Agmt07 Peninsula Traffic Congestion Relief Alliance - Redwood City Pilot Shuttle Program

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Client#: 29507 PARKI1 AC~RD,~ CERTIFICATE OF LIABILITY INSURANCE o9;;8, 6°"""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dodge Insurance Services, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR .rroyo Insurance Services ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 21250 Hawthorne Blvd., #500 Torrance, CA 90503 INSURED PCAM, LLC 11101 Lakewood Blvd. Downey, CA 90241 INSURERS AFFORDING COVERAGE INSURER A St. Paul Travelers INSURER B: MajeStlC InSUranCe INSURER c: Scottsdale Insurance Co. INSURER D: Great American Ins. Co. INSURER E: NAIC # COVERAGES UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISS TRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CON CRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH THE INSURANCE AFFORDED BY THE POLICIES DES MAY PERTAIN , POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MMIDD/YY LIMITS 5TIL 07/15/06 04/24/07 EACH OCCURRENCE 51 OOO OOO A X GENERAL LIABILnY Y6305379C19 TED DAMAGE TO REN 51 OO OOO X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) 55 OOO CLAIMS MADE a OCCUR PERSONAL 8 ADV INJURY S7 OOO OOO O OOO GENERAL AGGREGATE 51 O OO 2 OOO OOO PRODUCTS -COMP/OP AGG 5 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE ~ LOC A AUTOMOBILE LIABILnY Y810328D9313TIL 07/15/06 04124/07 COMBINED SINGLE LIMIT 51 000,000 (Ea accident) , X ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) 5 SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) 5 X NON-OWNED AUTOS x Garagekeepers Y810328D9313TIL 07/15/06 04/24/07 PROPERTY DAMAGE r accident) P 51,000,000 ( e AUTO ONLY - EA ACCIDENT 5 GARAGE LIABILITY EA ACC 5 ANY AUTO OTHER THAN AUTO ONLY: AGG 5 S7 O 000 000 8 04/24/06 04/24/07 EACH OCCURRENCE C X EXCESSIUMBRELLA LIABILITY XLS003422 AGGREGATE 51 O OOO OOO X OCCUR ~ CLAIMS MADE S 5 DEDUCTIBLE 5 RETENTION S WC STATU- OTH- 269906 04/24/06 04/24107 X B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C20010 E.L. EACH ACCIDENT 51 ,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. DISEASE • EA EMPLOYEE 51,000,000 OFFICER/MEMBER EXCLUDED? 000 000 1 If yes, describe under E.L. DISEASE -POLICY LIMIT , , 5 SPECIAL PROVISIONS below D OTHER CRIME SAA375674005 04/24/06 04124/07 $200,000 Dishonesty $25,000 Theft Limit Employee Dishonest i3~Theft DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Certificate holder is included as Additional Insured on General Liability as per Blanket Additional Insured endorsement # CG D2 46 08 05 attached to policy. PRIMARY WORDING INCLUDED per form CG T1 01 07 86 attached to policy.'EXCEPT 10 Days Notice IF Cancelled for Non-Payment. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION TION Pennisula Traffic Congestion Relief Alliance ATTN: Michael Stevenson 1150 Bayhill Drive # 107 San Bruno, CA 94066 ACORD 25 (2001108)1 of 3 #S42015/M41136 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~n• DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE LXM ©ACORD CORPORATION 1988