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<br />ACDBD," CERTIF
<br />
<br />
<br />. 'ZOYCONOLGRO
<br />
<br />LIABILITY INSURANCE
<br />
<br />PRODUCER
<br />ArmstronglRobitaille Full 1010
<br />680 Langsdorf Drive #100
<br />P.O. Box 34009
<br />Fullerton, CA 92834-9409
<br />
<br />j )
<br />
<br />DATE (MMlDDtvY)
<br />07/06/07
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />I JUL
<br />lB.. y
<br />
<br />'), ~. 2001
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />INSURED
<br />
<br />INSURER A: Fed~rallnsurance Company
<br />INSURER B: American Guarantee and Liability Ins
<br />
<br />i!NSUAER C_:
<br />INSURER D:
<br />I INSURER E
<br />
<br />Econolite Traffic Engineering &
<br />Maintenance, Inc.
<br />3360 E. La Palma Ave.
<br />Anaheim, CA 92806
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHJCH THJS CERTIFICATE MAY BE JSSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE UMJTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR I POUCl (~FFECTI~r-1P~';.l~tJXPIRATiON ~ - ~
<br />LTR' TYPE OF INSURANCE , POLICY NUMBER < DATE MMIDDlYV . 0 TE MMlDDNY LIMITS
<br />A ' GENERAL LIABILITY '35818716 104127107 04127108 EACH OCCURRENCE . $1LOOO,000
<br /> I X !COMMERCIALGENERALLIABILlTY I" F-lRE DAMAGE (Anyone lire) 1'1,OOO,OOO~
<br /> CLAIMS MADE X OCCUR ! ! MED EXP (Any one person~ $1 OLOOO
<br /> X Ded:100,OOO PERSONAL & ADV INJURY $1&00,000
<br /> I I GENERAL AGGREGATE $2,OOQ,000
<br /> ; GEN'l AGGREGATE liMIT APPLIES PER: i I i PRODUCTS - C9MP/OP AGG , $2,000&0_0
<br /> > I ' I r:;~8r I LOC
<br /> I ; POLICY! I I
<br />A ~ AUTOMOBILE LIABILITY '73215072 04127107 04127108 ,
<br /> COMBINED SINGLE LIMIT ,
<br /> ! ' $1,000,000
<br /> X ANY AUTO I tEa accident)
<br /> , , m
<br /> I I All OWNED AUTOS I I BODilY INJURY
<br /> I SCHEDULED AUTOS I (Per person) $
<br /> I
<br /> ! ,
<br /> ! X , HIRED AUTOS , BODILY INJURY
<br /> X NON-OWNED AUTOS i (Peracclclenl) S
<br /> ,
<br /> I : PROPERTY DAMAGE
<br /> (per accident} $
<br /> GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT $
<br /> , ANY AUTO i I EA ACe $
<br /> OTHER THAN
<br /> I I AUTO ONLY:
<br /> AGG $
<br />B : EXCESS LIABILITY !AUC534614102 I 04127/07 ' 04/27108 EACH OCCURRENCE $2,000,000
<br /> X OCCUR I , $2,000,000
<br /> I CLAIMS MADE , AGGREGATE
<br /> , i$
<br /> I
<br /> DEDUCTIBLE , J $
<br /> , c~
<br /> RETENTION $ I I '$
<br /> I - ,'we STAT(). -
<br /> WORKERS COMPENSATION AND , 10TH-
<br /> EMPLOYERS' LIABILITY IJQRY LIMITS 1 , ER
<br /> 'E.l. EACH ACCIDENT $
<br /> , i E.L. DISEASE - EA EMPLOYEE $
<br /> rE.~. DISEASE. POLICY LJM;;-'- $
<br /> OTHER ,
<br /> !
<br /> I ! I
<br />DESCRIPTION OF OPERA TIONSlLOCATIONSNEHICLESleXCLUSIONS ADDED BY ENDORSEMENT1SPECIAL PROVISIONS ,\ ~ l'IU YJ i~~J A,; TO hJi\.iH
<br />'10 Days Notice of Cancellation for Non Payment of Premium. Certificate Holder is added as Additional Insured per policy form 80022305. Primary, Non ~ IlL
<br />Contributory, Waiver of Subrogation per policy form # 80082000 both a part of .~_ _ ~ __
<br />policy #35818716. :.~IU:l . I t' ~~. ~\';d)
<br />(See Attached Descriptions) ,/I .....JL~[,L] ~ 'i .It\' /\l\nr'_.-:y
<br />
<br />CERTIFICATE HOLDER
<br />
<br />I ADDlTlONALINSURED'lNSURER LETTER'
<br />
<br />CANCELLATION
<br />
<br /> SHOULD ANVOFTHE ABOVE DESCRIBED POLlCIE$BECANCELLED BEFORE THE EXPIRATION
<br />City of Santa Ana, Public Works Agency DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL *30_ DAVSWRITTEN
<br />Attn: Sharon Heir NOTICE TO TH E CERl1FICATE HOLDER NAM EO TOTH E LEFT, B lJT FAILURE TO DO SOSHAlL
<br />20 Civic Center Plaza M-43 IMPOSE Nooal/GATION ORlIAB/lITY OFANY KIND UPON THE INSURER,ITSAGENTS OR
<br />Santa Ana, CA 92701 REPRESENTATIVES,
<br /> AUTHORIZED REPRESENTt\TIVE
<br /> A"~ 4Jl/~
<br />
<br />ACORD 25-S (7/97) 1 of 3
<br />
<br />#M382265
<br />
<br />LAHAT @ ACORD CORPORATION 1968
<br />
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