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COAST SURVEYING, INC. 2 - 2011
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COAST SURVEYING, INC. 2 - 2011
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Last modified
11/6/2017 8:37:16 AM
Creation date
6/28/2011 8:59:13 AM
Metadata
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Template:
Contracts
Company Name
COAST SURVEYING, INC.
Contract #
A-2011-099
Agency
PUBLIC WORKS
Council Approval Date
4/4/2011
Expiration Date
2/28/2012
Insurance Exp Date
9/18/2018
Destruction Year
2017
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Aug 271401,47p Tad Bower sox State Farm <br />9496614119 p 8 <br />,4co cai CERTIFICATE OF LIABILITY INSURANCE <br />DArel~001YYYY) <br />07 /15/201d <br />PRDOU(i <br />TEC K'P- SOS <br />STk'P FAF.M INSliRPti C3 <br />340E5 PACIFIC COAST HILY., STF 204 <br />THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDEff,,, Tji3$_rLEgTjFICATE DOES NOT AMEND, EXTEND OR <br />ALTER E 4#gB04i1BY THE POLICIES BELOW. <br />LANA-^OR:T, CA 92629 <br />EACIJCCCURRENCE 'S _ <br />�__ <br />r�N��TTyy ���� CC nn,lTd- t,� <br />INSURER9AfFORONNi OOt AIiA _ ���,. NAIL! <br />�'i <br />INSURED <br />COAST SURVEYIVG, IIS <br />15031 PARii LOOP, SUL'"F g <br />INSUPEP A: S u C urance Cp dr_f 25176 <br />INSURERS. <br />NSURE0.0 <br />TUST T_PI, CA 92780 <br />INSURER D'. <br />_ C <br />INSURER E. <br />a3H <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWRHSTANCING <br />ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR 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 />POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ <br />:NSR ATL•.. _ P E-PIPAT,� <br />LIR .NSRD TYPB OF INSURANCE POLIO-wisesR DATE (111111i DATFINNUIDO(i ILWITS <br />GENERAL LIABRITY <br />EACIJCCCURRENCE 'S _ <br />T9E"b'RFRfEi <br />FREMRS 'Eaawarencel -3 .__ <br />ONMERCWlG6iERjAt <br />MED E%PI del '.3 <br />-LC �DA311TY <br />CLARlS AWOE LJOCCUR <br />PERSONAL a Abv INJURY <br />GENERALAGGREGATE <br />FRCDUCiS-COYPCP AGG ''.3 <br />@TRADCRKAlEl/NTATYlE9?Elt <br />PRO. <br />POLICY I. JECT IOC <br />A <br />IwTOYo�ELMeRnr' <br />i -I <br />i30 9131-121 <br />�ANVAIfTO CSO 5502-51 <br />059 540-515-75 <br />02(12,/14 <br />02!12/15 <br />co16:TE05NGtE alar is <br />I1X <br />'X <br />ALL OMAUTOS 0645 7143-H15-75 <br />S fiDuuw alms 290 3043-515-75 <br />I �� INJURY ks I, COC, 000 <br />-- --- <br />eootvlwuRY �3 11011 <br />TPN ioFdnl) <br />X <br />HIgEp AImU 298 1781-H15-75 <br />X <br />NClJ.DWNEO AUTOS <br />_yam <br />FROPERTI'DAMAGE is 1,0201070 <br />1PR AmeN�O <br />'.X <br />'.X <br />(COMP/CCL= CEC100C. <br />Iwa:ver subro ai ix <br />GARAGELIABLJTY <br />WTOONLY-EA ACCIDENT '; <br />OTHER r. EA ACC OS <br />ATrrAL•m <br />AUTO ONLY <br />AGS f <br />E%CE99ANSIMLLALIAeWTY <br />EACN'CCURRENCE 5 <br />AGC4iEGA'E S <br />OCCUA F Cci iMSSW)c <br />_ <br />S <br />S <br />�. )EDUCTBLE <br />-� <br />--- <br />6 <br />RETEVDON S <br />! <br />VIORSOYE SONPENSATONAM <br />SSTLOY[RS' WIBELRY <br />ANY PROPRIETOF <br />WG S'Alt DTH- <br />YLDA`S EN <br />EL. EACH s <br />SiA in, <br />LCI SE -EA EMPLOYEE Is <br />"CLUERIE%ECU'NE <br />Gci ICFRMEME£R E%CLWEUT <br />ELOISEASE-F ICYUMF IS <br />Ily% dNaIG9i.PEp <br />s UALPROVSONSW. <br />P. <br />OTHER I <br />EMPLOYERS NON-OP:YED 237 9449-FC6-75 <br />06/C6/:d <br />05!06/15 <br />/ b81f <br />FORM <br />F:AHIL.TY BOIL <br />S TO <br />ClS N TgNOFOPERATNJNSILO"MRSIVEHICLESIUCWSIDNSRDDEOeYENDORSEMENTISPEC IONS <br />ALL DPERAT'IONS Jose andoval <br />$ 'or Assist a City Attorney <br />i I Int.n I c rTlJwcn <br />THL TTY 07 SANTA AIIA SSIOIAD ANT OF TME A90YE OBOSB® POLRt3 E CANCELLm SFFORE TRE EItPIIWTION <br />DATE THEREOF, THE DUNG NSURER RILL ENDEAVOR TO NAR N DAYS WRITTEN <br />NOTICE TOTNE CERTlfi HOIDCR NAME; TO THE LEFT, ALIT PARURE TO 00 SO SHALL <br />Nii NOOeLATATlON OR LMm.RY OF ANY NIAID UPON Me INSURER, ITS AGENTS OR <br />RPlRESQiTA71VE8. <br />ACORD 25 12001)(116) The registration -,ofws indicate mAner3Mp Of the marks by their re3pectme owners ®ACORD CORPORATION 1388, 2087 <br />132264S 03-13-2007 AR lights reiemed <br />
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