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Al b® CERTIFICATE OF LIABILITY INSURANCE <br />9j22/201gn <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 policyjiesj 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 endorsemen4 s . <br />PRODUCER <br />The Empire Company <br />550 North Park Center Drive <br />Spite 205 <br />Santa Ana CA 92705 <br />RANTACT Erica Hornaday <br />PHONE AX ld <br />WECI <br />`— <br />.ehornaday @empire- co.com <br />INSURERS AFFORDING COVERAGE <br />NAICV <br />INSURER A:Hanover Insurance Co. <br />LIMITS <br />INSURED <br />Transportation Studies, Inc. <br />2640 Walnut Avenue <br />Unit H <br />Tustin CA 92780 <br />INEURERB:Allmarica Financial Benefit <br />INSUREBc:Massachusetts Bay Insurance <br />INSURERD:United States Liability <br />5895 <br />INSURER E: <br />5 1,000,000 <br />INSURER <br />GENERAL LIABILItt <br />CnVEFEAGES CERTIFICATE NUMBER: 2014 /2015 master 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 />ADD <br />e <br />p LIC NUMBE <br />POLICVy <br />POMCCY EXP <br />MYYYI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />5 1,000,000 <br />GENERAL LIABILItt <br />A 0 RENTED <br />aoccurre o <br />S 300,000 <br />MED EXP (Any one arson) <br />It 5,000 <br />A <br />CLAIMS MADE ®OCCUR <br />3Ai1724801 <br />10/1/2014 <br />0/1/2015 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />TXOOMMERCIA. <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS- COMPICPAGG <br />S 2,000,000 <br />$ <br />X POLICY PRO LOC <br />IFCT <br />AUTOMOBILE LIABILITY <br />EOMaBINd on SINGLE LIMIT <br />000 <br />BODILY INJURY (Par IF ... n) <br />5 <br />B <br />X ANY AUTO <br />ALL OWNED F-1 SCHEDULED <br />AUTOS NON -OWNED <br />HIREDAUTOS AUTOS <br />w3AL1710501 <br />10/1/2014 <br />0/1/2015 <br />SO OILY INJURY (Par aoddonl) <br />5 <br />PROPERTY DAMAGE <br />area on <br />S <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />S <br />EXCESS LAG <br />CLAIMS -MADE <br />DED I I RETEN 10 8 <br />$ <br />C <br />WORKERS COMPENSATION <br />X WC STATW 0TH- <br />I FIR <br />AND EMPLOYERS'LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUINE 0 <br />OFFICERIMEMRER EXCLUDED? <br />(Mandaloryln NH) <br />NIA <br />3AS1724401 <br />10/1/2014 <br />0/1/2015 <br />E.L. EACH ACCIDENT <br />5 1 000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />S 1 000 000 <br />E.L. DISEASE- - POLICY LIMIT <br />S 1000 X000 <br />It yes, dnmc fora under <br />DESCRIPTION OF OPERATIONS heIPw <br />____,_ <br />_ <br />D <br />Errors & Omissions <br />_ <br />SP1022743C <br />0/l/2014 <br />0/1/2015 <br />LIMIT 1,000,000 <br />r <br />RETENTION 1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ananh ACORD 101, Additional Remarks Schedule, It more space is required) <br />RE: On -Call traffic counting service. Certificate Holder is named as additional insureds with primary <br />and non - contributory wording with respect to general liabilty per forms 391 -1006 06 09 & 391 -1331 06 09 <br />attached as required by written contract. <br />City of Santa Ana <br />Attn: Shahir Gobran <br />20 Civic Center Plaza, M -43 <br />Santa Ana, CA 92702 <br />ACORD25 <br />SHOULD 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 />AUTHORIZED REPRESENTATIVE <br />Hornaday /ERICA _4 — -- 0" <br />INS025 (20m05)01 The ACORD name and logo are registered marKS Ot ACIJHU <br />All rights reserved. <br />J <br />