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AC bjo CERTIFICATE OF LIABILITY INSURANCE <br />�^"'� <br />DATE /30/2014 v) <br />4/30/2014 <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, E�XTo,END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURAN6/��{�Q €GaNOT- CQ!!* TIIL L (CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THB- Z'ERTtFICAT� HO'L ERt' AM a <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certainjrFOl cies'may rCqulrq anr'�r)0�serrlor t, A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(#); lVi . - - <br />PRODUCER Edgewood Partners Insurance enter EPIC ` ' " <br />19000 MacArthur Blvd. PH Floor ( ) <br />Irvine, CA 92612 <br />TACr <br />Den! . d' i'' <br />PHo <br />E° FAX <br />"1 .� Fx 949- 417 -9129 fAIC, No: <br />ADDRESS: Ddryorc@.edgewoodins.com <br />INSURERS AFFORDING COVERAGE <br />NAIC 4 <br />www.edgewoodins.com <br />INSURERA: Travelers Property Casualty Co of America <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 17/1 OCCUR <br />INSURED <br />Railpros, Inc. <br />1 Ada Parkway, Suite 200 <br />INSURER B: ACE American Ins Company <br />66091591189 <br />INSURER C: <br />1` /2i2Q 'S <br />INSURER D: <br />$ 1,0110,000 <br />Irvine CA 92618 <br />INSURER E: <br />$ 1,000,000 <br />INSURER F : <br />$ 1110()0 <br />COVERAGES CERTIFICATE NUMBER: 20037185 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 />INSR <br />LTR <br />rypE OF INSURANCE <br />ADDLSUBR <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYV <br />POLICY EXP <br />MMIDD <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 17/1 OCCUR <br />✓ <br />66091591189 <br />1*123/2Q +'(41 <br />1` /2i2Q 'S <br />EACH OCCURRENCE <br />$ 1,0110,000 <br />—ITAMAGE <br />PREMISES OEacccurence <br />$ 1,000,000 <br />MEDEXP(Anyonepemon) <br />$ 1110()0 <br />PERSONAL&ADV INJURY <br />$ 1,01111000 <br />ttLL----- LVVA... 4`c'n <br />biSSt ='l`ln <br />y o),IF,�/ <br />CIS° <br />/y <br />4 <br />GENT, AGGREGATE LIMIT APPLIES PER <br />POLICY [L JEST LOC <br />GENERAL AGGREGATE <br />$ 2,01111,0 ()11 <br />PRODUCTS - COMPIOP AGG <br />$ 2,006,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL O.. SCHEDULED <br />AUTOS AUTOS <br />BA913760069 <br />Phys. Damage - $50,000 <br />Comp /Coll. -$500 DED <br />8/30/2013 <br />8/36/2014 <br />COMBINED LIMIT <br />$ 10001100 <br />✓ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY accident <br />( ) <br />$ <br />A <br />NON -OWNED <br />HIRED AUTOS ✓ AUTOS <br />BA96760069 <br />8/30/2013 <br />8/30/2014 <br />✓ <br />PROPERTY DAMAGE <br />Per accident)$ <br />$ <br />Hired & Non -Owned <br />A <br />UMBRELLA LIAB <br />OCCUR <br />CUP007C389159 <br />1/2312014 <br />1/23/2015 <br />EACH OCCURRENCE <br />$ 9000 OOO <br />AGGREGATE <br />$ 9,0()0,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED ✓ RETENTION$0 <br />$ <br />A <br />AND EMPLO ERS'LIA ILIITY YIN <br />ANY PROPRIETOR/PARTNEWEXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />NIA <br />XJUB- 3392721 -8 -14 <br />211/2014 <br />2/1/2015 <br />✓ STATUTE OERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />8 <br />Professional Liability <br />625660560001 <br />2/26/2014 <br />2/26/2015 <br />$5,000,000 Each Claim <br />Claims Made Form <br />Retro Date: 2126/2001 <br />$5,000,000 Aggregate <br />$25,000 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />* **See Addendum For Complete List of Additional Insureds * ** RE: Santa Ana Quiet Zone Traffic Contract 4 30 14 <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 per form CA T3 53 03 10 but only if required by written contract with the named <br />insured prior to an occurrence subject to all policy terms and conditions. All policies include a minimum of 30 day NOC with 10 day for non - payment. <br />CERTIFICATE HOLDER CANCELLATION <br />City f Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana Public Works Agency <br />9 y <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVEREO IN <br />Attn: Monica Suter <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza (M -36) <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />�a <br />Todd Holliday <br />© 1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />CENT NO.: 20037105 Dent Dryer 4/30/2014 1:41:00 PM (PDT) Page 1 of 4 <br />