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ACC>RLX CERTIFICATE OF LIABILITY INSURANCE 09119/2013 <br />THIS CERTIFICATE IS ISSUED AS A 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 policylies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRDDI -re PNOne. <br />626-8,,5-8288 F,N lazsl e550we 11111 T Emery Lee <br />All <br />KCAL INSURANCE AGENCY 'H;NT F" (626) 855 -0979 <br />2048 S. HACIENDA BLVD. ,AY w r v. 626 - 855 - 6288.. N,, _ <br />1An. <br />HACIENDA HEIGHTS, CA 91745 aDDREa'9 <br />INSURERS) AFFORDING COVERAGE NAIL N <br />Agency LCA 0B07019 INSUaeRn HARTFORD <br />T;URFO <br />GEOSPATIAL TECHNOLOGIES, INC. IwLResR <br />10055 SLATER AVE., STE.JE214 INSURER'; <br />FOUNTAIN VALLEY CA 92708 <br />INSURER) <br />INSURER' <br />NSURER F <br />COVERAGES CERTIFICATE NUMBER: 18169 REVISION NUMBER: <br />I HP, IJ IV lcC 1111 11l I IrIC rVLII.ICJ Vr IIVJV1111 1 LIP ICV owl 11 -1L uL1 IJJ .v.I x.11 -- 1-1--v "--. - i. .i i-. - -.- <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 ALLTHE TERMS, <br />NSR <br />TYPE OF INSURANCE <br />ADDI. '09R <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />LTR <br />_.... <br />IN .A All _.. <br />IMMIDDIYYYYI <br />INMIDDIYYYYI <br />_ <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />i <br />UlM ,r'ORFNTFP <br />5 <br />COMMERCIAL GENERAL LIABILITY <br />PRFI ISC. P.. �, wI <br />,, <br />- <br />- CLAIM6MADE OCCUR <br />h1ED EXn IA, Ix,,sOnl <br />> <br />' <br />PERSONAL A ADV INJURY <br />3 <br />GENERAL AGGREGATE <br />'a <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS OP AGO <br />4 <br />_.. PRO - <br />POLICY JECT LOC <br />-.. -. <br />. <br />AUTOMOBILE LIABILITY <br />... <br />CONBIND' Tytr,.I1LIT <br />'.Ea oaader p <br />5 <br />ANY AdTO <br />BODILY NJURYIPerpeSOnl <br />$ <br />ALL OWNED SCHEDULED <br />BODILY INJURY P rao'IdanD <br />$ <br />AUKS AUTOS <br />_. <br />HIRED AUTOS NON -OWNED <br />PROPEPTI LANA,F <br />j <br />AUTOS <br />5 <br />OCCUR <br />- <br />EACH OCCURRENCE <br />S <br />UMBRELLA HAD <br />EXCESS UPS CLAIMS -MADE <br />AGGREGATE <br />5 <br />DED RETENTION S - <br />$ <br />A <br />WORKERS COMPENSATION <br />72WECEV7186 <br />01)22)13 <br />01122/14 <br />'T'TATIJ O *H <br />'HRY 1'.N ITS ER <br />S <br />AND EMPLOYER$' LIABILITY <br />1,869, <br />ANY PROPRIETORIPARTNENEXECUTIVEN_ <br />EL EACH ACCIDENT <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />EL DSEASE-EA EMPLOYEE <br />S 1,000, <br />(Mandatory In NH) <br />R I -i Im <br />EL DISEASE POLICY LIMIT <br />S 1,000, <br />OT, <br />G <br />ors aPrONF FF1AnNSOduw <br />_... <br />-_ <br />I LOCATIONS I VEHICLES ACORD AShgpa�I�Ra�q J�s�ui�lule. If more space's required) <br />�P�yl')��l /lv r� ��AIVI'v r Vi(jvj� <br />Laura A. Rossini <br />Assistant City Attorney <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Chic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. <br />.iurvoareD RFPRFSFNTn IF -.. <br />Attention: <br />Amnon DS nMnmgi © 1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />