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<br />"'_""2..1" l~ <br />ACORDno CERTIFICATE OF LIABILITY INSURANCE <br /> <br />o~ <br /> <br /> <br />PRODUCER <br />Dealey, Renton & Associates <br />P. O. Box 10550 <br />Santa Ana CA 92711-0550 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLlCIES BELOW. <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br />Coast Surveying,rne <br />15031 Parkway Loop, Suite B <br />Tustin CA 92780-6527 <br /> <br />INSURER A; <br />INSURER B: <br />INSURERC: <br />INSURER D: <br />INSURER E: <br /> <br /> <br />COVERAGES <br /> <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING AN1 REQUIREMENT , TERM OR CONDITION OF AN1 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />....ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I~ TYPE OF INSURANCE POLICY NUMBER P~~ EFFECTIVE POLICY EXPIRATION LIMITS <br />~ ~NERAL LIABILITY 6804849L280 9/18/2009 EACf{OCCURRENCE $1 000.000 <br /> - FIRE DAMAGE (Mv llI1e tlrel $1 000 000 <br /> L nMERCIAL GENERAL LIABILITY <br /> CLAIMS MADE Ii] OCCUR MED EXP (Mv one Dersonl no 000 <br /> x rontractual PERSONAL &ADV INJURY 51 000.000 <br /> Liability GENERAL AGGREGATE $? nnn nnn <br /> ~'L AGG~E~E LIMIT APMPER: PRODUCTS. COMP/OP AGG $2 000.000 <br /> POLICY ~g LOG <br /> ~TOMOBILE UABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> - <br /> I-- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS ~ (Per person) <br /> I-- AS TO FO <br /> HIRED AUTOS l>.:J V t,D BODILY INJURY <br /> - 4 $ <br /> NON-OWNED AUTOS ....... !/ (Per acddenl) <br /> - ._;~~ e t? (icj II Ii <br /> PROPERTY DAMAGE <br /> (Per acclclent) $ <br /> l..... <br /> 'Laura .. ;~, ...... AUTO ONLY. EA ACCIDENT $ <br /> RRAGE LIABIUTY vitY }llorney <br /> ANY AUTO ;l\ ~~, ~ s~ ,10 l EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> :5ESS LIABILITY eACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE S <br /> $ <br /> =j DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND UB7836Y814 9/18/2009 9/18/2010 X 1.'I1S:8T~T,\I~ I IOJ~- <br /> EMPLOYERS' LIABILITY $1.000 000 <br /> E.L. EACH ACCIDENT <br /> E.L. DISEASE - eA EMPLOYEJ: $1 .000 000 <br /> E,L. DISEASE. POLICY LIMIT $I ,000 000 <br />C OTHER 105343474 9/18/2009 9/18/2010 Per Claim $l,OOO,OOO <br /> Professional Liability Annual Aggr. $2,000,000 <br /> Claims Made <br />DESCRIPTION OF Of'ERATIONS/LOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />peneral Liability policy excludes claims arising out of the performance of professiOnal. services. <br />IRe: All Operations as pertains to named insured. The City of Santa Ana, its officers, employees, and representatives <br />~re Additional Insured as respects to General Liability coverage as required by written contract. Coverage afforded <br />he Additional Insured is Primary & Non-Contributory as required by written contract. Waiver of Subrogation included in <br />Iwork Compensation. <br />CERTIFICATE HOLDER I I ADDITIONAL 'NSURED' INSURER LETTER: CANCELLATION1n n::>v 'toT"+-';,..,,, f'''T 'J\T"T'l_ <br /> ~HOULD AN1 OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> City of Santa Ana ~EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br /> ~ILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br /> Attn: David Ip I ~AMED TO THE LEFT. <br /> P.O. Box 1988 <br /> Santa Ana CA 92702 <br /> - <br /> AUTHORIZED REPRESENTAnr!' . 7 . -.- .;~I .A.- ~ <br /> I , -- ....... - <br /> <br />ACORD 25-5 (7/97) <br /> <br />(jACORD CORPORATION 1988 <br />