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Jun~24 W 09:188 <br />P.1 <br />1YR ,Y? <br />i? CERTIFICATE OF INSURANCE <br />SWMiNS RANCE AS (RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE <br />t MCELIM OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM <br />THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY <br />ANY POLICY DESCRIBED BELOW. <br />This certifies that ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois <br />STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois <br />STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas <br />? STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or <br />? STATE FARM GUARANTY INSURANCE COMPANY of BloomMgton, Illinois <br />has coverage in force for the following Named Insured as shown below: <br />NAMED 94S1RED: COAST SURVEYING, INC_ <br />ADDRESS OF NAMEDINSUREDC 15031 PARKWAY LOOP, SUITE B, TUS^_IN, CA 92780 <br />POLICY NIAMER 130 9131- E25-155 288 1781-A16-75 066 7145-820-,5B 290 3043-E15-75 <br />EFFECTIVE DATE <br />OF POLICY 02/15/09. 08/15/09 12/15/09- 08/15/09 02/15/09- 08/1 <br />5 <br />/0 <br />9 02/15109-08/15109 <br />710N <br />DESCRIP <br />F <br />TION O 2008 GMC SAVANA 2008 MC SAVANA _ <br />_ <br />_ <br />2002 DODGE 82500 2000 DODGE DAKOTA <br />VEHICLE <br />g <br />VW) VAN <br />1GT:.G25K6 <br />81165430 VAN <br />IGTGG25KS <br />81167132 JAN <br />2B7,TI321Y92K14C676 TRUCK <br />187GG22114YS639142 <br />LIABILITY COVERAGE ® YES ? NO ® YES ? NO ® YES ? NO 0 YES ? NO <br />LIMITS OF LIABILITY <br />i a. Bodily Injury <br />Esch Person 1,C00,000 1,000,000 11000,000 1,700,000 <br /> _ <br />Each Accident 1,030,000 1,000,000 11000,000 1,OOD,000 <br />b_ Property Damage - - <br />Each Aoc:IdeN 1,00D,030 11000,000 1,000,000 1,000,000 <br />G Bodily Injury & ' - - <br />Property Damage <br />Single Limit <br />Each Aooderd <br />PHYSICAL DAMAGE <br />COVERAGES <br />® YES <br />? NO <br />® YES <br />? NO <br />® YES <br />? NO <br />® YES <br />? NO <br />a. Cer? ehensive $ 1000 Deducible $ 1000 Deduetlbls $ 1000 Dtduclible $ 1000 Deducfib* <br /> ® YES p NO ® YES ? NO ® YES ? NO ® YES ? NO <br />b. Collision $ 1000 Deductible S 1000 0eclucdb9e S LOCO Deductible $ 1000 Deductible <br />EMPLOYERS NON-OWNED <br />CAR LIAf3LnY COVERAGE <br />YES <br />? NO <br />® YES <br />? NO <br />® YES <br />? NO <br />® YES <br />? No <br />HIRED CAR LIABILITY YES ? NO ® YES ? NO ® YES El NO ® YES ? NO <br />FLEET - COVERAGE FOR <br />MOTOR VEHICLES ? YES ® NO ? YES ® NO ? YES ® NO ? YES ® NO <br /> <br />8326 06/24/09 <br />Number <br />ADDITIONAL INSD: CITY OF SANTA ANA <br />P.O. SOX 1988, SANTA ANA, CA 92702 DESCRIPTION <br />OF OFERATIONS:RE:ALL CPERRTIONS AS PERTAINS TO TEDBOVVERSOX,Agent <br />NAMED INSURED. THE C=T' <br />`_ Of SANTA ANA, ITS euu[ rwr <br />OFFICERS, EMPLOYEES, AGENTS, VOLUN-TMS AND L????1a 34085 <br />REPRESENTATIVES ARE ADDITIONAL INSURED` AS Dam PK Pacific Co63t I twy.. SM. Z04 <br />RL SPECPS TO GENLRAL LIAWLIT Y AS REQUIRED 13Y tatrrart Bus: (949 661 ,320D <br />? psi C <br />3200 <br />WRITTEN CONTRACT COVERAGE AE"0RD1:D THE <br />ADDITIONAL INSURED IS PRI14ARY b NON CONTRIBU- Fax: (949) 661-4119 <br />TORY.WAIVER OF SCBROGATIOK INCLUDED IN WORK <br />INTERNAL STATE FARM USE ONLY: []Request perm mw CarUecme of Insurance for NabMY co-,nrra w <br />``SA E. S 10A Ito nay <br />C?ty