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<br />JR IF CERTIFICATE OF LIABILITY INSURANCE
<br />A�
<br />DATE1 /Y1
<br />03/15 /2 01
<br />5/21
<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(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 />certificate holder in lieu of such endorsement(s).
<br />PRODUCER LIC #0726293 1- 925- 299 -1112
<br />Arthur J. Gallagher & Co.
<br />Insurance Brokers of California, Inc.
<br />CONTACT Department
<br />Certificate De
<br />NAME: P
<br />PHONE IFAX
<br />A/C No Ext: 925- 299 -1112 ('IA(, No: 925- 953 -6270
<br />E -MAIL
<br />ADDRESS: SFBAYAREA CERTS @AJG.COM
<br />3697 Mt. Diablo Boulevard, Suite 300
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />Lafayette, CA 94549
<br />INSURER A: WAUSAU UNDERWRITERS INS CO [AMBest:A,XV ]26042
<br />03/15/12
<br />Agent: Robert J. Marrone
<br />INSURED
<br />INSURER B: LIBERTY MUT FIRE INS CO [AMBest: A,XV]
<br />11748
<br />Redflex Traffic Systems, Inc.
<br />INSURER C: ENDURANCE AMER SPECIALTY INS CO [A,XV]
<br />41718
<br />INSURER D: WAUSAU UNDERWRITERS INS CO
<br />26042
<br />23751 N. 23rd Avenue, Suite 150
<br />INSURER E:
<br />Phoenix, AZ 85085 -1854
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 20147230 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.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />INSR
<br />SUER
<br />POLICY NUMBER
<br />(MM/DD IYYYY I
<br />I IMMIDD[YYYY)
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />TBJZ91453980031
<br />03/15/1
<br />03/15/12
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 1, 000, 000
<br />CLAIMS -MADE 1XI OCCUR
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL& ADV INJURY
<br />$ 1,000,000
<br />X STOP GAP: WA, OH
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,000
<br />POLICY I X PRO- X LOC
<br />$
<br />A
<br />AUTOMOBILE LIABILITY
<br />ASJZ91453980021
<br />03/157-11
<br />03/15/12
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />I
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />'
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />! !
<br /><- *HAPD Ded
<br />$
<br />X COMP /COLL g DED *:$1,0001,
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />TH2Z91453980041
<br />03/15/1
<br />03/15/12
<br />EACH OCCURRENCE
<br />$ 19,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE;
<br />AGGREGATE
<br />$ 19, 000, 000
<br />DIED X RETENTION $ 10, 000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR /PARTNER/EXECUTIVE
<br />WCJZ91453980011
<br />03/15/1 1
<br />03/15/12
<br />X WRY TA IT- OTH - -
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />OFFICER /MEMBER EXCLUDED? ❑
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE;
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />PROFESSIONAL /CYBER LIAB.
<br />PPL10003051000[ClaimsMad
<br />1 03/15/1
<br />03/15/12
<br />$50X.SIR EaClm /Agg 2,000,000
<br />(See attached Suppl. Page...)
<br />i
<br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) c T/� /��
<br />RE: Activities performed by or on behalf of the permittee or contractor as rAjWWVSIRA&AQF`]ID!!I2'IONAL INSURED(S):
<br />The City of Santa Ana, CA, its officers, employees and volunteers as required by written contract.
<br />TERESA L.' DD
<br />AilltorwY
<br />-City of Santa Ana
<br />Paula Coleman
<br />20 Civic Center Plaza, M -29
<br />Santa Ana, CA 92702
<br />USA
<br />%,AIYI.tLLA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />�y f
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />lokeshram
<br />20147230
<br />
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