TRANSPORTATION STUDIES INC. 8 - 2016

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ACOA? CERTIFICATE OF LIABILITY INSURANCE �l DATE(MMIDDIYYYY) OF INSURANCE 3/29(2016 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 NAME, Erica HOrnaday The Empire Company PHONE FAX A(C No), 550 North Park Center Drive Aoorsisss:ehornaday@empire-co.com Suite 205 INSURER($) AFFORDING COVERAGE SAID INSURER A:CitiZen9 Insurance Company of Santa Ana CA 92705 INSURED INSURER B Allmarica Financial Benefit Transportation Studies, Inc. _ INSURER C XassachusettS Bay Insurance Company 2640 Walnut Avenue INSURER D: _ Unit B INSURER E: Tustin CA 92780 INSURER F; COVERAGES CERTIFICATE NUMBER:2015/2016 Master REVLSIr1NNlimpi THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIE 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. ILTR NSRTYPE OF INSURANCE A D $CBR POLICY NUMBER M OI pYEYVIMOLICY EXPlejon) LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5XI OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED PREN eoccormnc $ 300,000 MED EYP (my one person) $ .�. 5,000 OB3A11724602 10/1/2015 10/1/2016 PERSONAL B ADV INJURY ,$ 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER X POLICYJECO7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 Employee Benenls $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,D00, OOtl Ea accident),__ B XL ANY AUTO ALL OS SCHEDULED AUTO$ AW3A11710502 10/1/2015 10/1/2016 BODILY INJURY (Per person) $ BODILY INJURY Perecclden0 $ NONAUTOS HIRED AUTOS AUTOS ED AUTOS PROPERTY DAMAGE $ -" i accident) K UMBRELLA UAB OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 11000,000 A EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ _ $ 083AII724802 10/1/2015 10/1/2016 C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER(EXECUTIVE OFFICERNEMBER EXCLUDCO? (Mandatory in NH) If yes,descdba now RIA M3M1724402 10/1/2015 10/1/2016 PER OTN 8 ST TUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000 000 - EL.DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTIONOPOPERATIONSbelaw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Agreement Numbers A-2016-032 and A-2015-063 City of Santa Ana is named as additional insured with respect to general liability per form 391-1006 06 09 attached as required by written contract. / REV6EUt(ED BY �^ - i EUNICE f-IFI2.ECIIA {PG / OF j ZKekula@santa-ana.org City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED Hornaday/ERICA4��:0't-.✓T.Gcoltr e�.... All richts ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025nntenn