ANAHEIM TRANSPORTATION NETWORK 2-2016

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ARD® CERTIFICATE OF LIABILITY INSURANCE DA05/24/16 ) 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(les) 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 Alliant Insurance Sewices, Inc. 1301 Dove St., Suite 200 CONTACT NAME: PHONE:PHS ONE: ! ac. No: E.MAILAOORESS: Newport Beach, CA 92660 949-756-0271• Fax 949-756-2713• License No. 0036861"PRoouden(_.—� -- — ""'—'-"-- CUOTOMERION_..____.__.�_...-.. INSURED: SPECIAL LIABILITY INSURANCE PROGRAM(SLIP)MEMBER: INSURERS) AFFORDING COVERAGE NAIC# ANAHEIM TRANSPORTATION NETWORK DBA ANAHEIM RESORT INSURERA: ASSOCIATED INDUSTRIES INSURANCE CO. 23140 TRANSIT; ATN ASSET HOLDING COMPANY, LLC INSURER B: 1354 S. ANAHEIM BLVD. ANAHEIM, CA 92805 INSURER C: $1,000,000 _ INSURER D: N/A INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. IOLICY LTR TYPE OF INSURANCE IASR wo POLCVNUMBER EFF (MM/DDM') POLICY EXP (MMIDOM') LIMITS A GENERAL LIABILITY X PAC 100008204 09/29/15 09/29/16 EACH OCCURRENCE $1,000,000 GENERrr--A----L--L--I5ABILITY CLAMEMADE [i] OCCUR i=(:L1MaDEDl ..._.._.....—_-__---DA ET RENTEDMERCIAL PREMISES 'Ea Occurrence) $1,000,000 MED EXP (AOy ane person) N/A $1000 DED PERSONAL&ADV INJURY 10000_00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE NA` _ POLICY F7 PRO' F7 LOC PRODUCTS-COMP/OPAGG. $1,000,000 A AUTOMOBILE LIABILITY PAC 1000082 04 09/29/15 09/29/16 COMBINED SINGLE LIMIT Ea Accident $1,000,000_ X BODILY I NJURY( Per person) ANY AUTO BODILY INJURY (Per accident) ALL OWNED AUTOS SCHEDULED AUTOS PROPERTYDAMAGE a UNINSURED MOTORIST $1,000,000 X HIRED AUTOS X NON -OWNED AUTOS AUTO DED: $5,000 DED UMBRELLA LIAR OccUR EACH OCCURRENCE AGGREGATE EXCESS LIAD CLAIMS DEDUCTIBLE RETENTION WORKERS COMPENSATION WC srATU. OTH AND EMPLOYERS LIABILITY rosy uMlTs ER ANY PROPRIETORY/PARTNER/ E%ECOTIVE OFFICER/MEMBER EXCWDEDi N/A E. L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE (MANDATORY IN No IF YES, DESCRIBE UNDER DESCRIPTION OF OPERATION$ BELOW E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES (Atill A -ad 191, naaitiowl Remark. Bchednlee, H more space is mqulred) "POLICY FORM DOES NOT CONTAIN A GENERAL LIABILITY AGGREGATE AS RESPECTS TRANSIT AGREEMENT FOR SERVICES FROM THE ANAHEIM RESORT AREA TO THE CITY OF SANTA ANA. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES AGENTS, VOLUNTEERS AND REPRESENTATIVES SHALL BE NAMED AS ADDITIONAL INSURED, ADDITIONAL INSURED ENDORSEMENT ATTACHED. SUBJECT TO POLICY TERMS, CON)ITIOIQS AND EXCLUSIONS. �1 (/jI yl ' 4 % / CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: CLERK OF THE COUNCIL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA (M-30) ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92701 AUTHORIZED REPRES TATIV� gCOR025( ) ACORO name and logo em re,[Mm dmark. of ACORD 82808 ADDED CORPORATION. All righ% reserved.