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OP ID: AS <br />'n`n�oRo. CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/D11�) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the 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 endorsements . <br />PRODUCER 415-661-6600 <br />CONTACT <br />NAME: <br />CAL Insurance 8, Associates Inc <br />License #0241094 415-661-2254 <br />2311 Taraval Street <br />San Francisco, CA 94116-2253 <br />Joe DeLucchi <br />PHONE FAX <br />A.c No Ext : (a/c, No): <br />E-MAIL <br />ADDRESS: <br />PRODUCER GISDA-2 <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED GIS Data Resources, Inc. <br />INSURER A:CNA <br />20435 <br />INSURER B : <br />8 Digital Drive, Suite 200 <br />_ <br />INSURER C : <br />Novato, CA 94949 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />cnVGQenI=c CFRTIFICATF NIIMRFR- REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR 1 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />UBR <br />POLICY NUMBER <br />MM DDPOLICIYYYY <br />MM DDIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />X <br />�4019896305 <br />10/29/10 <br />10129/11 <br />PREMISES Ea occurrence <br />$ 100,00 <br />MED EXP (Any one person) <br />$ 5,00 <br />CLAIMS -MADE OCCUR <br />PERSONAL & ADV INJURY <br />IS 1,000,00 <br />APPROVED AS TO <br />FORM <br />X <br />HNO Auto <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />�'` ((( '� <br />4 GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,00 <br />Emp Ben. <br />$ 1,000,00 <br />AUTOMOBILE <br />A i <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />10/29/11 <br />COMBINED SINGLE LIMIT <br />'�(Ea accident) <br />$ 1,000,00 <br />401 �tj i1rR 1ST <br />/�.�� <br />&'Ia7 CRY AUM <br />; Aft Ei' <br />Ky <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />X <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />X <br />NON-OWNEDAUTOS <br />_ <br />X <br />UMBRELLA LIAB <br />OCCUR <br />1I <br />EACH OCCURRENCE <br />$ 1,000,00 <br />AGGREGATE <br />I'i $ <br />A - <br />EXCESS LIAB <br />CLAIMS -MADE <br />4019896353 <br />10/29/10 <br />10/29111 <br />--� <br />f X <br />DEDUCTIBLE <br />RETENTION $ 10,000 <br />1 <br />$ <br />_ _ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ ', N I A <br />(Mandatory in NH) <br />401989625510/29/10 <br />li <br />10/29111' <br />X WC STATU- OTH- <br />TORY LIMIT ER <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,00 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,00 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space Is required) <br />SANTA ANA FIRE DEPARTMENT, THEIR OFFICERS, DIRECTORS, AND AGENTS ARE NAMED <br />AS ADDITIONAL INSURED PER ATTACHED G144294-C99 <br />CERTIFICATE HOLDER CANCELLATION <br />SANTAAN <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 />SANTA ANA FIRE DEPARTMENT <br />1439 S. BROADWAY <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA, CA 92707 <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />