TRANSPORTATION STUDIES, INC. (2)

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,acaR ®® CERTIFICATE OF LIABILITY INSURANCE 1....� -� DATE 10/17/2013 0/17IDO013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Empire Company 550 Parkcenter Drive Suite 205 Santa Ana CA 92705 -3521 NAMEACT Erica Hornaday PHONE (714) 636 -9945 FAX N (7141836 -9946 ADNORILSS;ehornaday @empire -co. com INSURERS AFFORDING COVERAGE NAIC if INSURER A .-Hanover Insurance Co. LIMITS INSURED Transportation Studies, Inc.n // 7c)/� / 2640 Walnut Avenue / ✓ !R Unit H Tustin CA 92760 INSURER B Massachusetts Bay Insurance INSURER C:United States Liability 5695 INSURER D; INSURERB: $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE ❑OCCUR COVERAGES CERTIFICATE NUMBER:2013 /2014 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTRR TYPE OF INSURANCE WARS mn B POLICY NUMB MMDDY MMDDY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE ❑OCCUR DB3A11724800 10/1/2013 10/1/2014 DAMAGE PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP /OP AGO $ 2,000,000 X POLICY PRO LOO $ AUTOMOBILE LIABILITY CEOMBINdEeDI SINGLE LIMIT 1,0 0 000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS &W3A11710500 10/1/2013 10/1/2014 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acoldent $ NON -OWNED HIRED AUTOS AUTOS Medical a ments $ X UMBRELI.ALIA13 OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS OAS CLAIMS -MADE DED RETENTION $ B3A11724800 10/1/2013 10/1/2019 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 3A11724400 10/1/2013 10/1/2014 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1 000,000 EL DISEASE EA EMPLOYE $ 1 000 000 If yes, describe under OE8 RIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 C Errors & Omissions SPIC22743B 10/1/2013 10/1/2014 LIMIT 1,000,000 DEDUCTIBLE 1,000 DESCRIPTION OF OPERATION 51 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: On -Call traffic counting service. Certificate Holder is named as additional insureds with primary and non - contributory wording with respect to general liabilty per forms 391 -1006 06 09 & 391 -1331 06 09 attached as required by written contract. PP1 D :tb S "TO FORM &SSietant City Acluxa "y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, Attn: Shahir Gobran 20 Civic Center Plaza, M-43 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 Erica Hornaday /ERICA'"" " "°°'�`'�"" 25(2010/05) I NS025 r9n1nn51 n1 The Ar.npn namo and Innn arc reniefo and mar4c of ACfIRn reserved