TRANSPORTATION STUDIES INC. 8 - 2016

Home Browse Search

ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/29/2016 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 Erica Hornada y NAME:FA The Empire Company PHONE Ext): AIC No IC, E-MAIL ehornaday@empire—CO. COM 550 North Park Center Drive INSURER(S) AFFORDING COVERAGE NAIC # Suite 205 INSURERA:Citizens Insurance Company of Santa Ana CA 92705 INSURED INSURER B.Allmerica Financial Benefit Transportation Studies, Inc. INSURER C Hanover Insurance Company INSURERD:United States Liability Insurance 25895 2640 Walnut Avenue INSURER E: Unit L INSURER F: Tustin CA 92780 COVERAGES CERTIFICATE NUMBER:2016/2017 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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. INSR LTR I TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 OB3A11724803 10/1/2016 10/1/2017 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1 PRO ❑LOC X JECT PRODUCTS -COMP/OP AGG $ 2,000,000 IS OTHER: I AUTOMOBILE LIABILITY COEaMBINED accidentSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED I AUTOS AUTOS AW3A11710503 10/1/2016 10/1/2017 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A'.. EXCESS LIAB CLAIMS -MADE '.DED RETENTION$ $ OB3A11724803 10/1/2016 10/1/2017 WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY Y / N PER OTH- I STATUTE ER EACH ACCIDENT $ 1 , 000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WH31111724403 10/1/2016 10/1/2017 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under --- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Errors & Omissions SP1022743E 10/1/2016 10/1/2017 Limit 1,000,000 Deductible 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Agreement #'s: A-2016-032 and A-2015-063. The City of Santa Ana is named as additional insured in respect to general liability coverave per form 391-1006 06 09 attached as required by written contract. REVIEWED EKY: EUNdCE I IEREDIA (PC of C CERTIFICATE HOLDER CANCELLATION ZKekula@santa-ana.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Quyen Dang/QUYEN - c---;-,-- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025om4mi