CALIFORNIA SURVEYING CORPORATION 1-2010

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r CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) __F 7/1 201 PRODUCER Insurance Office of America THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Vantis, Suite 165 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 130 0 Viejo, Su 92656 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CA License #OE67768 949-297-5960 www.ioausa.com 949-297-5960 INSURERS AFFORDING COVERAGE NAIC # INSURED California Surveying Corporation INSURER A: Travelers Indemnity Company of CT and The Martin Lloyd Corporation INSURER B: Travelers Property of America 18200 West McDurmott, Suite E INSURER C: Irvine CA 92614 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRC TYPE OF INSURANCE DATE I dMIDD80M) DATE IMMIDDIYYYYI A GENERAL LIABILITY 68047831_526 9/26/2009 9/26/2010 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY Scheduled Al Endt DAMAGES ( RENTED PREMISES Ea occurrence $ 1,000,000 CLAIMS MADE Fv~ OCCUR #CGD3820907 MED EXP (Any one person) $ 10,000 Y/ Primary/NonCon PERSONAL & ADV INJURY $ 1,000,000 V Waiver Subro GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO W LOC A AUTOMOBILE LIABILITY BA507OL837 9/26/2009 9/26/2010 COMBINED SINGLE LIMIT ANY AUTO Designated Insured (Ea accident) $ 1,000,000 ALL OWNED AUTOS Endt #CA20480299 BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ H ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS I UMBRELLA LIABILITY CUP7228Y175 9/26/2009 9/26/2010 EACH OCCURRENCE $ 5,000,000 r/ OCCUR L-1 CLAIMS MADE AGGREGATE $ 5,000,000 $ DEDUCTIBLE APPitOt4/ E t_. AS TO RM $ $ RETENTION $ o TO WORKERS COMPENSATION WC Ulu OTH- AND EMPLOYERS' LIABILITY YIN 0au Y I R ANY PROPRIETOR/PlEXECUTIVE t,~ ELEACH ACCIDENT $ OFFICER/MEMBER EXCLUDEXCLUDED? (Mandatory in NH) SLAY She dy E.L. DISEASE - EA EMPLOYE $ If yes, describe under S PECIAL PROVISIONS below AcQi0nn 'lt ' torn V E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Cert Holder is Add Insd as respects Gen Liab but only If required by written contract with the Named Insured prior to an occurrence per Endt form #CGD3820907. Gen Liab incl Severability of Interest & Contractual Liab per limitations in Liab coverage form #CG00011001. Auto Liab Des Insd incl per Endt form #CA20480299. Coverage subject to all policy terms, conditions, limitations and exclusions. CERTIFICATE HOLDER CANCELLATION Re: Tract 16576, Jackson Street Homes Project SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana, its officers and employees DATE THEREOF, THE ISSUING INSURER WILL P)OCOV M MAIL 30 - DAYS WRITTEN Attn: Anderson Chrysostomo NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 0VrhXKAUNF=)0M)$XX)r_X 20 Civic Center Plaza xx»~a~ xncxaxxe~coa~nx~larc~axscc Santa Ana CA 92701p}y 10 Days for Non-Payment of Premium. AUTHORIZED REPRESENTATIVE X (AVC) Alicia K. Igram 2~J/ G~ ACORD 25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. CERT NO.: 7831684 (AVC) Betty Tran 7/16/2010 9:30:18 AM Page 1 of 4