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COAST SURVEYING, INC. - 2011
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COAST SURVEYING, INC. - 2011
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Last modified
6/9/2014 12:47:56 PM
Creation date
1/19/2012 12:37:58 PM
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Contracts
Company Name
Coast Surveying Inc.
Contract #
A-2011-246
Agency
Public Works
Insurance Exp Date
9/8/2012
Destruction Year
2017
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ACO ��. CERTIFICATE OF LIABILITY INSURANCE DATE `MM/D °`�' <br />9/12/2011 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, 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 -652`7 <br />nnalrs A I'!00 <br />INSURER A <br />INSURERS AFFORDING COVERAGE <br />fi POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />OTWITHSTANDING 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 />RMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR1 <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />C <br />GENERAL LIABILITY <br />6 8 0 4 8 4 9 L2 8 0 <br />9/18/2011 <br />9/18/2012 <br />EACH OCCURRENCE <br />s 0 0 "0 0 <br />FIRE DAMAGE (Anyone M ) <br />Z <br />• COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE li] OCCUR <br />MED EXP (Anyone on <br />i <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />• Contractual <br />—Liability itV <br />GENERAL AGGREGATE <br />J2_1200 nno <br />PRODUCTS - COMP/OP AGG <br />i <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO 17 LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Es accident) <br />a <br />BODILY INJURY <br />(Per Person) <br />$ <br />ALL OWNED AUTOS <br />I( SCHEDULED AUTOS <br />' <br />BODILY INJURY <br />(Per accdent) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS' <br />�t NI <br />�� () V� <br />U i U12 <br />PROPERTY DAMAGE <br />(Per accdent) <br />$ <br />— <br />GARAGE LIABILITY <br />ANY AUTO <br />A SSI6tant <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />$ <br />E <br />AUTO ONLY: AGG <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />E <br />AGGREGATE <br />$ <br />OCCUR L CLAIMS MADE <br />_ <br />S <br />DEDUCTIBLE <br />RETENTION <br />WORKERS COMPENSATION AND <br />U7 8 3 6 Y 814 <br />9 / 18 / 2 011 <br />9 / 18 / 2 012 <br />WC STATU- OTH- <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$1 000 000 <br />E.L. DISEASE - EA EMPLOYE <br />$1,000:000 <br />E.L. DISEASE - POLICY LIMIT <br />S <br />B <br />OTHER <br />Professional Liability <br />!aims Made <br />105343474 <br />9/18/2011 <br />9/18/2012 <br />Per Claim $1,000,000 <br />Annual Aggr. $2,000,000 <br />DESCRIPTION OF OPERATIONS /LOCAT)ONBNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />General 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 />Work Compensation as required by written contract. <br />City of Santa Ana <br />Attn: David Ip <br />P -O- Box 1988 <br />Santa Ana CA 92702 <br />ACORD <br />D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />E THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />TO THE LEFT. <br />AUTHORIZED <br />U <br />
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