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CERTIFICATE OF COVERAGE 1 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 />--l- <br />COMPANY LETTER (B) <br />BIG INDEPENDENT CITIES EXCESS POOL MEMBER: <br />COMPANY <br />LETTER <br />(C) <br />CITY OF SANTA ANA <br />ATTN: ED RAYA <br />RISK MANAGER <br />COMPANY <br />LETTER <br />(D) <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />COMPANY <br />LETTER <br />(E) <br />COMPANY LETTER (F) <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE MEMORANDUM OF COVERAGE OR POUCY(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 />$1,0 <br />LIABILITY RETENTIONSELF-INSURED <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. <br />CERTIFICATE HOLDER <br />ORANGE COUNTY TRANSPORTATION AUTHORITY <br />ATTN: REBECCA POTTER, CPM <br />SENIOR PROCUREMENT ADMINISTRATOR <br />550 S. MAIN STREET <br />ORANGE, CA 92863-1584 <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 />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR <br />REPRESENTATIVES. <br />F <br />