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ACO ® <br />?? CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/1'1'1'Y) <br />D,/D9/2D,2 <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, EJCTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed- If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />a,ertlflcata holder In lieu of such endorsement(s). <br />PRODUCER CONTACT <br />AOn RISk Services, Inc. of Maryland PMONE FAX <br />CS4]? 953-5390 <br />C866? 283-]122 <br />500 East Pratt SL reel (A/C. No. Ext): <br />A/C. No.: <br />Baltimore MD 21202 USA EJNPJL <br /> ADDRESS: <br /> INSURER(S) AFFORDING COVERAGE NAIL t/ <br />INSURED INSURER A: Chards Specialty xnsu ran ce Company 26$$3 <br />Nail Onal Rall road PdSSen Jer COrpOratl On INSURER B: <br />CAMTRAK) <br />60 MaSSaChUSett3 AVenUe NE <br />INSURER C: <br />4th Fl OOr West INSURER D: <br />washi ngton DC 20002 USA <br /> <br /> INSURER E: <br /> INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 5700450'14049 REVISION NUMBER: <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. Llmlts shown are as requested <br />TR TYPE OF INSURANCE INSR WVD POLICY NUMBER M p LIMIT S <br /> GENERAL LIABILITY EACH OCCURRENCE <br /> COMMERCIAL GENERAL LV\BILITY PREMISES Ea occurrence <br /> CLAIMS-MADE ? OCCUR MED EXP (Any one parson) <br /> PERSONAL 8 ADV INJURY <br /> GENERAL AGGREGATE <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG <br /> POLICY PRO LOC <br /> AUTOMOBILE LIABILTrY COMBINED SINGLE LIMIT <br /> ANY AUTO BODILY INJURY (Per person) <br /> ALL OWNED SCHEDULED BODILY INJURY (Per acclOent) <br /> AUTOS AUTOS <br />P <br />R <br />DAMAGE <br />O <br />P <br /> HIRED AUTOS NON-OWNED P <br />e <br />a <br />?a <br /> AUTOS <br />A 8125901 12/31/2011 12/31/2012 EACH OCCURRENCE $25 <br />000 <br />000 <br /> UMBRELLA LIAR OCCUR , <br />, <br /> SxR appl ley per poi lCy ter 5 & COndl lOn3 ATE $2$ <br />000 <br />000 <br /> X EJ(CESS LIAB X CLAIMS-MADE AGGREG , <br />, <br /> <br /> DED X RETENTION 520,000,000 <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> MP <br />YERS' LIABILnY TORY LIMITS <br /> E <br />LO <br />Y / N <br /> ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED9 ? <br />(MenGetory In NH) N / A <br />E.L. DISEASE-EA EMPLOYEE <br /> ITy tlascrlDa untler <br />POLICY LIMIT <br />E <br />L <br />DISEASE <br /> DESCRIPTION OF OPERATIONS below . <br />. <br />- <br /> <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AHach ACORD 101, AdtlHlenal Remarks Schadub, It more apers Is raqulrea) <br />Santa Ana Regional Transportation, Santa Ana SLati on Lease and the City of Santa Ana are added as Additional insured excluding <br />workers' Compensation and Employers' Liability as required by written contract but limited to the operations of the insured <br />under said contract, and always sub3 ect to Lhe policy terms, condi ii ons and exclusions. <br />c <br />d <br />-O <br />O <br />S <br />oa <br />e <br />0 <br />0 <br />O <br />Z <br />d <br />N <br />d <br />U <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION GATE THEREOF, NOTICE MALL BE DELNERED IN ACCORDANCE WRH THE <br />POLICY PROVISIONS. <br />Santa And ReCJl Onal Trans pOrtatl On AUiHOR6ED REPRESENTATIVE <br />Attn: Carolyn Fullerton <br />1000 East Santa Ana Blvd. c? ??? ? _ <br />Sannta Ana CA 92701 USA L riLZVCtd. ?zc, c????Jizf?zd <br />®1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20'10/05) The ACORD name and logo are registered marks of ACORD