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Ap2017 01 05p <br />P,3 <br />ACC>RCER[7 <br />OU;Y <br />r <br />TIFICATE OF LIABILITY INSURANCE �C41'2t120 1'7 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CCNFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITU'T'E A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) Must be endorsed. It SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorse rr ent(s). <br />PRODUCER TED BOWERSOX, AGENT <br />34085 PACIFIC COAST HIGHWAY, 9204 <br />DANA POINT, CA 92629 <br />INSURED COAST SURVEYING, INC <br />15031 PARKk4VAY LOOP, SUITES _A§ 91 -R -E !1!9,:. <br />TUSTIN, CA 92780 ArSY12—En D -:1 <br />PrVIRInN1 N11MRIPPI. <br />"HiS IS T'_1 'vERTJFY THAT IHE POLICIES OF INSURANCL LISTED BELOW HAVE BEEN ISSUED TO T'HE INSURED NAJOED A80VE FOR THE POLICY PERIOD <br />INDICAIED. NCVN7-'S-ANOA�G ANY REQUIRENIEN1, <br />TERN OR CONOX101I OF ANY CONTRACT OR OTHER OCCUMLNT 0V11`,l RESPECT TO WHICH THIS <br />CER JIFICA1 E MAY BE ISSUED OR MAY PERTAIN'rt <br />E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUF.IECT To ALI_ <br />THE TERMS, <br />EXCLUSICNS AND CCNDITIC14S 0' SJCH PC-ICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA,D CLAIMS <br />INSRPOLICYEFF <br />POL ICY EXP <br />r(PF OF INSURANCE <br />IMM!D01YyYY) --umr-'s <br />GENERAL LIABILITY <br />EA�,H C1CXLRzENC,, <br />--l—ERZ-11' I GENILIL L AA.TATY <br />PREM <br />T., ILI <br />GENERAL AGGREGATE <br />S <br />SEM. Arc-;rGA­ LR IV APIi--S PiR <br />F RCDC12 P <br />II�Gl�_r <br />A LAUTOUGUI-E LIABILITY <br />290 3 043 -BI 5-75 <br />0211512017 02115,1201s Jcip f <br />ANS F,.,r: <br />059 5449-81 5-75 <br />02)1572017 0211512018 80r1LYINJURY IPerp.*orJ <br />�1.1,1 - , , <br />scL�L <br />A,110S <br />I <br />066 7143-815-75 <br />_.-Pww; <br />3OCJy1N1U1I1dd_0s <br />02;1512017 0215120111 <br />r`R0PERry CrVAAC <br />Ioco <br />X I+RrD AUT03 y <br />-I <br />1 <br />X DED 0 C <br />UFABREUI_A IJAS <br />EACH OCCIJF RENCF <br />EXCESS LIAB -_LAII,',S-VADI` <br />DE:) RETENTION'S <br />KERS COMPENSATION <br />�=-.ErAP _tOYER S'LIAS I L rry <br />t <br />rc <br />wH <br />I <br />,OPR,� AP_'KE_­'XI--U_T VI_ <br />At,YF� 'OR; <br />-CIDr _f <br />EL, EACI I AC N <br />CFF CEIM�NTER E"XC_JDE�.:-1 <br />In NH; <br />;,'A <br />V 1 ­b,,,dr <br />A EPAP-CYEWi 1,0.11-0,hNED LLAiHL1_Y PaAC' <br />297 9443-FO6-75 06,106/2017 06JO612018 <br />DES, RIPTION Cf OPERATIONS! LOCATONSi VEHICLES (Att,,cl,ACORDIO�,AdditionaiR.mart,$ched.l..ifc.,pa.ois"q.�,,�ll, <br />I <br />, "DCITIONAL INSLPED: THE CITY OF SANTA ANA, <br />F"S 0FFIC;`_R,9,E%Ir1L0YEES AND R EPRES ENTAT IVES <br />REF: D=SIGN ENGINEERING A-20'11-099 <br />7HIS:,5URANCE IS PRIMARY AND NONCON-RiBuroRY WITH RESPECTS TC CLAAISARiSAG OUT <br />VEHICLES <br />CANCEL'.ATIO',L 30 DAY 110 FOR NON-PAYMENT REVIEWED BY-, <br />wl <br />CITY OF SANTA ANA <br />P.O. BOX 1988, M-6,� <br />SANTA ANA, CA 92702 <br />ACORD 25 (2010105) <br />OpLKA I IUNS VI- : V"t <br />EUNICE FIEREDfA (PG"rZj0F <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />[HOR1770 REPRESENTATIVE <br />/_9 07t <br />- - - ----------- - - ----- <br />1988-2010 ACORD CORPORATION, All rights reserved. <br />The AGORO name and logo are registered marks of ACORD I001486 132FA98 CI -23-20'.3 <br />