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ORANGE COUNTY TRANSPORTATION AUTHORITY (OCTA) (33) - 2016
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ORANGE COUNTY TRANSPORTATION AUTHORITY (OCTA)
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ORANGE COUNTY TRANSPORTATION AUTHORITY (OCTA) (33) - 2016
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Last modified
6/9/2017 11:20:24 AM
Creation date
11/8/2016 4:14:41 PM
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Contracts
Company Name
ORANGE COUNTY TRANSPORTATION AUTHORITY (OCTA)
Contract #
A-2016-175
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
7/5/2016
Expiration Date
6/30/2021
Insurance Exp Date
7/1/2017
Destruction Year
2026
Notes
A-2011-139
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CERTIFICATE OF COVERAGE I 07/05/2016 <br />PRODUCER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br />RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />Alliant Insurance Services, Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MEMORANDUM OR POLICY <br />P.O. BOX 6450 BELOW: <br />NEWPORT BEACH, CA 92658-6450 COMPANIES AFFORDING COVERAGE <br />PH (949)756-0271 / FAX (949)756-2713 <br />LICENSE NO. OC36861 COMPANY LETTER (A) BIG INDEPENDENT CITIES EXCESS POOL <br />COMPANY LETTER (F) <br />THIS IS TO CERTIFY THAT THE MEMORANDUM OF COVERAGE OR POLICY(IES) LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br />FOR THE POLICY OR MEMORANDUM PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGES AFFORDED BY THE <br />MEMORANDUM OR POLICY(IES) DESCRIBED HEREIN ARE SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM <br />OR POLICY. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPES MEMORANDUM MEMORANDUM MEMORANDUM <br />LTR OF OR OR POLICY OR POLICY LIMIT <br />COVERAGES POLICY NUMBER EFFECTIVE EXPIRES <br />EXCESS LIABILITY DIFFERENCE BETWEEN <br />A OCCURRENCE FORM BI & PD $10,000,000 POOL LIMIT <br />INCLUDING AUTOMOBILE <br />BO -05 07/01/2016 07/01/2017 COMBINED AND <br />$1,000,000 <br />LIABILITY SELF-INSURED RETENTION <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS: <br />AS RESPECTS AGREEMENT #C-2-0148 SENIOR MOBILITY PROGRAM. <br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED SOLELY WITH RESPECT TO BODILY INJURY AND PROPERTY DAMAGE <br />ARISING OUT OF OPERATIONS AS DESCRIBED BY OR ON BEHALF OF THE NAMED INSURED <br />SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. wed g,t� <br />Uev�S <br />CERTIFICATE HOLDER <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN <br />ORANGE COUNTY TRANSPORTATION AUTHORITY BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />ATTN: REBECCA POTTER, CPM LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR <br />SENIOR PROCUREMENT ADMINISTRATOR REPRESENTATIVES, <br />550 S. MAIN STREET --- <br />ORANGE, CA 92863-1584 AUTHORIZED REPRESENT TIVE <br />Al <br />I COMPANY LETTER <br />(B) <br />BIG INDEPENDENT CITIES EXCESS POOL MEMBER: <br />COMPANY LETTER <br />(C) <br />CITY OF SANTA ANA <br />ATTN: ED RAYA <br />RISK MANAGER <br />COMPANY LETTER <br />( D ) <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />COMPANY LETTER <br />(E) <br />COMPANY LETTER (F) <br />THIS IS TO CERTIFY THAT THE MEMORANDUM OF COVERAGE OR POLICY(IES) LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br />FOR THE POLICY OR MEMORANDUM PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGES AFFORDED BY THE <br />MEMORANDUM OR POLICY(IES) DESCRIBED HEREIN ARE SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM <br />OR POLICY. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPES MEMORANDUM MEMORANDUM MEMORANDUM <br />LTR OF OR OR POLICY OR POLICY LIMIT <br />COVERAGES POLICY NUMBER EFFECTIVE EXPIRES <br />EXCESS LIABILITY DIFFERENCE BETWEEN <br />A OCCURRENCE FORM BI & PD $10,000,000 POOL LIMIT <br />INCLUDING AUTOMOBILE <br />BO -05 07/01/2016 07/01/2017 COMBINED AND <br />$1,000,000 <br />LIABILITY SELF-INSURED RETENTION <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS: <br />AS RESPECTS AGREEMENT #C-2-0148 SENIOR MOBILITY PROGRAM. <br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED SOLELY WITH RESPECT TO BODILY INJURY AND PROPERTY DAMAGE <br />ARISING OUT OF OPERATIONS AS DESCRIBED BY OR ON BEHALF OF THE NAMED INSURED <br />SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. wed g,t� <br />Uev�S <br />CERTIFICATE HOLDER <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN <br />ORANGE COUNTY TRANSPORTATION AUTHORITY BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />ATTN: REBECCA POTTER, CPM LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR <br />SENIOR PROCUREMENT ADMINISTRATOR REPRESENTATIVES, <br />550 S. MAIN STREET --- <br />ORANGE, CA 92863-1584 AUTHORIZED REPRESENT TIVE <br />Al <br />
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