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.,� . ,2 ode, 076, <br />ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Deal ey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Santa Ana CA 92711 -0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURED <br />Coast Surveying, Inc <br />15031 Parkway Loop, Suite B <br />Tustin CA 92780 -6527 <br />COVERAGES <br />INSURER B: <br />INSURER C: <br />INSURERS AFFORDING COVERAGE <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />OTWIT14STANDIUG ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN_MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ! TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE IMMIDDIYYI DATE <br />A i <br />GENERAL LIABILITY 6804849L280 <br />X COMMERCIAL GENERAL LIABILITY <br />9/18/2010 <br />9/18/2011 <br />EACH0(CURRENCE_ <br />31 000 0U <br />FIRE DAMAGE An one fire) <br />S j QQQ Q Q <br />MED EXP (An one erwn <br />3) Q �Q Q <br />CLAIMS MADE �X 'I OCCUR 'i <br />PERSONAL &ADV INJURY <br />31 00 <br />'X <br />Contract 4,:L_ 4 <br />GENERAL AGGREGATE <br />3 <br />b j l i t_y M_ <br />PRODUCTS - COMP/OP AGG <br />32 <br />GEN'L AGGREGATE LIMIT APPLIES PER: !: <br />POLICY X PRo- LOC f <br />AUTOMOBILE <br />i <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />i <br />3 <br />3 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />j <br />I <br />BODILY INJURY <br />(Per accident) <br />13 <br />HIRED AUTOS <br />NOWOWNED AUTOS <br />APPROVED <br />ry� t� <br />AS <br />tO <br />PROPERTY DAMAGE <br />(Per accident) <br />1$ <br />GARAGE LIABILITY <br />i <br />4 AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />' AUTO ONLY: AGG <br />$ <br />( <br />ANY AUTO <br />$ <br />EXCESS LIABILITY <br />I ASSiStant <br />OCCUR _J CLAIMS MADE <br />_ <br />it <br />it01 gCy <br />EACH OCCURRENCE <br />S <br />{ AGGREGATE <br />Ij� <br />3 <br />3 <br />I DEDUCTIBLE <br />3 <br />. RETENTION $ <br />A <br />WORKERS COMPENSATION AND UB 7 8 3 6 Y 814 <br />9/18/2010 <br />9 / 18 / 2 011 <br />g I WC STATU- OT"- <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />EMPLOYERS' LIABILITY <br />E.L. DISEASE - EA EMPLOYEE. <br />$1, QQQ '000 <br />E.L. DISEASE - POLICY LIMITT <br />I <br />B <br />OTHER 105343474 <br />Professional Liability <br />9/18/2010 <br />19/18/2011 <br />Per Claim $1,000,000 <br />Annual Aggr. $2,000,000 <br />Claims Made <br />DESCRIPTION OF OPERATIONS ILOCATIONSNENICLESIF -XCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ' <br />neral Liability policy excludes claims arising out of the performance of professional services. <br />Re: All Operations as pertains to named insured. The City of Santa Ana, its officers, employees, and representatives <br />are 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 />ork Compensation as required by written contract. <br />"K I IPR.A I t n%jL.UCK I I ADDITIONAL INSURED; IN3UKEK LETIM: IIV1N - <br />HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />City of Santa Ana qILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />Attn: David Ip 4AMED TO THE LEFT. <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />AUTHORIZED <br />At'r%Dn 79_Q 171071 <br />a ACORD CORPORATION 1988 <br />