TRANSPORTATION STUDIES 6 - 2013 - Laserfiche WebLink

Home Browse Search

AC "R" CERTIFICATE C LIABILITY �j DATE (MM /DD /YYYY) �.. r 3/17/2015 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 CONTACT Erica Hornada NAME: Y The Empire Company PHONE FAX A/C No): 550 North Park Center Drive EMAIL ADDRESS: em ehornada y P @ zre- co.com Suite 205 INSURERS AFFORDING COVERAGE NAIC# Santa Ana CA 92705 INSURER A .Hanover Insurance Co. INSURED INSURER B:Allmerica Financial Benefit Transportation Studies, Inc. INSURERC - Massachusetts Bay Insurance 2640 Walnut Avenue INSURERD:United States Liability 25895 Unit H INSURER E : Tusti CA 92780 INSURER F: rOVFRAC;FR CERTIFICATF NI IMRFR °2014 /2015 Mastcar RFt /ICInAI NII IPARFR• 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. INSIR TYPE OF INSURANCE ADDL SU D POLICY NUMBER IIP9MM /®DYE MM/L DfYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR OB3A11724801 10/1/2014 10/1/2015 DAMAGE TO RENTED PREMISES E c «ence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY PRO LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS AW3AI1710501 10/1/2014 10 /1/2015 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR. EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A WD3A11724401 10/1/2014 10/1/2015 X WC STATU- OTH- I ER E.L. EACH ACCIDENT $ 1 E.L. DISEASE - EA EMPLOYE' _'0001000 $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 3_000,000 D Errors & Omissions SP1022743C 10/1/2014 10/1/2015 LIMIT 1,000,000 RETENTION 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: Agreement Numbers A- 2013 -170 & A- 2015 -013. TRANSPORTATION STUDIES REVIEWED BY: EUNICE HEREDIA (PG. I of 1) t, r:m I Iri A I C nULL)CR t,ANt,CLLA 1 IVN ZKekula @santa- ana.org City of Santa Ana EXPIRATION THE DATE THEREOF, r DELIVERED ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ica Hornaday /ERICA AUUKU 25 (ZU1U /U5) C0 1988 -2010 ACORD CORPORATION. All rights reserved. IN?r125l ?n1no,1 n1 Tha Ar"'r1Rr1 nnma nnrd Iran^ nra ranictararl mnrkc ^f A(r)Pn