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/� , zo/ i - 2 oZ -`i�� °® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) osn7rzo11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING tNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an AD �� INS�R�:e th policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain �iCie�'�rrfay rl�uiF "s'1en�nQ:�ement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER �� '. - - MARSH USA. INC. /" I j � _ - ...` -.� � 445 SOUTH STREET L �__ i �' - ' '; j MORRISTOWN, NJ 07960.6454 - "' CONTACT E' E A/C No AD AIL INSURERS AFFORDING COVERAGE NAIC K INSVRER A : HDI- Gerling America Insurance Company 41343 100129 -REPUB -11/12 RE31C SACHS 1185 INSURED REPUBLIC INTELLIGENT TRANSPORTATION SERVICES, INC. D8A REPUBLIC ITS INSURER B Liberty Mutual Fire Ins Co 23035 INSURER c : Liberty Insurance Corporation 42404 INSURER D 371 BEL MARIN KEYS BLVD, #200 NOVATO, CA 94949 -5699 DaMM>�E RENTED PREMI E E ccurr nce $ 1,000,000 INSURER E $ 100.000 INSURER F CLAIMS -MADE � OCCUR THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N.4M ED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN$R LTR TYPE OF INSURANCE A DL UBR POLICY NUMBER M�DD/VYVY MIDDY VYY LIMITS A GENERAL LIABILITY GLD11101 -03 10/01/2011 10/01/2012 EACH OCCURRENCE $ 1,000.000 X COMMERCIAL GENERAL LIABILITY DaMM>�E RENTED PREMI E E ccurr nce $ 1,000,000 MED EXP An one person $ 100.000 CLAIMS -MADE � OCCUR PERSONAL 8 ADV INJURY $ 1.000.000 GENERAL AGGREGATE $ 7,600,000 G EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ INCL. $ X POLICY PRO- LOC B AUTOMOBILE LIABILITY AS2- 631 - 004334 -211 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT Ea accident 2,000,000 BO:JILI' INJURY (Per person) $ N/A X ANY AUTO BODILY INJURY (Per accitlen0 $ N/A X ALL OWNED SCHEDULED X AUTOS X NON -OWNED HIRED AUTOS AUTOS PPReOa EcRtlT ^DAMAGE $ N /p, VMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETEN710N $ $ C WORKERS COMPENSATION WA7 -63D- 009334 -011 (AOS) 10/01/2011 10/01/2012 X we STATU- oTH- C AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N OFFICE R/MEMBER EXCLUDED? � (Mandatory in NH) N / A WC7- 631 - 004334 -021 (OR, WI) 10/01/2011 10/01/2012 E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 EL DISEASE - POLICY LIMIT 1,000,000 $ II es. describe untler DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATONS /VEHICLES (Attach ACORD 101, Additional Ramerks Schedule, I} more space is required) E: AGREEMENT FOR LED SL RETROFIT ITY OF SANTA ANA IS HEREBY ADDITIONAL INSURED AS OBLIGATED UNDER CONTRACT. SUCH INSURANCE AS IS AFFORDED BY THE ADDITIONAL INSURED ENDORSEMENT SHALL APPLY AS RIMARY INSURANCE &OTHER INSURANCE MAINTAINED BY THE CERTIFICATE HOLDER SHALL BE EXCESS ONLY 8 NOT CONTRIBUTING WITH INSURANCE PROVIDED UNDER THIS POLICY. IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NON - PAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP O (i0 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER IS LESS. GCH 1 IFI(�A 1 t HULUCH VNrv•..CLlii t IVry CITY OF SANTA ANA AP�'RO V F, jy .� S �(, I "' Ci R SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: KURT WIEMANN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92702 1 !,`P� �/� 2 �'— '— "-- _ - - -'- - AUTHORIZED REPRESENTATIVE L.dU[' .iL �l tl:: _ily of Marsh USA lnc. Assists L City At[t>rn c', - . - Manashi Mukherjee — '1y'f_- QU�o� -= m 11 9 6 8 -2011 0 ACORD CORPORATION. All rights reserved. ACORD 25 (20Y 0 /OS) The ACORD name and logo are registered marks of ACORD