s ar—PI' CERTIFIC - E OF LIABILITY
<br />INSL.;, ANC�DFLRI DATE 04
<br />PRODUCER
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Crist Elliott Hachette Ins.
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />License #0817224
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />2201 Broadway, Suite 725
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />INSURERS AFFORDING COVERAGE
<br />Oakland CA 94612
<br />Phone:510 -832 -8000 Fax:510- 832 -5054
<br />INSURED
<br />,n�
<br />/
<br />INSURERA'. St. Paul Insurance Companies
<br />INSURER B. State Compensation Fund
<br />/,/II-
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<br />, Inc.
<br />Traffic Traffic Systems, Inc.
<br />Traffic Safety Systems
<br />15020 N. 74th St.
<br />Scottsdale AZ 85260
<br />INSURER C: Evanston Insurance Company
<br />p
<br />INSURER D'.
<br />INSURER E'.
<br />X COMMERCIAL GENERAL LIABILITY
<br />COVERAGES
<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
<br />LTR
<br />TYPE OF INSURANCE
<br />l POLICY NUMBER
<br />DATE MM /DDIY YE
<br />DATE MMIDDIYY
<br />LIMITS
<br />Santa Ana CA 92702
<br />GENERAL LIABILITY
<br />ALT RIZ REP SE
<br />EACH OCCURRENCE
<br />$1,000,000
<br />FIRE DAMAGE (Any one lire)
<br />$100,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CK09402645
<br />03/15/04
<br />03/15/05
<br />CLAIMS MADE L OCCUR
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />X Per location agg.
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />H
<br />PRODUCTS - COMP /OP AGG
<br />s2,000,000
<br />POLICY JECT F7 LOC
<br />JEMP Ben.
<br />1,000,000
<br />AUTOMOBILE
<br />A
<br />LIABILITY
<br />ANY AUTO
<br />CK09402645
<br />03/15/04
<br />03/15/05
<br />COMBINED SINGLE LIMIT
<br />(Ea acaitlent)
<br />gl r 000 r OOO
<br />BODILY INJURY
<br />(Per person)
<br />$
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />I
<br />BODILY INJURY
<br />(Per accident)
<br />$
<br />HIRED AUTOS
<br />NON -OWNED AUTOS
<br />7
<br />/ /
<br />PROPERTY DAMAGE
<br />(Per ar,oitlent)
<br />S
<br />_
<br />GARAGE LIABILITY ,.,,.
<br />AUTO ONLY - EA ACCIDENT
<br />$
<br />OTHER THAN EAACC
<br />ANY AUTO
<br />$
<br />$
<br />AUTO ONLY'. AGG
<br />EXCESS LIABILITY
<br />Ili
<br />EACH OCCURRENCE
<br />,$6,000,000
<br />AGGREGATE
<br />$6,000,000
<br />A
<br />X OCCUR CLAIMS MADE CK09402645
<br />03/15/04
<br />03/15/05
<br />$
<br />$
<br />DEDUCTIBLE
<br />_
<br />$
<br />X RETENTION $10,000
<br />WORKERS COMPENSATION AND
<br />All
<br />X I TORY LIMITS ER
<br />$
<br />EMPLOYERS' LIABILITY
<br />157341800 (CA)
<br />02/06/04
<br />02 /06 /05
<br />E. L. EACH ACCIDENT
<br />$1,000,000
<br />E. L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />E. L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />OTHER
<br />C
<br />Errors S Omissions
<br />E0811329
<br />04/12/03
<br />04/12/04
<br />Limit /clm 1,000,000
<br />Claims Ma
<br />I Ded. 2,500 /clm
<br />DESCRIPTION OF OPERATIONSILOCATIONStVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
<br />The City of Santa Ana, its officers, employees, agents, volunteers and
<br />representatives are additional insured as respects work performed on their
<br />behalf by the named insured, per attached endorsement
<br />CERTIFICATE HOLDER IN I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION
<br />SNTAANA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City of Santa Ana
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
<br />Attn : Paula Coleman
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL
<br />Fax 714- 647 -6515
<br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />REPRESENTATIVE .
<br />ALT RIZ REP SE
<br />ACORD 25 -S (7197)
<br />UACORD CORPORATION 191111
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