ORANGE COUNTY TRANSPORTATION AUTHORITY (OCTA) AND VIETNAMESE COMMUNITY OF ORANGE COUNTY (C-1-2492)

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CERTIFICATE OF COVERAGE 07/06/2017 PRODUCER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, Alllant IDSUFBDCP S@PVICES, Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MEMORANDUM OR POLICY P.O. BOX 6450 BELOW NEWPORT BEACH, CA 92658-6450 COMPANIES AFFORDING COVERAGE PH (949) 756.0271 / FAX (949) 756-2713 -_ ..__„.�..,_,. LICENSE NO. OC36861 COMPANY LETTER (A) BIG INDEPENDENT CITIES EXCESS POOL BIG INDEPENDENT CITIES EXCESS POOL MEMBER: CITY OF SANTA ANA ATTN: ED RAYA RISK MANAGER P.O. BOX 1988 SANTA ANA, CA 92702-1988 COMPANY LETTER (B) '.; COMPANY LETTER (C) I., COMPANY LETTER (D) I.:. COMPANY LETTER (E) : COMPANY LETTER (F) THIS IS TO CERTIFY THAT THE MEMORANDUM OF COVERAGE OR POLICY(IES) LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY OR MEMORANDUM PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE COVERAGES AFFORDED BY THE MEMORANDUM OR POUCY(IES) DESCRIBED HEREIN ARE SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM OR POLICY. ''.. TYPES CO OF LTR ! COVERAGES EXCESS LIABILITY OCCURRENCE FORM A INCLUDING AUTOMOBILE LIABILITY MEMORANDUM MEMORANDUM MEMORANDUM OR OR POLICY OR POLICY POLICY NUMBER EFFECTIVE EXPIRES BODILY INJURY BO -05 07/01/2017 07/01/2018 AND PROPERTY DAMAGE ',. COMBINED LIMIT DIFFERENCE BETWEEN $10,000,000 POOL LIMIT AND $2,000,000 SELF-INSURED RETENTION DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS: AS RESPECTS AGREEMENT #C-2-0148 SENIOR MOBILITY PROGRAM. CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED SOLELY WITH RESPECT TO BODILY INJURY AND PROPERTY DAMAGE ARISING OUT OF OPERATIONS AS DESCRIBED BY OR ON BEHALF OF THE NAMED INSURED PER A'FltoED ENDORSEMENT, SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. ww ++ 9A�i�IrP11\�y ORANGE COUNTY TRANSPORTATION AUTHORITY ATTN: REBECCA POTTER, CPM SENIOR PROCUREMENT ADMINISTRATOR 550 S. MAIN STREET ORANGE, CA 92863-1584 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 29 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, Al