Insurance - Coastal Traffic Systems Inc. - 2011-03-04 (3) ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMS)DT/YYY)03/04/2011
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AO Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
10825 Old 24i1L Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Omaha, NE 68154 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(877}234-4420 INSURERS AFFORDING COVERAGE NAIC#
' INSURED Apt(KIM,msuRERA-Califantis Insurance Co A 361365 VIII
Coastal Traffic Systems, Inc INSURERS',
1261 Logan AVe INSURER C.
Costa Mesa, CA 92626-9004 INSURE;D.
CTL 1273 547351 I INSURER E. •
COVERAGES
THE POLICIES OF INSIIRANCE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSRADD41 I POLICY -EC'NE POLICY XPIRAIION LIMITS
LTR NSRI TYPE OF INSURANCE POLICY NUMBER DATEINMIOONY) DATEIMMIDPIYYI
GENERAL LIAB LOOY EACHOOCURANCE $
UAMAG IL/KENItU
COMMERCIAL GENERAL_IABILITY PREMISES(Ea occunnoe) S
CLAIMS MADE I OCCUR MED EXF{any one panon) 3
PERSONAL BADV INJURY S
j-- GENERAL AGGREGATE S
GER'L AGGREGATE LIMIT APPLIES PER PRODUCTS.COMPIOP AGO S
POLICY 7m 7 L OC
AUTON091_E LIABILITY COMBINED SINGLE LIMIT $
(Es GUeN)
ANY AUTO
OWNED AVTOS BODILY INJURY $
(Pe person,
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
ye cee U
NON-OWNED AUTOS –
— PROPERTY DAMAGE S
(Pe erode I)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EAACC I $
AUTO ONLY AGG S
P EX F.EaW NBBE LA LIABILITY
EACH OCLURENCE 5
OCCUR I CLAI,$MADE AGGREGATE $
S
— DEDUCTIBLE S
RETENTION 3 S
WC S
WORKERS COMPENSATION AND — X (TORY{A,U- 0114.US
EMPLOYERS'LIABILITY
A COPMRMTOR AERCTN 73-034708-01-01 O1/01/11 01/01/12 EL.EACH ACCIDENT $1,000,000
. E L DISEASE EA EMPLOYEE $1,000,000
II yes enm
ese undo
SPECIAL PROVISIONS below E.L.DISEASE POLICY LIMIT $1,000,000
I I
SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROV3SIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Costa Mesa Sanitary District PATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAR DAYS mint NOTICE
628 W 19th Street
Costa Mesa, CA 92627 TO THE CERTIFICATE HOLDER NAMED TO THE EMT,BUT FAILURE TO DO SO SHALL IMPOSE
NO OBLIGATION OR LIABILITY OP ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES
AUTHORIZED REPRESENTATryy�Ffj
OD78336
ACORD 25(2001108) ID ACORD CORPORATION 1988