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COVERAGES CERTIFICATE NUMBER: ldernnn RFVISInN NIIMRFR-
<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 />DATE IMMIDDIYYYYI
<br />A CERTIFICATE OF LIABILITY INSURANCE
<br />1 10/2312012
<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 endorsements .
<br />PRODUCER SUIIIVan CUrtISMOnroe Insurance Services
<br />251 S. Lake Ave., Suite 150
<br />Pasadena, CA 91101
<br />CONTACT NAME: C fl
<br />PHONE a t: 626-683-6124 A Non
<br />E
<br />GENERALLIABILITY
<br />E- M816 OD E S: i9arlilbCaal,1101COM
<br />_
<br />INSUREFISJ AFFORDING COVERAGE
<br />NAIC4
<br />61112012
<br />INSURERA: Depositors Insuraore QQoipaoy
<br />42587
<br />www.SullivanCudisMonroe,com License # CE83870
<br />INSURED
<br />Parking Concepts, Inc.
<br />dba Transportation Concepts
<br />12 Mauch/ , Building I
<br />INSURER B: I D P
<br />Company
<br />204
<br />INSURER C: SCQtl losurance m
<br />INSURER D:
<br />INSURER E; OIUmbIaDaSU IQQ13eanV
<br />2
<br />Irvine CA 2618
<br />INSURER F ;
<br />PERSONAL& ADV INJURY
<br />$ 1,000,000
<br />COVERAGES CERTIFICATE NUMBER: ldernnn RFVISInN NIIMRFR-
<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 />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />JUR
<br />SU
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDA'YYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />E
<br />GENERALLIABILITY
<br />,/
<br />✓
<br />4034901943
<br />61112012
<br />6/1/2013
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />✓ COMMERCIALGENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />P EMI E eoc uERence
<br />$ 100,000
<br />MEDEXP(Anyoneperson )
<br />$ Excluded
<br />PERSONAL& ADV INJURY
<br />$ 1,000,000
<br />✓ GL &GKLL
<br />✓
<br />Ded $5 000 p /ocelloss
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GKLL per Loc$1,000,000
<br />GKLL Max p /auto$25D,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER'.
<br />PRODUCTS - COMPIOPAGO
<br />$ 2,000,000
<br />POLCY PRO ✓ LOC
<br />GKLL - A re ate
<br />$ $10,000,000
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />✓
<br />BA7815034403(Auto)
<br />6/1/2012
<br />61112013
<br />E °acBatlepswGLE LIMIT
<br />$ 1,000,600
<br />aODILY INJURY (Per person)
<br />$
<br />AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS ✓ AUTOS
<br />BODILY INJURY Per acdtlent
<br />( )
<br />$
<br />lANY
<br />HIREDAUTOS ✓ AUTOSIED
<br />$
<br />/vv,
<br />Comp Ded $1,000
<br />$
<br />Coll Ded $1,000
<br />C
<br />uNteRELU LIAB
<br />✓
<br />OCCUR
<br />✓
<br />XLS0082523
<br />6/1/2012
<br />6/112013
<br />EACH OCCURRENCE
<br />$ 25000,000
<br />�/
<br />EXCESS LIAR
<br />CLAIMS MADE
<br />AGGREGATE
<br />$ 25,000,000
<br />DEC Ll RETENTION$
<br />$
<br />8
<br />D
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILTY YIN
<br />ANY
<br />OFFICER /MEMBER EXCLUOEpp ECUTIVEN L141
<br />NIA
<br />✓
<br />40,6660,6769
<br />61112012
<br />16/1/2013
<br />WCSTATV- OETki-
<br />TORY LIMITS
<br />E.L. EACH ACCIDENT
<br />$ 1,000,00
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1 QQQ QQQ
<br />(Mandatory In NH)
<br />d yes, describe under
<br />E. L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Automobile Liability Including
<br />Scheduled Autos
<br />Hired & Non-Owned Autos
<br />4022918108 (Bus)
<br />6N/2012
<br />6/1/2013
<br />Combined Single Limit $1,000,000
<br />Liab Ded $50,000 p /accd w /Physical Ding
<br />Como Ded $10,000 1 Coll De 1
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AMach ACORD 101, Additional Remarks Schedule, if more space is required) V,� rr
<br />Re: Location # 486 Santa Ana Lot 721 (3rd and Broadway) 201 W. Third St, # 487 Santa Ana Lot 722 (Fiesta Market) 300 E��ftIt 0 ��$)
<br />111488 Santa Ana Lot 723 (Third and Birch) 310 N. Birch, #489 Santa Ana Lot 724 (Fifth and Main) 420 S. Main in S�Q_e¢ylAE 927 d
<br />.
<br />#539 215 E, 3rd St. Santa Ana, CA 92701 /-
<br />City of Santa Ana Community Development Agent: is additional insured per the attached forms C4...,
<br />Cancellation 30 days with exce lion of 0 da s ue to Non-Payment
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />++��II
<br />City Of Santa Ana
<br />SHOULD ANY OF THE OVE OESC�I�tt'� riEtCIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THE &86y?` -NOTICE WILL BE DELIVERED IN
<br />Community Development Agency
<br />ACCORDANCE WITH THE POLICP PROVISIONS.
<br />Administrative Services Division
<br />20 Civic Center Plaza, M25
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92701
<br />/J
<br />Isela Carrillo
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />CERT NO.: 1¢502032 CLIENT COO.: MS.0 feel. Caiz1110 10/2]/2012 3:52;59 PH Page 1 of 8
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