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p.I <br />CERTIFICATE OF LIABILITY INSURANCE 0 Y' <br />09 -20 <br /> -2 <br /> <br />S THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br />B ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />S SURANCB HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />C COAST -Y. SUITE 204 <br />34 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />I <br />DANA POINT, CA 92629 <br /> <br />_ <br />_ INSURERS AFFORDING COVERAGE NAIC # <br />INSURED tNSURERA State Facm Xutjnl Au=o 7r.ssrar-e company 25178 <br />- <br />COAST SURVEYIXG, 14W. <br />15031 M-lafAY LOOP <br />SUI^E B MSURERB: <br />, <br />TUSTIN, CA 92780 nleua6a a <br /> NKIRERD. <br />-i rK K' tFA E: <br />COVERAGES <br />THE POLICIES OF NSURANCE LISTED BELOW HAVE OWN ISSUED TO THE 11111SLIRED NAMED ABOVE FOR THE PCUCY PERIOD INDICATED. MMMTHSTmmwG <br />ANY REWR2WNT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVRH RESPECT TO V*lCH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRISW HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND OONDITIOfa OF SUCH <br />8 <br />, <br />DOUCI AGGREGATE L&M 94OWN MAY HAVE BEEN BY PAID CWM <br /> 4 <br />? <br />ETI`TKIe - <br />LTR milli k-- I POUCYNUIIBP.R OArEPMUDOMr DATEJMMJDD" Lwn*s <br /> (G; RALLIA UTT , EACH OCCUIWAPACE s <br /> commetnAL GENERAL LIABILITY <br />" =W=1400 s <br /> w <br /> CLANS MADE r <br />?OCCUR mmexp'Amwwpwsmo s <br /> PERSONAL t ADV NJ JRY s <br /> <br /> RESME <br /> 034L 0GRBHILIEUMTAaP1FS1$t PROOUC:I$-ooMPlcY.aa s <br /> PR0- <br /> POLICY A2GT BLOC ! <br />;. <br />Aut <br />oMOet?LiABMm 130 9131-B15-75 08-15-10 02-15-11 <br />Sltu^IE UdtT <br /> C90 5$81-B15-75 08-15-10 ? 02-15-11 . <br />? ? s <br /> "KO 059 5419-B15-75 15-10 <br />C8 02 <br />5 -- <br /> ALL.OwNE}AUTOS 066 7143-B15-75 - <br />08-15-10 -1 <br />-11 <br />02-15-11 BODILYNJLW S 1 <br />000, 000 <br /> K 904MULEDMR08 290 3043-B15-75 08-15-10 02-15-11 ? -Pvrmn) , <br /> N HIREDAUTOS 288 1781-B15-7' 08-15-10 02-15-11 BODILY 0 A y s 1 <br />000,000 <br /> X NON-OWNEC AUTOS tP- , <br /> PK0P8RTYIDvA4(* 0 <br /> <br />IPin aopNn S 1, no, 0 <br />0 <br /> U <br /> OAR AOE LWWITY ALFM OKr - EA ACCIDENT S <br /> R ANY AUTO OTHER THAN EA AC S <br /> . AUTO ONLY <br /> A 1 HAM 400 s <br /> EXCESSNMOMMLA UA91LdrY EACH OCCURR= CE S <br /> = ! <br /> OCCUR <br />CLAXISMA.DE .7 AA3"eGA`M S <br /> <br /> <br />/ <br />/ S <br /> DEWCTIBLE a <br />u Stitt Speedy ?` s <br /> ET81"K1H s . Attnrr eV <br />s <br />I WORKERS COMPEIMTM AND VYC STA,TU. 077 - <br />, E MPLOYOW LIAMURY SR <br /> ANY PROPWETOPAIARtn EcECUTNE EL EAICHACCDBfT S <br /> O <br />ICERA93ME2 EXCLUDWD <br />FF <br />d <br />b G.L DISEASE - W SNIPLOYEE S _ <br /> s <br />Y <br />mca <br />e bakr+ <br />SPECIAL EASE•PCUC LIMrr S <br />OTHER <br />GESCRIPTIOM OP OPERATIONS I LOCATKNSI VEHICLES I LVDLUBWONS ADOSD 11111Y 911I0idtMONEW7'I SPECIAL PROVISIONS <br />RE: ALI APERATIONS AS PERTAINS TO NAMED INSURED. _im CITY CF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, <br />VCLUNTEMIZ AND REPRESENTATIVES ARE ADDITICNAL INSURED AS RESPECTS TO GZWLRAL LIABILITY AS REQUIRED BY <br />WRITTEN CONTRACT COVERAGE AFFORD D TF3.'' ADDITIONAL INSURED IS PRIMARY i MOO CONTRIBUTORY.??4IVBR OF <br />i <br />SUBROGATION IZACT_.UDED IN WORK CCQ!! <br />vGr%I Irwn9IQ nVLLAQK IliAI1q.:CLl.AImm <br />ADDITONAL INSURED: CITY OE SANTA ANA SMLD AW OF 1IE AMUM DeSri?POUCH WCAINM LNO BBRlR! TAE OPWATa:N <br />P.O. BOX 1988, SANTA ANA, CA 92707 DATE TNel=F, THE IsNUIMO O M MM ML ENDEAVOR TO MAIL 1;4 DAYS wRlrrM <br />Ro= To THE ConlIFICATB HOUM MANED TO THE LNFT, WT FALL.ORE TO DO 60 s111ALL <br />IkW= NO OBLOATH M OR LIABILITY OF ANY KIND UPON THE MURLR, ITS AGENTS OR <br />REPIENWATME. <br />ACORD 25 (200 tJ981 The registradon nofiCeS krifcete ownership or the ma>Nfls blr ttLBir raBpecmve owners OACORD CORPORA 10M %"% 2 a7 <br />132849 03.13-2007