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ACC? °® CERTIFICATE OF LIABILITY INSURANCE
<br />11..�
<br />DATE (MMI °D Y Y)
<br />2119/2014
<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(les) must he 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 Ileu of such endorsement(s).
<br />PRODUCER Ed g ewood Partners Insurance Center (EPIC)
<br />19000 MacArthur Blvd. PH Floor
<br />Irvine, CA 92612
<br />www.edgewoodins.com
<br />CONTACT NAME: D ni Dryer
<br />PHONE c m it• 949-417-9129 AIC No:
<br />E -MA L ApogEss, W
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Travelers Poe I Co of e'
<br />LIMITS
<br />INSURED
<br />Railpros, Inc.
<br />1 Ada Parkway, Suite 200
<br />Irvine CA 92616
<br />INSURER B: ACE prierican ins Company
<br />,/
<br />INSURER C:
<br />66091591,189
<br />NsU RER D:
<br />1/23/2015
<br />INSURERS:
<br />$ 1,000,000
<br />INSURER F:
<br />_
<br />COVERAGES CERTIFICATE NUMBER: 19281717 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 />ILTR
<br />TYPE OF INSURANCE
<br />A
<br />POLICY NUMBER
<br />MOLICY
<br />POLICY EFF
<br />POLICY E %P
<br />MMrDOP/YYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />,/
<br />66091591,189
<br />1/23/2014
<br />1/23/2015
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />p
<br />Pk EAG E5 Ea occurrence
<br />$ 1,000,000
<br />COMMERCIAL GENERAL LIABILITY
<br />MD EXP (Any one person)
<br />$ 10,000
<br />CLAIMS -MADE F✓ OCCUR
<br />PERSONAL &AOV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOP AGG
<br />$ 2,000,000
<br />$
<br />POLICY
<br />,/ PR6 LOC
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />BA9B760069
<br />8/30/2013
<br />8130/2014
<br />EOMBINEDtSINGLE LIMIT
<br />$ 1,000,000
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />AUTOS NON -OWNED
<br />Phys. Damage - $50,000
<br />Comp /Coll. -$500 DEC
<br />BA9B760069
<br />Hired & Non -Owned
<br />8/3012013
<br />8/30/2014
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Par eccident)
<br />—
<br />$
<br />PROPERTY DAMAGE
<br />(Per d
<br />$
<br />$
<br />$
<br />A
<br />UMBRELLA MAD
<br />OCCUR
<br />CUP007C389159
<br />1/23/2014
<br />1/2312015
<br />EACH OCCURRENCE
<br />$ 9,000,000
<br />AGGREGATE
<br />$ 9,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DEO ✓ RETENHON$0
<br />$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPR15TORJPARTNCRIEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />XJUB- 3392T21 -8 -14
<br />2/112014
<br />2/1/2015
<br />We sTATU- oRH-
<br />TORY LIMITS
<br />E.L. EACH ACCIDENT
<br />$ 1,000000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1 000000
<br />If yea, deacnbe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />I $ 1,000,000
<br />B
<br />Professional Liability
<br />G25660560001
<br />2/26/2014
<br />2/26/2015
<br />$5,000,000 Each Claim
<br />Claims Made Form
<br />$5,000,000 Aggregate
<br />Reirg D e: 212812001
<br />$25,000 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS )VEHICLES (Attach ACORO 101, Additional Remarks Schedule, It 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 perform CA T3 53 03 10 but only 1f required by written contract with the named
<br />insured prior to an occurrence subject to all policy terms and conditions. All olicles Include a minimum of 30 da NOC with 10 day for non - a ment
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />C, �vo 1'�
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />11 City of Santa Ana, IiS OffICBrS,Qy6, F y
<br />aggents, volunteers and r r s t V�5
<br />Attn: Monica Suter - Sar a Pub 'C Works on y `...
<br />THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />_
<br />20 CIVIC reenter PiaZa (M-36)
<br />Santa Ana CA 92702 I,auTa Stitt SAt OvnCv
<br />11t %alt}'
<br />AUTHORIZED REPRESENTATIVE
<br />Todd Hollida
<br />©1908 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />C611T NO.: 1928019 Oeni Pnyez 2/19/2011 1:22:02 PM Page 1 of
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