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<br />AVORDTM CERTIFICATE OF LIABILITY INSURANCE
<br />DATEIYYVY)
<br />4/244/20112015
<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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the termsand 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
<br />BB&T Insurance Services
<br />of Orange County
<br />2400 Katella Avenue Ste 11 O0.
<br />Anaheim, CA 92806INSURER
<br />NAME;
<br />PHONE' FAR
<br />A1C No E,):71149411-2800A/C No : .
<br />EMAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />A; Travelers Indemnity Company of 25682
<br />INSURED
<br />INSURER B; Continental Casualty Company 20443
<br />Aegis ITS, Inc.
<br />Travelers Pro Casualty Co 25674
<br />INSURERC: Property Cp '•7 Y
<br />3360 E. La Palma Ave.
<br />GENERAL AGGREGATE $2,000,000
<br />Anaheim, CA 92806
<br />INSURER D;
<br />INSURER E:
<br />INSURER F,
<br />AUTOMOBILE
<br />X
<br />X
<br />1AUTOS
<br />I<liel'I:4G1rd[9JX 110i:1.4IIaLH_11111I:4 �to] JL17:4:
<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 CONTRACTOR 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 />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITYGET
<br />CLAIMS -MADE ®OCCUR
<br />_
<br />6303193N600TCT15
<br />4/27/2015
<br />-
<br />04/27/2016
<br />EACH OCCURRENCE $1,000,000
<br />RENTED
<br />/SES a.ccurrence $300,000
<br />MED EXP Any one person) $10,000
<br />PERSONAL & ADV INJURY $1,000,000
<br />GENERAL AGGREGATE $2,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />POLICY PES LOC
<br />PRODUCTS - COMP/OPAGG $2,000,000
<br />$
<br />C
<br />AUTOMOBILE
<br />X
<br />X
<br />1AUTOS
<br />LIABILITY
<br />ANYAUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIRED AUTOS ]( NON -OWNED
<br />8103193N600TIL15
<br />4/27/2015
<br />04/2712016
<br />CMBINEDaccidentSINGLE LIMIT 1,000,000
<br />BODILY INJURY (Per person) $
<br />BODILY INJURY (Par accident) $
<br />_
<br />PROPERTYDAMAGE $
<br />Per accident
<br />B
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />6012100161
<br />4127/2015
<br />04/2712016
<br />EACH OCCURRENCE s2,000,000
<br />AGGREGATE s2,000,000
<br />DED I X RETENTION 10000
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION 01: OPERATIONS below
<br />FN/A
<br />UB9501B09615
<br />4/27/2015
<br />04/27/201
<br />X IO YLIMI OTH-
<br />E.L. EACH ACCIDENT $1,000,000
<br />---
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />E.L. DISEASE_ POLICY LIMIT $1,000,000
<br />_
<br />_
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />Certificate Holder is added as Additional Insured with respect to the General Liability policy per policy
<br />form #CGD2460805, General Liability Waiver of Subrogation applies per policy form #CGD581008 as required by
<br />written contract, subject to policy terms, conditions and exclusions.
<br />Project: Traffic Signal, Advance Traffic Management System, and Series Street L t aintenance.
<br />AEGIS ITS, INC A-2014-188 REVIEWED BY: EUNICE HEREDIA (PG 1 OF 4)
<br />City of Santa Ana, Public Works Agency
<br />Attn: Sharon Heir
<br />20 Civic Center Plaza M-43
<br />Santa Ana, CA 92701
<br />ACORD 25 (2010105) 1 Of 1
<br />#S14078461/M14078415
<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 />zj�l'
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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