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ACORD. CERTIFICATE OF LIABILITY INSURANCE <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 />............ <br />If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 cerlificate does not confer rights to I <br />certificate holder In lieu of such endorsoment(s). <br />I'AIAIE� Allie Mosier <br />BUtr <br />T Insurance Services AX <br />..... ...... ........ <br />of <br />iV- Orange County E -A <br />2400 Katella, Avenue Ste I 100 <br />INSURERLS� AFFORDING COVERAGE NAIC a <br />Anaheim, CA 92806 Travelers Indemnitv Companv of <br />INSURER 8 , Continental <br />M <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. <br />- -- - - - ---- - - - - - �-- <br />fFHWHE�-_7'��`m 6- TFF--7'­T_HAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FCR POLICY PERIOD <br />INDICATED NOTWITHSTAC,IDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPEE7 TO WHICH THM <br />CERTWICATE MAY BE ISSUED OR MAY PEiTAGN, THE 'iNSURANCE AFFORDED 5)( THE, POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCLUSIONS AND CONCATIONS OF SUCH PCILAOES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />__'A0DLSUSR <br />LTR TYPE OF INSURANCETldrA(DDfYLIMITS <br />A I— X COMMERCIAL GENERAL - LIABILITY 6303193N600TCT16 04127/2016 04127/201' EACH cccuRRFNcE s1,000 000 <br />CLAIMS -NODE ;X OCCUR R I rE <br />BLr <br />MED Exp fMx anaa Yuri rrrrwl 514 000 <br />GEN't. AGGREGATTLINAP APPLIES PER GENERAL AGGRFGAYE 5 <br />_-AKNPAP0L.- <br />pol.1cy, X� 11'FliCT LOC -PRODUCT'S .-COMP,'OPAGG s2,000,000 <br />C AUTOMOBILE LIABILITY <br />8103193N600T1L16 0412712016 04/2712017 COMBINED SI EAINUT 000,000 <br />X ANY AUTO BODILY INJURY y Per For an <br />ALL OWNfL) 3C — ----- - <br />AUTOS AUTHOECULED BODILY INJURY (Per ncxJaunI) S <br />_ ------ <br />NON,OWNED 8pir <br />X HIRED AUT05 XAUTOS <br />RTY DAMAGE <br />B UMBRELLA LIAO X OCCUR 6012100161 0412712016 04/27/2017 EACH OCCURRENCE <br />EXCESS LIAO CLAIMSMAOE A GREGATE s 5000 00 <br />........ .. ... ------ <br />0000 <br />P R <br />c WORKERS COMPENSATION U59501809616 )4/27/2016 04/ �Ln <br />AND EMPLOYERS' LIABILITY YIN _S.r, <br />ANY El EACH ACCIDENT x1 000 000 <br />OFFICERIMEMOER EXCLUDED? r y N/A <br />(Mandatory In NHI <br />If ps. dam.mb dA( def <br />_E, DISEASE - EA EMPLOYEEI S1 <br />E L DISEASE POLICY <br />A _._w.__-.___.._........... -0 <br />DESCRIPTION OF OPERATIONS I LOCATIMIS r VEHCLFS JACORD let, Addifirwo4I RamaAA Schoduiv, may be attachod it mord zpac�@ Ls raquiyipd) <br />Re: Traffic Signal Maintenance. <br />The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are narned addRional <br />insured as respects general flabfflly, and waiver of subrogation applies as respects generM U, bIfity as <br />required by written contrack, per endorsements attached <br />. . ..... 7 71 <br />REVIEWED BY� E'IftCE HEREDIA (PG OF16) <br />. . . . ....... . . . <br />CERTIFICATE HOLDER--,--,-- CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCROED POUCES BE BEFOIJE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, Nonce vm,t, SE DELPiE-RED IN <br />Clerk of the City Council ACCORDANCE WITH THE POLICY PROViMONS, <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 AUTHORIZED REPRESERTAnVE <br />Santa Ana, CA 92702 <br />Q 1988.2014 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2014101) 1 of -1 The ACORD name and logo are registered marks of ACORD <br />#S16065319iM16065277 SNDUS <br />