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ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YY) 12 2 11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton s� Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O_ Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa Ana CA 92711 -0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. !_' GENERAL LIABILITY INSURERS AFFORDING COVERAGE INSURED Coast Surveying, Snc 15031 Parkway Loop, Suite B INSURER A: Travelers Pro ert Casualt Co o£ Ameri INSDRERB:Travelers Casualt &Buret Co o£ Amer. INSURER C: Travelers Indemnit Co. o£ Connecticut Tustin CA 92760 -6527 INSURER D: INSURER E: 'i��T� � -7:�C1 �� HE POLICIES OF INSURANCE LS STED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AHOVE FOR THE POLICY PERIOD INDS CATED. OTW ITHS TAND ING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTI FI CATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS !_' GENERAL LIABILITY Fi804849L280 9/18 /2011 9/18/2Ci2 EACH OCCURRENCE 51 C1OU OQQ FIRE DAMAGE (Any ona fire) $1 Q Q O O Q Q X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 1 Q Q 0 0 CLAIMS MADE � OCCUR PERSONALSADV INJURY $1 OQQ Q�Q X ont ractual Liabil itv GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2 O O O O O O POLICY }[ PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJVRY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS � �) ��ry ��%�� S S� C ! `y' � l� v 1_� (BPODILCC INenURY $ �" �� PROPERTY DAMAGE (Per accitlenl) $ GARAGE LIABILITY ANY AUTO data `,y Y. :� - y �BSlSi pint- 1' �� �1'�OiT1C: }� AUTO ONLY -EA ACCIDENT $ OTHER THAN E%� ACC AUTO ONLY: qGG $ $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR � CLAIMS MADE DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND __ i UB 7 8 3 6 Y 8 14 - 9/ 1 8/ 2 0 ]. 1 _ 9/ 1 8/ 2 0 12 � }{ WC srnru- OTH- __ EMPLOYERS' LIABILITY E. L. EACH ACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYE S 1 O O O O O O E.L. DISEASE - POLICY LIMIT $ B OTHER Professional Liability Claims Made 105343474 9/18/2011 9/18/2012 Per Claim $1,000,000 Annual Aggr. $2,000,000 DESCRIPTION OF OPERATIONS /LOCATIONSNENIC LES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. e: All Operations as pertains to named insured_ The City o£ Santa Ana, its officers, employees, and representatives re Additional Insured as respects to General Liability coverage as required by written contract_ Coverage afforded he Additional Insured is Primary & Non- Contributory as required by written contract. Waiver o£ Subrogation included in or)c Compensation as required by written contract. VCR I Ir II.A I C 1"IVL✓CIC ADDITIONAL INSURED- INSURER LETTER: (.:AN(.: t=LLA I IVN HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City O£ Santa Ana ILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER Attn: David IP AMED TO THE LEFT. P.O. Box 1988 Santa Ana CA 92702 AUTHORIZED REPRESENTAT ACORD 25 -5 (7/97) O ACORD CORPORATION 1988