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fl1 `�Ve CERTIFICATE OF LIABILITY <br />INSURANCE3/17/2015 <br />F DATE ) <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 />The Empire Company <br />550 North Park Center DriveE-MAIL <br />Suite 205 <br />Santa Ana CA 92705 <br />NONTME,ACT Erica HOrnaday <br />lAA <br />PHONE FX <br />I,I JC. Not: <br />ADDR, ,ehornaday@empire-co.com <br />INSURERS AFFORDING COVERAGE NAICM <br />INSURER A:Hanover Insurance Co. <br />INSURED <br />Transportation Studies, Inc. <br />2640 Walnut Avenue <br />Unit H <br />Tustin CA 92780 <br />INSURERBAllmerica Financial Benefit <br />INSURERCMassachusetts Bay Insurance <br />INSURERD:United States Liability 5895 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:2014/2015 Master REVISION 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 />SR <br />LT <br />TYPE OF INSURANCE <br />R <br />POLICY NUMBER <br />POLICY E <br />MM DD <br />POLICY EXP <br />I DfYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I—XI OCCUR <br />OB3AII724801 <br />10/1/2014 <br />10/1/201.5 <br />DAMAGE TO REN I Eu <br />fEa o;CurrenrsI $ 300,000 <br />MED ESP (Any one person) $ 5,000 <br />PERSONAL& AOV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GENT, AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AEG $ 2,000,000 <br />X POLICY <br />PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />EO OccNED SINGLE LIMIT 1,000,000 <br />BODILY INJURY( Per person) $ <br />B <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />AW3A11710501 <br />10/1/2014 <br />10/1/2015 <br />BODILY INJURY (P., accident) $ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Peraccident <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEC I I RETENI­ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OPPICERIMEMBER EXCLUDED? ❑ <br />(Mandatory In NH) <br />If Yyes, describe under <br />DESCRIPTION OF OPERATIONS bolo,, <br />NIA <br />3A11724401 <br />10/1/2019 <br />10/7./20].5 <br />X WC STATU- OTI-I- <br />E.L. EACH ACCIDENT $ 1,000 000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000 000 <br />E.L. DISEASE -POLICY LIMIT $ 11000,000 <br />D <br />Errors & Omissions <br />SP102274SC <br />10/1/2014 <br />7.0/1/2015 <br />LIMIT 1,000,000 <br />RETENTION 1,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />RE: Agreement Numbers A-2013-170 & A-2015-013. <br />TRANSPORTATION STUDIES REVIEWED BY: /�� /7/ � � EUNIC',E HEREDIA (PCT. 1 of 1) <br />CERTIFICATE HOLDER CANCELLATION <br />ZKekula@santa-ana.org <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE---_~_ <br />Erica Hornaday/ERICA`'�"�'�'""-'°"��"" <br />ACORD 25 (2010/05) <br />IN 5029 "nine) m <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />Th. ACr1Rr1 name and Innn aro rnniafa rod marlre of AChRn <br />