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ITERIS, INC AGR# TBD
<br />REVIEWED BY:/t A. EUNICE HEREDIA (PG 1 OF 17)
<br />'4 p® CERTIFICATE OF LIABILITY INSURANCE
<br />4/23/201501
<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 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 certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Woodruff -Sawyer 8t CO.
<br />50 California Street, Floor 12
<br />San Francisco CA 94111
<br />CONTACT Corinne Ford
<br />PHONE FAX
<br />Nn, E.t 415-391-2141 IAM No), 415-989-9923
<br />E-MAIL cford@wsandco.com
<br />EMAIL 3�
<br />INSURER(S) AFFORDING COVERAGE NAIC9
<br />C
<br />INSURER A; Berkley National Insurance Company 38911
<br />Y
<br />INSURED ITERINC-01
<br />INSURERB,IIIinois Union Insurance Company 27960
<br />Iteris, Inc.
<br />1700 Carnegie Avenue, Suite 100
<br />Santa Ana CA 92705-5551
<br />INSURERC:Zurich American Insurance Company 16535
<br />_
<br />INSURER o: American Guarantee and Liability In 26247
<br />_!
<br />INSURER E
<br />MED EKE (Any one person) $15,000
<br />NSURER F
<br />COVERAGES CERTIFICATE NIJMRER• 363127842 REVLSIr1N 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 />TYPE OF INSURANCEADDLEUBRI
<br />INSD
<br />Ma
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDDM'YY
<br />POLICY EXP
<br />MMDD W
<br />LIMITS
<br />C
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑X OCCURMAGE
<br />Y
<br />CP0553288001
<br />/1/2015
<br />4/1/2016
<br />EACH OCCURRENCE $2,OOQ000
<br />TO RENTED
<br />PREMISES Ea acco $2,000000
<br />MED EKE (Any one person) $15,000
<br />X SI Detl, None
<br />PERSONAL &ADV INJURY $2,000,000
<br />GENTAGGREGATE LIMITAPPLIES PER:
<br />POLICY E] PRO- ❑
<br />JECT LOC
<br />GENERAL AGGREGATE $4,000,000
<br />PRODUCTS-COMPIOP AGG $4,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />CP0553288001
<br />/1/2015
<br />4/1/2016
<br />-
<br />Eaeccltlent $1,000,000
<br />X
<br />AIN�YAUTO
<br />BODILY INJURY (Per person) $
<br />AUTUS NEO gAUTOSULEO
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />BODILY INJURY (Per accident) $
<br />PROPERTYAAE $
<br />Per accident
<br />Owned/Hired Comp/Coll $Dad's $500
<br />D
<br />X
<br />UMBRELLALIAS
<br />X
<br />OCCUR
<br />AUC55328801
<br />11112015
<br />411/2016
<br />EACH OCCURRENCE $25,OOD,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE $
<br />DED I X I RETENTION$ 10,000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOMPARTNEWEXECUTIVE❑NIA
<br />OFFICER/MEMBER EXC WDEDi
<br />TWC700100813
<br />11/2015
<br />4/1/2016PER
<br />OThb
<br />X STA'rUni
<br />E.L. EACH ACCIDENT $1,000,000
<br />-—
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />(MandstorylnNH)
<br />tyes, describe nde,
<br />E.L. DISEASE. POLICY LIMIT $1,OOQ000
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Professional Liability
<br />Clamis Made Farm
<br />Retro -Date 01/01/1991
<br />G21656045012
<br />/1/2015
<br />4/1/2016
<br />Limit $5,000.000), A99 $5,000,000
<br />Deductible $50,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schetlule, may be etlachad If mora space Is requlred)
<br />RE: Provide signal design and signal timing services to the City of Santa Ana and project stakeholders along the Harbor Boulevard TSS
<br />corridor / Iteris Project# P15GNRL 0246.16
<br />The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are included as Additional Insured, coverage is
<br />considered Primary and Non -Contributory and Separation of Insured's applies with respect General Liability per forms attached.
<br />Notice of Cancellation applies with respect General Liability per form attached.
<br />CERTIFICATE HOLDER CANCELLATION
<br />@ 1088.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Santa Ana., City of
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Clerk of the City Council
<br />20 Civic Center Plaza (M-30) / PO Box 1988
<br />Santa Ana CA 92702-1988
<br />AUTHORIZED REPRESENTATIVE
<br />✓
<br />G Ir
<br />@ 1088.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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