Laserfiche WebLink
$ ®® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD YYYY) <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. I <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION 13 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 Use of such andorsement(s). <br />PRODUCER Edgewood Partners Insurance Center (EPIC) <br />191x e MacArthur Blvd. PH Floor <br />Irvine, , CA 92612 <br />CONTACT NAME: <br />PHONE.AC,.No.RX+ (999)363_O6Q� __— _FAX Arc rQL49Ja 2.��_ <br />A <br />E -MAIL ADORE <br />INSURER(S) AFFORDING COVERAGE <br />NAICIt <br />66091591.189 <br />INSURER A! Wy_Qasualy Co Merid <br />1/23/20114 <br />www.ed ewoodins.com <br />INSURED <br />Railpros, Inc. <br />1 Ada Parkway, Suite 200 <br />Irvine CA 92618 <br />INS URERS: LandmajJ $,�jJjg,[j,C,U[apSg,�gB]p3ny <br />COMMERCIAL GENERALLIABILRY <br />CLAIMS -MADE 12 OCCUR <br />INSURER C: <br />INSURERD: <br />INSURER E: <br />ppry7gGET BELATED ... <br />PREMISES Ea occurrence <br />pf/ <br />(f/ o7o /'3 G32 <br />INSURER F; <br />$ 10,000 <br />COVERAGES CERTIFICATE NUMBER: 17444741 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS R <br />LTR <br />TYPE OFINSURANCE <br />ADDL <br />SU R <br />POUC NUMBER <br />POLICY EFF <br />MMIDOMIYY <br />POLICY EXP <br />MMIDD /YYYY <br />l LIMITS <br />A <br />GENERAL LIABILITY <br />r/ <br />66091591.189 <br />1123/2013 <br />1/23/20114 <br />EACH'OCCURRENCE <br />$ 1,000,000 <br />COMMERCIAL GENERALLIABILRY <br />CLAIMS -MADE 12 OCCUR <br />ppry7gGET BELATED ... <br />PREMISES Ea occurrence <br />.a.........•... <br />$ 1,000,000 <br />MED EXP (Any onaparAOn) <br />$ 10,000 <br />& AOV INJURY <br />$ 1,000,000 <br />-PERSONAL <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'LAGGREGATEiIMIT <br />APPLIES PER: <br />PRODUCTS - COMP /OP AGO <br />$ 2,000,000 <br />POLICY <br />,/ PRO- LOG <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />BA96760069 <br />$/30j2013 <br />$/3012014 <br />COMBINED SINGLE LIMIT <br />(_a as 6.rat <br />$ 1,000000 <br />� <br />BODILY INJURY ( Par person) <br />$ <br />A <br />ANY AUTO <br />ALL OWNED BSCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />Phys, Damage- $50,000 <br />Hired&Non- <br />Hired &Non -Owned <br />8/30/2013 <br />I <br />8!30/2014 <br />BODILY INJURY (Per accident) <br />$ <br />PROP ERTY DAMAGE <br />Per arcitlentl - <br />— <br />$ <br />$ -- <br />Com /Coll. - $500 DED <br />$ <br />A <br />uMeftEUq LIAR OCCUR <br />CUP007C389159 <br />1123(2013 <br />1/23(2014 <br />EACH OCCURRENCE <br />$ 9,000,000 <br />AGGREGATE r <br />$ 9,000,000 <br />EXCESS WAB CLAIMS -MADE <br />DED RETENTION$0 <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPPIETORIPARTNER /EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(ManddIOry to NH) <br />N/A <br />XJUB- 3392T21 -8 -13 <br />21112013 <br />21112014 <br />WayrATTS' I I %N <br />E. L. EACH ACCIDENT <br />$ 1 O0� 0_000 <br />E.L DI$EASE -EA EMPLOYEE <br />$ I OOQQOQ <br />If yes, describe antler <br />DESCRIPTION OF OPERATIONS belm <br />E.L. DISEASE - POLICY LIMIT <br />- <br />$ 1,000000 <br />B <br />Professional Liability <br />LHR820401 <br />2/26)2013 <br />2/2612014 <br />$5,000,000 Each Claim <br />Claims Made Form <br />$5,000,000 Aggregate <br />ro 12A <br />25,000 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Renern, Schedule, If more spat¢ Is required) <br />Coverage for work within 50 feet of railroad per policy form CG 0379 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 l2rior I so occurrence subie t to all term and Conditions. All policies include a minimum of 30 day NOC with 10 day for non-paynnent . <br />CERTIFICATE HOLDER <br />CANCELLATION <br />p <br />AS TO <br />City Of Santa Ana, Its Officers, employees, A "�/'�,a �rd/ <br />agents volunteers and representatives ° v �y� l / <br />, In: Monica Suter - Santa Ana- PNb4ie-yUQrles.Agenp <br />ULD 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 />_ <br />20 Civic Center Plaza (M -36) Laura �SUL!, Sheedy <br />Santa Ana CA 92702 Assistant City Attorney <br />AUTHORvED REPRESENTATIVE <br />Ivan Eskenazie <br />Q) 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD <br />CERT NO.: 17444741 npati Va *ddgewoodind.cem 0/29/2013 1,49:4"! PM Page 1 of 3 <br />