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TRANSPORTATION STUDIES, INC. 5 - 2011
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TRANSPORTATION STUDIES, INC. 5 - 2011
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Last modified
6/24/2014 12:56:53 PM
Creation date
10/18/2011 1:05:37 PM
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Contracts
Company Name
TRANSPORTATION STUDIES, INC.
Contract #
N-2011-127
Agency
PUBLIC WORKS
Expiration Date
6/30/2012
Insurance Exp Date
10/1/2014
Destruction Year
2017
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ACORN CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />DATE (MM /DD /YYYY) <br />10/6/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />NA MEACT Eri Ca Hornaday <br />Tha Empire Company <br />PHONE (714) 636 -9945 FA% .016)836 -9966 <br />550 Parkcantar Drive <br />D"pRIE .ahornaday @empire -co. com <br />$111 to 205 <br />INSURER 5 AFFORDING COVERAGE <br />NAIC # <br />Santa Ana CA 92705 -3521 <br />INSURERA:G01dan Ea 1a =nsuranca Co <br />10836 <br />INSURED <br />INSURERB:Hart£Ord Ina L'O O£ the Ml dweat <br />37476 <br />INSURERC:Unitad States Liabilit <br />25895 <br />Transportation Studios, Inc. <br />2640 Walnut Avanua <br />INSURER D: <br />Unit H <br />INSURER E <br />Tustin CA 9278D <br />INSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE <br />BR <br />POLICY NUMBER <br />MM/DDY /YYFYY <br />MM%DD /YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2 , OOO , OOO <br />PREMI ES Ea occurrence <br />$ 300 , OOO <br />X COMMERCIAL GENERAL LIABILITY <br />A <br />CLAIMS -MADE � OCCUR <br />OP7609482 <br />10/1/2011 <br />10/1/2012 <br />MED EXP (Any one person) <br />$ 10, 000 <br />PERSONAL S ADV INJURY <br />$ 2 , 000 , 000 <br />GENERAL AGGREGATE <br />$ 4 , OOO , 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 4 , OOO , OOO <br />X POLICY PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />Ea acBC tleDt IN LE LIMIT <br />1 000 000 <br />X <br />BODILY INJURY (Per parson) <br />$ <br />A <br />ANY AUTO <br />BODILY INJURY (Per accitlen[) <br />$ <br />ALL O�NNED SCHEDULED <br />AUTOS AUTOS <br />7297043 <br />10/1/2011 <br />10/1/2012 <br />HIRED AUTOS NON- OWI�IED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accitlen[ <br />$ <br />X <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 1 , 000 , OOO <br />AGGREGATE <br />$ 1 , 000 , 000 <br />A <br />E %LESS LIAB <br />CLAIMS -MADE <br />DED RETENTIONS <br />$ <br />8872632 <br />10/1/2011 <br />10/1/2012 <br />$ <br />WORKERS COMPENSATION <br />X WC STAT U- OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />EL EACH ACCIDE NT <br />$ 1 OOO OOO <br />ANV PROPRIETOR /PARTNER/EXECUTIVE <br />OFFICER /MEMBER EXCLUDED') � <br />(Mandatory In NH) <br />N / A <br />72WECRR7609 <br />10/1/2011 <br />10/1/2012 <br />E.L. DISEASE - EA EM PLOVE <br />$ 1 000 000 <br />If yes, tlescnbe untler <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 000 000 <br />DESCRIPTION OF OPERATIONS below <br />C <br />Errors fi Om19910na <br />SP1022742 <br />10/1/2011 <br />10/1/2012 <br />LIMIT $ 1,000,000 <br />DEDUCTIBLE ry 1,000 <br />DESCRIPTON OF OPERATIONS /LOCATIONS /VEHICLES (AKach ACORD 101, Atltlltlonel Remarks Schetlule, IT more apace Is requlretl) <br />RE: On -Call tra££ic counting sarvi ca. Carti£icate Holder is additional insured as respects to general <br />liability par £orm 44 -146 (06/04) attached. Primary and non- contributory wording applies £or general <br />liability per £orm 44 -231 (07/10) attached. <br />APPRO�/L;i�� �hS 7'O FORM <br />Laura ti Speedy <br />A,�sisLant, ity A[lorncy <br />City o£ Santa Ana <br />Attn: Shahir Gobran <br />20 Civic Cantor Plaza, M -43 <br />Santa Ana, CA 92702 <br />ACORD 25 (20'10/05) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Larry Jonas /ERICA <br />'1988 -20'10 ACORD CORPORATION_ All rights reserved <br />INS0251�n +nns� n� The Af`flRrl ..ame and 1,...,. are re,..c�ora,� mar4c ,.f A.l'_('1RA <br />
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