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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DOM Y)
<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(Sj, AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER Marsh Risk and Insurance Services CONTACT
<br />-_ _ and Services _
<br />345 California Street PHONMarsh h Risk nd Insurance Se -- —_ _
<br />Suite 1300 INC, No Eat). 415-743-8000 FAX FAX N,_
<br />SAME
<br />San Francisco, CA 94104 ADDRESS;_
<br />California License: OH01556
<br />INSURED
<br />Kappsch TrafficCom Holding II US Corp.
<br />8201 Greensboro Drive
<br />Suite 1002
<br />McLean VA 22102
<br />COVERAGES r.FRTIFIr:ATF MIIMRFR.
<br />INSURER(S) AFFORDING COVERAGE
<br />INSURER A:
<br />AXA Insurance Company
<br />INSURER B,
<br />_
<br />Travelers Property CasuoFV Co of Amer
<br />INSURER C:
<br />ACE American nsurance�o_mpaany _
<br />INSURER D!
<br />Charter Oak Fire Insurance Company
<br />INSURER E:
<br />NAIC Y
<br />33022 _-
<br />25615
<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 />INSRI - pr10Li5UagT POLICY EFF POLICV E%P
<br />LTR TYPE OF INSURgNCE POLICY NUMBER MMIDDIYVYY riMIDOM'YY LIMITS
<br />A COMMERCIAL GENERAL LIABILITY I,PCS003157(19) 17/1/2019 7/l/2020 EACH OCCURRENCE 151,0Q0000
<br />CLAIMS -MADE ✓ OCCUR - OAMACE TO REBf ED - 1 - _ ---- -
<br />, PREMISES IF. oar. rMP) ; 5100,00D
<br />1 ME D FXP IN. ono... a.) �si0000
<br />- PERSONAL_& AUV INJURY Is1,000,000
<br />GLUT AGGRLUA I L LIMIT APPLIES PER:
<br />s2,000000
<br />_GENERALAG_GREGATE
<br />_ .POLICY ✓ - JEC _ Ton I RODUCIS •COMPlUI AGO I $2,000 0DU_. --
<br />DIRER. Deductible Il100000
<br />8 AUTOMOBILE LIABILITY
<br />j
<br />61 Q-1 N626414
<br />7/112019
<br />7/1/2020 CUMUINEU SWGLE LIMIT S
<br />{Ee acFldenut 1,000wo_
<br />ANY AUTO
<br />✓
<br />.
<br />BODILY INJURY (Par person) §
<br />OWNED 1 SCHED TILED
<br />1 AUTOS ONLY AUTOS
<br />-
<br />BODILY INJURY (Par aaltlent) §
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />i,
<br />j pOPEn�tt10AMAGE §
<br />S
<br />A UMeRELLALIAS ,/ OCCUR
<br />XS003156(19)
<br />7/1/2019
<br />7/1/2020
<br />EACH OCCURRENCE S5,000,000
<br />EXCESS LIAB CLAIMS-MADEi
<br />_
<br />AGGREGATE- §5,000,000
<br />. ✓ 1 10.000
<br />_-
<br />DED RETENTION§
<br />s
<br />D COMPENSATION
<br />UB-OL500865
<br />711/2019
<br />7/1/2020
<br />'PER oTH-
<br />✓ LTATUTE
<br />AND EMPLOYERS'
<br />ANDEMPLOYERS'LIABILITY YIN
<br />ANYPROPRIETOWPARTNEWEXECUI IVE �
<br />NIA
<br />EL EACH ACCIDENT
<br />S_1,000,000
<br />OFFICCRIMEMBER EXCLUDED' 1 •'I
<br />(MandaloryinNH)
<br />Ilyes, desrnba Rntler
<br />E.L.DISEASE - EA EMPLOYE
<br />__--
<br />§ 1,000,000 _.
<br />DFSCRIPTION OF OPFRATONS below
<br />EL. DISEASE -POLICY LIMIT
<br />§1000000
<br />C Tech E&O -Professional Liability G25604635004 7/112019 7/1/2020 $2,000.000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AC ORD 101, Additional Romarks Schodula, may bo atochud if more spa no Is requlrod)
<br />Contract Numbers: A-2016-057 and A-2016-080
<br />City of Santa Ana, officers, agents, employees, and volunteers, PWA - Transportation & Traffic Engineering Department are included as additional
<br />Insured (except for Workers Compensation) where required by written contract. Waiver of Subrogation is applicable in favor of City of Santa Ana, PWA
<br />Transportation & Traffic Engineering Department on the Genera! Liability, Auto Liability, Umbrella Liability, and Workers Compensation where required
<br />by wrillen contract Cancellation clause is amended to 30 day except for 10 day notice or cancellation for non-payment of premium per policy
<br />provisions. Tnls Insurance is primary/noncontributory on the General Liability policy for the additional insured when such liability accrues from an act or
<br />omission of the named insured on the policy.
<br />By Risk MANAGEMENT DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Risk Management Division Q ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic CenterPlaza
<br />Santa Ana CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />FRANCINE R. VILLAREAL
<br />Matt Rush
<br />rD laud-zUlt, Al1UKU UURPURAI ION. All rights reserved.
<br />ACORD 25 (2D16/03) The ACORD name and logo are registered marks of ACORO
<br />1051115 II lE f._.1.. ..,nl. 'nC $11 I—E cbf ru 1 1 Ra[r. :tuna 1 �1"112011 1:11:]l W. W.') I
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