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-- -= CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MWDDNYYY) <br />01/03/2019 <br />THIS CERTIFICATE IS ISSUED ASA 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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />KCAL Insurance Agency <br />2048 S. Hacienda Blvd., <br />HACIENDA HEIGHTS, CA 91745 <br />CONTACT <br />NAME Emery Lee <br />PHONE FAX <br />E : 626.333.1111 Ap Na; 626369.7539 <br />E-MAIL <br />ADDRESS: emery@koal.net <br />COMMERCIAL GENERAL LIABILITY <br />License #: OB07015 <br />INSURERS AFFORDING COVERAGE NAILIf <br />INSURER A: HARTFORD INSURANCE 00914 <br />INSURED <br />INSURER 9: <br />INSURER c: <br />GEOSPATIAL TECHNOLOGIES INC. <br />INSURER D: <br />10055 SLATER AVE STE 214 <br />INSURERE: <br />FOUNTAIN VALLEY, CA 92708 <br />INSURER I: <br />COVERAGES CERTIFICATE NUMBER: 00000000-112662 REVISION NUMBER: 5 <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 INSURANCEINSD <br />ADDL <br />SUER <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />flMMMDryYYO <br />POLICY EXP <br />MMIDD <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ <br />PERSONAL S ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />POLICY ❑ PROJECT- [:]LOC <br />PRODUCTS-COMP/OPAGG $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED F7 SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Per accident <br />IS <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNEIVEXECUnVE YIN <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />NIA <br />72WECEV7186 <br />01/22/2019 <br />0112212020 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ 1,006,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) <br />PROOF OF INSURANCE <br />/Qedt.w «f h,� <br />�a K � s 17uwA �✓ <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />L9G12D19,._.IPJtI <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 />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Printed by EME on January 03, 2019 at 02:33PM <br />