RUEVAC PROPERTY SERVICES 1 - 2011

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CERTIFICATE OF LIABILITY INSURANCE DATE (MM / °D/YYyy)• . . 1/10/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRA_ CT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT - Alhpsdln NAME: - �Y g / Denise Bailey - .. SRIB Insurance Agency, Inc. PHONE (949) 582 -5220 FAX {949)582 -3512 AIC No License Number 0719264 ADORESS:amY @sPib.•COm / Denise @sp"ib.com 26441 Crown Valley Parkway #200 PRODUCER 00000369 CUSTOMER ID #. Mission Viejo -CA 92691 $ 1,000,000 PREMISES Ea occurrence INSURED INSURER(S) AFFORDING COVERAGE NAI;GE . INSURERA:Peerless Insurance Co 4198 GE - Co B:Tfie Netherlands Insurance Co 4171 Rue Vac Property Services Inc. wsURERc:Golden Ea le Insurance Co 10836 600 W. Taft Avenue INSURERD:AIG /Granite State Ins. Co. ver INSURER E: Orange CA 92865 INSURER F: - " I - - - ^- '� - - ----" - KtVIJIVN NUMI3tK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR . LTR TYPE OF INSURANCE INS MY- MIDYEP WVD POLICY NUMBER M/DD/YY POLICY LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR BP 9556563 /1/2011 Jl/2012 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 • - GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X B ALL OWNED AUTOS A 9797086 2/1/2011 /1/2012 INJURY (Per person) $ BODILY INJURY (Per accident) $ SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS APPROVED ED A - TO FO M PROPERTY DAMAGE (Per accident) $ X Underinsured motorist property $ C D A X UMBRELLA LIAB X OCCMS -MADE UR EXCESS LIAB CLAI NIA aura S Assistant •ty U9558863 C005643392 BP 95 58563 /1/2012 - /1/2012 /1/2012 Medical payments EACH OCCURRENCE $ $ 1,000,000 heo y .ttorne /1/2011 /1/2011 /1/2011 AGGREGATE $ 1,000,000 .DEDUCTIBLE RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS belay PROPERTY - SPECIAL FORM REPL COST $1,000 DED $ TU- OTH- JQRY $ CIDENT $ 1 000 000 - EA EMPLOY 7EA $ 1 000 000 - POLICY LIMIT R PROPERTY $ 1 000 000 1,224,000 102,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) - RE: SANTA ANA REGIONAL TRANSPORTATION CENTER. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO GENERAL LIABILITY PER FORM GECG 602 0904- *CANCELLATION PER POLICY PROVISIONS, COMPANY FORM IL0270 11/04 PAGE 2 OF 4- # 7 8 1 6 2 ATTACHED. CERTIFiCATF Hn1 nFR CITY OF SANTA ANA PUBLIC WORKS AGENCY /SARTC 20 CIVIC CENTER PLAZA, M -21 SANTA ANA, CA 92701 c L Hines , CPCU ARM CLU �C�ra�►� ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �+MIY IiCLLFi IIV IY - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE . THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009109) INS025 poosog)