N -L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? WC 1177656 (Oregon) 09/16/2009 09/16/2010 B ( ry ) y F WC 1212934 (Texas) 09/16/2009 09/16/2010 .L- DISEASE - EA EMPLOYE $ 1,000,000 B SPECIAL PROVISIONS Ueeowbaunder .L. DISEASE -POLICY LIMIT $ 1,000,000 B OTHER Workers' WC 2087663 (Wisconsin) - 09/16/2009 09/16/2010 See Above Limits B Comp -/Employers' Liab. WC 2087664 (Florida) 09/16/2009 09/16/2010 C Excess Auto Liab. 027666060 09116/2009 09/16/2010 Auto Limit/Excess Auto 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City Of Santa Ana, its officers, agents, employees and volunteers are included as Additional Insured as required by written contract, but only for liability arising out of the operations of the Named Insured. - CERTIFICATE HOLDER HOU-001445635-01 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Downtown Incorporated EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 13 ~(yq(q(7p MAIL Attn: Vicky Baxter - 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 305 E. 4th St_, suite 200 Santa Ana, CA 92701 - AUT a rch RD:E SREPRESENTATIVE of A Ine. John T. Riedel ACORD 25 (2009101) - © 1998-2009 ACORD CORPORATION- All Rights Reserved The ACORD name and logo are registered marks of ACORD