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AC'?RD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />f?--' 03/26/2012 <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(fes) 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 CONTACT COilnne Ford <br />NAME: <br />Woodruff-Sawyer 8c Co. PNONE -- - ----- -- -- - -- FAx <br />415-989-9923 <br />? <br />50 California Street, 12th Floor In/c?yo1 _ <br />E-MA-aq`E"?`-- - -------- <br />cford wsandco <br />com <br />ADDRESS <br />San Francisco CA 94104 . <br />___ <br />---------?------------.-"---- ?----?--------- <br />? ? ? O/a <br />0.? ? - -- - INSURER(S) AFFORDING COVERAGE ___ _- _ __ NAIC # __ <br />? <br />(41 S) 391-2141 <br /> INSURER A : Continental Insurance Company _ 35289 <br />INSURED INSURER B I111nO1S LJnlon Insurance COm an 27960 <br />Iteris, Inc. INSURER c : National Fire Insurance Com an of Hartford 20478 <br />1700 Carnegie Avenue, Suite 100 <br />Santa Ana <br />CA 92705-5551 INSURER D= Berkley National Insurance Com an <br />, <br /> INSURER E <br /> INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 BY PAID CLAIMS. <br />INSR <br />LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMLDD/YYYY MM DO/YYYY LIMITS <br />C GENERAL LIABILITY X 4025751745 04/01/2012 04/01/2013 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISESO RENTED <br />_ ?a occurrence 1,000>000 <br />$ _ <br /> CLAIMS-MADE ?? OCCUR MED EXP (Any one person) $ _ 1 5,000 <br /> X PD Deductlble - l?lOIIC PERSONAL S ADV INJURY $ 1,000,000 <br /> }? BI DeduCtlble - TlOne GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 <br /> PRO- <br />X POLICY LOC $ <br /> <br />A AUTOMOBILE LIABILITY <br />4025751759 <br />04/01/2012 <br />04/01/2013 COMBINED SINGLE LIMIT <br />Ea accidentl_. 1,000>000 <br /> X ANV AUTO OWned 8L Hlred AutGS BODILY INJURY (Per person) $ - - <br /> _ <br />ALL OWNED <br />AUTOS <br />SGH EDUCED <br />AUTOS <br /> <br />Comp <br />Ded <br />$500 _-____ <br />BODILY INJURY (Par accitlent) <br />$ <br />_____._.-_._._._- <br /> X HIRED AUTOS X AONOSWNED . <br />. <br />Coll. Ded. $500 __.._____ <br />?PeO aP EO aTentDAMAGE - $ -- - <br /> <br /> <br />A }{ UMBRELLA LIAB <br />- ?{ OCCUR 4025751762 <br />04/01 /2012 <br />04/0 l /2013 EACH OCCURRENCE <br />. -- $ 25,000,000 <br />----.-?-. - <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ IRC1Ude <br /> DED X RETENTION $ 10 000 $ <br /> <br />D WORKERS COMPENSATION <br />' <br />04/01 /2012 <br />04/01 /2013 X WC STAT V- OTH- <br />- 4RY_Lll1ALT -- <br /> AND EMPLOYERS <br />LIABILITY y / N TWC700 ] 008- 10 <br /> ANYPROPRIETOFLPARTNEWEXECUTIVE E. L_. E_A_C_H_A_G_GIDENT _ <br />- - $ - - _1,00000 <br /> OFFICE WME MBER EXCLUUED4 ? <br />(Mandatory In NH) N / A E-L. DISEASE - EA EMPLOYE $ 1 000 000 <br /> If yes, tlescribe untler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1 >000,000 <br />B Professional Liability 621656045009 04/01/2012 04/01/2013 Limit $5,000,000/ Aggregate 5,000,000 <br /> Claims Made Form Retro-Date 01/01/1991 Deductible $50,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Altech ACORO 101, Addltlonal Remarks Schedule, If more apace Is raqulrcd) <br />Re: On-Call ITIS Agreement <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured with respects General Liability per form <br />CG 2026 0704 attached. <br />Policies contain a 30 da notice of cancellation and a 10 da notice of cancellation for non- a ment of remium. <br />GCK 1 IF IGA 1 t MULUCK a..narv a..c LLia I Ivry <br /> <br />Santa Ana, Clt Of <br />Y <br />Attn: Zed Kekula APPROVEIj <br />AS T(? F? SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />' IFCCO RDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, M-30 <br />Santa Ana, CA 92702_1 <br />Laura 5 <br />Assistan[ <br />LOAN #: / <br />.? Shecdy <br />iLy Attorne ' AUTHORIZED REPRESENTATIVE ?,/7/? <br />In a.. ©'1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20'10/05) The ACORD name and logo are registered marks of ACORD