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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID I <br />11 <br />DATEIMM/DDNYYY) <br />TRANS-2 <br />01 17/05 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />TIB Transportation Ins Brokers <br />425 West Broadway, Suite 400 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Glendale CA 91204 <br />Phone:818-246-2800 Fax:818-246-4690 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />}/{ <br />INSURER A- Clarendon _ National Insuranc <br />INSURER B. _Lexington Insurance Company <br />— <br />Transportes Inter-Cali£ornias <br />1305 S. Atlantic Blvd. <br />East Los Angeles CA 90022 <br />INSURER <br />wsuRERD <br />- <br />INSURER E. <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 WHICH THIS CERTIFICATE MAY BE ISSUED 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />INSR- PO YLT EETL L E T <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER IOW <br />DATE(MM/DDSCO DATE(MM/DD/9Y) LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />$ <br />DAMAGETUTRENTEVF�— -- <br />CLAIMSMAOE <br />PREMISES (Ea occurence) <br />OCCUR <br />I <br />MED ESP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />- <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGG <br />$ <br />POLICY jE0 LOC <br />AUTOMOBILE <br />LIABILITY <br />A <br />Z ANY AUTO <br />N00100005801 <br />01/15/05 <br />01/15/06 <br />CO BIKED <br />COMB ldenl) NGLE LIMIT <br />$ 1, 000, 000 <br />ALL OWNED AUTOS <br />- <br />BODILY INJURY <br />$IPer <br />X <br />SCHEDULED AUTOS <br />! <br />l <br />person) <br />X <br />HIREDAUTUS <br />A ' r <br />")-a ..._ '� <br />_ iT�� <br />T 10 FOp� <br />X <br />NON OPMEDAUTOS <br />BODILY INJURY_ <br />(Per .,,,cho) <br />S <br />L/ <br />—__-- --- <br />"-- <br />PROPERTY DAMAGE <br />$ <br />- <br />(Per acordent) <br />GARAGE <br />LIABILITY <br />AUTOONLV EAACCIDENT <br />S <br />ANY AUTO <br />OTHER THAN EAACC <br />$ <br />AUTO ONLY AGG <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ 4 , 000 , 000 <br />B <br />X OCCUR CLAIMSMADE <br />1481067 <br />01/15/05 <br />01/15/06 <br />AGGREGATE <br />$ <br />' DEDUCTIBLE <br />I <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIAR L <br />Jn`2 <br />IMR <br />JO <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />LEORV <br />— <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />E. L. DISEASE - EA EMPLOYEE <br />$ <br />0yes, tlesaibeuntler <br />SPECIAL PROVISIONS below <br />E.L DISEASE -POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH RESPECTS TO THE <br />OPERATIONS OF THE NAMED INSURED. <br />City Of Santa Ana <br />Officer, Agents 6 Employees <br />City of Santa Ana Rec 6 Comm <br />P.O. Box 1988-Purchasing M-16 <br />Santa Ana CA 92702 <br />SANTAI0 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />(2001108) <br />oZCS0T7-17 <br />