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<br /> <br /> <br /> <br /> YY) <br /> ,ate CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY <br /> PRODUCER 7!16/2010 <br /> Insurance Office of America THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 130 Yantis, Suite 165 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Aliso 0 Viejo, CA 92656 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 13 <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> CA License #OE67768 949-297-5960 <br /> www.ioausa.com 949-297-5960 INSURERS AFFORDING COVERAGE NAIC # <br /> IN11URED California Surveying Corporation INSURER A Travelers Casualty Ins Co of America <br /> and The Martin Lloyd Corporation INSURER B: <br /> 18200 West McDurmott, Suite E INSURER C: <br /> Irvine CA 92614 <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR POLICY NUMBER LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ <br /> CLAIMS MADE [--]OCCUR MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> POLICY PRO LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> V t BODILY er acci $ <br /> NON-OWNED AUTOS t - (Per accident) ent) <br /> PROPERTY DAMAGE <br /> ~YPR~V <br /> / (Per accident) $ <br /> GARAGE LIABILITY L.. ! - AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> n0 OTHER THAN EA ACC $ <br /> ,~t10 AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR F-ICLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION $ <br /> A WORKERS COMPENSATION UB330OT887 9/1/2009 9/1/2010 wc <br /> sraru- orH- $ <br /> AND EMPLOYERS' LUU3ILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN Blanket Waiver of OFFICER/MEMBER EXCLUDED? FY-1 Subro #WC99037600 E.L. EACH ACCIDENT $ 1,000,000 <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 1 000,00(0) <br /> yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVSIONS <br /> Waiver of Subrogation Endt. WC99037600 included for any person/organization that are parties to a contract that require <br /> this End't, provided the contract is executed before the Loss. Coverage subject to all policy terms, conditions, <br /> limitations, and exclusions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Re: Tract 16576, Jackson Street Homes Project SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Santa Ana, its officers and employees DATE THEREOF, THE ISSUING INSURER WILL NX)OOVOW MAIL 30' DAYS WRITTEN <br /> Attn: Anderson Chrysostomo NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, )0(&XX <br /> 20 Civic Center Plaza ANKNKX"X <br /> Santa Ana CA 92701 =PMX))04)0 y * 10 Days for Non-Payment of Premium. <br /> AUTHORIZED REPRESENTATIVE / <br /> (AVC) Alicia K. Igram ~Lf2"~X <br /> ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> CERT NO.: 7831703 (AVC) Betty Tian 7/16/2010 9:32:21 AM Page 1 of 2 <br />