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A� Q® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIODNYYY) AZI 1/2013
<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 Edgewood Partners Insurance Center (EPIC)
<br />19000 MacArthur Blvd. PH Floor
<br />Irvine, CA 92612
<br />CONTACT NAME:
<br />PHONE plc No El 949 263 -0606 FAX AMC No: 949 263 -0
<br />A
<br />GENERAL LIABILITY
<br />EMAIL ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC4
<br />1/23/2013
<br />INSURERA: Travelers Pro Casualty
<br />EACH
<br />www.edgewoodins.com
<br />INSURED
<br />Railpros, Inc.
<br />1 Ada Parkway, Suite 200
<br />INSURERS: Landmark American Insurance Company
<br />INSURERC:
<br />r� Syr/
<br />N PROL�..r'�..D A
<br />INSURER D:
<br />SO "'
<br />Irvine CA 92618
<br />INSURER E:
<br />MED EXP(Any one person)
<br />$ 10,000
<br />INSURER F:
<br />5 1,000,000
<br />COVERAGES CERTIFICATE NUMBER: 16o195a6 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
<br />TYPE OF INSURANCE
<br />AODL
<br />S
<br />SUBR
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDOrYYYY )
<br />POLICY EXP
<br />(MMIDDNYYY1
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />✓
<br />6609159L189
<br />1/23/2013
<br />1/23/2014
<br />EACH
<br />$ 1,000,000
<br />,/ COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑✓ OCCUR
<br />r� Syr/
<br />N PROL�..r'�..D A
<br />r�� t'�.
<br />SO "'
<br />��OCCURRENCE
<br />PREMISES(ERENTwonre)
<br />$ 1,000,000
<br />MED EXP(Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />5 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />~
<br />�
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY ✓ PRO LOG
<br />PRODUCTS- COMPIOP AGO
<br />$ 2,000,000
<br />'�`'
<br />Laura /.>L11I
<br />LLL
<br />St1CCdy
<br />y
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />BA9B760069
<br />8 2 2
<br />8130/2013
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />(Feraccidenq
<br />$
<br />A
<br />✓
<br />✓
<br />NON -OWNED
<br />HIRED AUTOS ✓ AUTOS
<br />Phys. Damage - $50,000
<br />BA9B760069
<br />Hired & Non -Owned
<br />8/30/2012
<br />8/3012013
<br />$
<br />- --
<br />$
<br />✓
<br />Cora /Coll. -$500 DED
<br />A
<br />UMBRELLA LIAB
<br />✓ OCCUR
<br />CUP007C389159
<br />1/23/2013
<br />1/23/2014
<br />EACH OCCURRENCE
<br />$ 9,000,000
<br />AGGREGATE
<br />$ 9,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED LI-11 RETENTION$0
<br />$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNER /EXECUTIVE
<br />OFMCERIMEMBER EXCLUDED?
<br />NIA
<br />XJUB- 3392T21 -8 -13
<br />2/1/2013
<br />2/1/2014
<br />We STATU- oTH-
<br />TORY LIMITS ER
<br />E, L. EACH ACCIDENT
<br />$ 1000090
<br />E. L. DISEASE -EA EMPLOYEE
<br />$ 1000000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />S 1,000,000
<br />B
<br />Professional Liability
<br />LHR820401
<br />212612013
<br />212612014
<br />$3,000,000 Each Claim
<br />Claims Made Form
<br />$3,000,000 Aggregate
<br />Retire Da e: 2/26/2001
<br />$25,000 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Anach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />Coverage for work within 50 feet of railroad per policy form CG D379 0907 on GL and CA 2070 1001 on Auto. WC coverage applies for all states except
<br />monopolistic states. WC Waiver of Subrogation applies per WC 00 03 13. Certificate holder is additional insured on GL per attached form CG D3 81 0907
<br />which includes primary wording and waiver of subrogation and Auto per form CA T3 53 03 10 but only if required by written contract with the named
<br />insured prior to an occurrence sub'ecl to all olic terms and conditions. All nolicies include a minimum of 30 day NOC with 10 day for non-payment.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana, its officers, employees,
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />aggents, volunteers and representatives
<br />Atin: Monica Suter - Santa Ana Public Works Agency
<br />20 Civic Center Plaza (M -36)
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702
<br />Ivan Eskenazie
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />CERT NO.: 16019596 Dpetrova©edgewoodins. COm 9/11/2013 1:09:33 PH Pane 1 of 3
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