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�'� " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE30 /2 /Y2
<br />03/30/2012
<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 196C, RRTIF TE O €R�
<br />IMPORTANT: If the certificate holder is an ADDITIONAL IN R policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, c,Rrt@i,in policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorselnletlt(s). ;.
<br />PRODUCER LIC #0726293 `1- 925- 299 - 1112
<br />Arthur J. Gallagher & Co. -� �(,.
<br />Insurance Brokers of California, Inc.
<br />CONTACT Certificate Department
<br />PHONE FAX
<br />(A/C. No Ext: 925- 299 -1112 A/C No: 925- 953 -6270
<br />ADDRESS: eastbaycerts @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 />04/01/1
<br />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 : SAVERS PROP & CAS INS CO[AMBest: A,IX]
<br />i 16551
<br />INSURER D:
<br />23751 N. 23rd Avenue, Suite 150
<br />INSURER E:
<br />Phoenix, AZ 85085 -1854
<br />INSURER F
<br />$ 5,000
<br />COVERAGES CERTIFICATE NUMRER! 26404454 1 RFVISION Nl1MRFR"
<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 />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MM /DDIYYYY
<br />LIMITS
<br />•
<br />GENERAL LIABILITY
<br />X
<br />TBJ -Z91- 453980 -032
<br />04/01/1
<br />04/01/13
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X ! COMMERCIAL GENERAL LIABILITY
<br />�
<br />CLAIMS -MADE a OCCUR
<br />DAMAGE t RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<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 />KENIAGGREGATELIMITAPPLIESPER:
<br />PRODUCTS - COMP /OPAGG
<br />$ 2,000,000
<br />POLICY FX PRO- X LOC
<br />'ii $
<br />•
<br />AUTOMOBILE
<br />LIABILITY
<br />IASJ -Z91- 453980 -022
<br />04/01/12
<br />04/01/13
<br />COMBINED SINGLE LIMIT 1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person)
<br />$
<br />X
<br />ANY AUTO
<br />ALL OWNED. .. SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />X
<br />COMP /LOLL X DED *:$1,000
<br /><- *HAPD Ded
<br />$
<br />•
<br />iX
<br />UMBRELLA LIAB
<br />X
<br />I OCCUR
<br />TH7 -Z91- 453980 -042
<br />04/01/1
<br />04/01/13:
<br />EACH OCCURRENCE
<br />$ 19,000,000
<br />AGGREGATE
<br />$ 19, 000, 000
<br />EXCESS LIAB
<br />CLAIMS- MADE
<br />'I
<br />DED X I RETENTION$ 10, 000
<br />$
<br />•
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER /MEMBER EXCLUDED? ❑
<br />N / A
<br />WCJ -Z91- 453980 -012
<br />04/01/1
<br />-
<br />04/01/13
<br />X 'NCSTATIU- i OTRH-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />PROFESSIONAL /CYBER LIAB.
<br />PL 0641009
<br />04/01/1
<br />04/01/13
<br />$50R.SIR EaClm /Agg 2,000,000
<br />,(See
<br />attached Suppl. Page...)
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />RE: Activities performed by or on behalf of the permittee or contractor as required by contract. ADDITIONAL INSURED(S):
<br />The City of Santa Ana, CA, its officers, employees and volunteers as required by written contract.
<br />APPROVED AS TO FORM
<br />J
<br />`— Pk1V1-CLL1A 11Vry
<br />in At-JIUUU
<br />vet City Attomey SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />-City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Paula Coleman ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza, M -29 AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />USA
<br />(� 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />satyaram
<br />26404454
<br />
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