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CERTIFICATE OF LIABILITY INSURANCE
<br />o ATE (MMIDDmYY)
<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 />ICATE OF
<br />REPRESENTATIVE ORFPRODUCER, INSURANCE DOES
<br />44°ER hdl/;QTff H NSTWU3F A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<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 FAX AIC No: (949) 263-0906
<br />MMIDDIIY YY
<br />LIMITS
<br />EMAIL ADDRESS:
<br />INSURER (S) AFFORDING COVERAGE
<br />NAIC H
<br />INSURER A: Travelers Property Casualty o of America
<br />1/23/2013
<br />www.edgewoodins.com
<br />INSURED
<br />Railpros, Inc.
<br />INSURER B: y, an
<br />INSURER C:
<br />1 Ada Parkway, Suite 200
<br />INSURER D:
<br />Irvine CA 92618
<br />INSURER E:
<br />$ 1,000,000
<br />c7CCJl b
<br />INSURER F:
<br />PERSONAL& ADV NJURY
<br />COVERAGES CERTIFICATE NUMBER: 1eni45ttr, 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 />INBR
<br />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />lum
<br />SUBR
<br />POLICY NUMBER
<br />MMIIDVA'Y'rY
<br />MMIDDIIY YY
<br />LIMITS
<br />•
<br />GENERAL LIABILITY
<br />✓
<br />66091591-189
<br />1/23/2013
<br />1/23/2014
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />✓ COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE 7 OCCUR
<br />PREMISES Ea ore fares)
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL& ADV NJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />POLICY ✓ JE� LOD
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />BA9B760069
<br />8/30/2012
<br />8/30/2013
<br />CEOMBINEEDtSINGLE LIMIT
<br />$ 1,000,00
<br />BODILY I NJURY(Per person)
<br />$
<br />✓
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />A
<br />✓
<br />NON -OWNED
<br />HIRED AUTOS ✓ AUTOS
<br />Phys. Damage - $50,000
<br />8,098760069
<br />Hired & Non -Owned
<br />8/30/2012
<br />8130/2013
<br />PROPERTY DAMAGE
<br />Per accident)$
<br />$
<br />-
<br />$
<br />Com /Coll. - 500 DED
<br />A
<br />UMBRELLA LIAB
<br />✓
<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 LIJ RETENTION$0
<br />$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY YIN
<br />XJUB- 3392T21 -8 -13
<br />2/112013
<br />2/1/2014
<br />we sTATU. oTH-
<br />TORY LIMITS ER
<br />E.L. EACH ACCIDENT
<br />$ 1000000
<br />ANV PROPRIETORIPARTNEWEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED'
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />EL .DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Professional Liability
<br />LHR820401
<br />2/26/2013
<br />2/26/2014
<br />$3,000,000 Each Claim
<br />Claims Made Form
<br />$3,000,000 Aggregate
<br />Retro Date: 2/26/2001
<br />25,000 Deductible
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach AC ORD 101, Additional Remarks Screen le, If more space is recurred)
<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 Qrior to an occurrence subject to all policy terms and conditions. All policies 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 />agents volunteers and representatives
<br />Attn: Wonica Suter - Santa Ana Public Works Agency
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza (M -36)
<br />Santa Ana CA 92702 PPRUVED AS TO F
<br />A T RIZED REPRESENTATIVE
<br />Iva skenazie
<br />-= -��^��°A QS-rORCK © 1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The AAs#aR?I�'9tF0,t"pIW9 registered marks of ACORD
<br />CSRT No., 16019586 npetiovaRedgewcodins.com 9/11/2013 1,019;33 PM Page 1 of 3 61 I/
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