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ANAHEIM TRANSPORTATION NETWORK 3A-2017
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ANAHEIM TRANSPORTATION NETWORK 3A-2017
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Last modified
7/12/2017 10:31:21 AM
Creation date
7/12/2017 10:28:34 AM
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Contracts
Company Name
ANAHEIM TRANSPORTATION NETWORK
Contract #
N-2017-065-001
Agency
COMMUNITY DEVELOPMENT
Expiration Date
5/8/2018
Insurance Exp Date
9/29/2017
Destruction Year
2023
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ACORO` DATEIMMIDDIYYYY) <br />1"� CERTIFICATE OF LIABILITY INSURANCE 06/09/17 <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 have ADDITIONAL INSURED Provisions or be <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services, Ineaf Florida <br />CONTACT <br />NAME: Aon Risk Services, Inc of Florida <br />1001 Mosel] Bay Drive, Suite #110 <br />Miami, FL 331314937 <br />Mush I <br />ANo Eat: 800-743-8130 AI <br />1CC No): 800-522-7514 <br />ADDRESS: ADRCOI.Center Aon.com <br />POLICY E%P <br />MMIDD <br />INSURER(S) AFFORDING COVERAGE NAICd <br />orl ciak i'eavieee, 4Fzo of <br />INSURER A: Amedran Home Asaumnoo cc 19380 <br />INSURED <br />ACP ToteSource FL XM, Inc. <br />INSURER a <br />INSURER C: <br />10200 Sunset Drive <br />Miami, FL 33173 <br />0: <br />UCIFINSURER <br />Anaheim Transportation Nelwork DBA Anaheim Resort Transit <br />1280 S. Anaheim Blvd <br />INSU0.ER E <br />I INSURER F: <br />Anaheim CA 92805 <br />COVERAGES CERTIFICATE NUMBER: 1451744 RFVISION NUMRFR- <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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED, <br />INSH <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY E%P <br />MMIDD <br />LIMITS <br />orl ciak i'eavieee, 4Fzo of <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />EACH OCCURRENCE S <br />PREMIDAMAET(Eaaco O <br />PREMISES RENTS enu) 5 <br />MEOEXP An ane ersan $ <br />PERSONAL B ADV INJURY S <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY I--] PROJECT 1�1 LOC <br />GENERAL AGGREGATE S <br />PRODUCTS-COMPIOPAGG S <br />S <br />OTHER <br />AUTOMOBILE <br />LIABILITYM <br />N <br />Ea acckem 5 <br />BODILY INJURY Perperson) 5 <br />ANY AUTO <br />OWNED SCHEDULED <br />BODILY INJURY PeraWdent) 5 <br />AUTOS ONLY AUTOS <br />HIRED NONOWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per adddem S <br />5 <br />UMBRELLA UAB <br />HOCCUR <br />EACH OCCURRENCE 5 <br />AGGREGATE S <br />EXCESS LIAR <br />C1LAIMS4sADE <br />DEC I I RETENTIONS <br />WORKERS <br />WORKERS COMPENSATION <br />AND EMPLOYERS'UABIUTY YIN <br />WC 061141928 CA <br />07/01/16 <br />07/01/17 <br />- <br />X STATUTE 9TH <br />ANY PROPRIETORIPARINEMEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E.L. EACH ACCIDENT S 2,000,000 <br />E.L. DISEASE - EA EMPLOYEE 5 2,000,000 <br />(ManeeuneeHi <br />E.L. DISEASE -POLICY LIMIT S 2,000,000 <br />DESCRIPTION OF OPERATIONS below <br />I <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />All worksite employees worong for ANAHEIM TRANSPORTATION NETWORK DBA ANAHEIM RESORT TRANSIT, paid under ADP TOTALSOURCE, INC'a Payrdt are coverediuodertne above staled <br />policy. n,,r�+✓/) <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Abs:Clelkdlhe Caundl <br />THE EXPIRATION DATE THEREOF, NOTICE WILL <br />BE DELIVERED IN <br />20 Civic Center Plaza (M-30) <br />Santa Ana, CA 92701 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />orl ciak i'eavieee, 4Fzo of <br />(flotlaa <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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