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Rd CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMI011113 Y(
<br />04121(73
<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
<br />the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT
<br />NAME:
<br />CS &SINEW CENTURY INS SERVICES INC.
<br />PHONE
<br />FAX
<br />()VC, No, at):
<br />INC, No:
<br />PO BOX 946580
<br />EMAIL
<br />ADDRESS:
<br />Maitland, FL 32794 -6580
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />1.877- 724.2669
<br />INSURER A: Valley Forge Insurance Company
<br />20508
<br />INSURED
<br />INSURER B: Continental Casualty Company
<br />20443
<br />INSURER C:
<br />GEOSPATIAL TECHNOLOGIES, INC.
<br />NSURERD:
<br />10055 Slater Avenue, Suite 214
<br />wSURER E:
<br />Fountain Valley, CA 92708
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANDINGANY 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 />INBR
<br />LTR
<br />TYPE OF INSURANCE
<br />APBL
<br />INSR
<br />9URR
<br />vivo
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD
<br />POLICY E %P
<br />MMIODMr
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />Y
<br />4029432517
<br />06/01113
<br />06/01/14
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO
<br />PREMISES EaEmcveeore
<br />S 300,000
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />MED EXP (Any one Person)
<br />$ 10,000
<br />PERSONAL &AOV INJURY
<br />$ 1,000,000
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMPS)P AGO
<br />$ 2,000,000
<br />POLICY ECT X LOC
<br />A
<br />AUTOMOBILE LIABILITY
<br />4029432511
<br />06101113
<br />06/01/14
<br />COMBINED
<br />COMBINED SINGLE LIMIT
<br />$ 1,000,000
<br />BODILY INJURY(Per parson)
<br />$
<br />ANY AUTO
<br />BOO] LY I NJU RY(Per accident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTO, AUTOS
<br />NON -OWNED
<br />HIaEDAUTOS AUTOS
<br />PROPERTY DAMAGE
<br />(Peracddeni
<br />$
<br />B
<br />UMBRELLA LIAB
<br />IVi
<br />OCCUR
<br />4029432498
<br />06/01113
<br />06/01/14
<br />EACH OCCURRENCE
<br />S 1,000.000
<br />AGGREGATE
<br />$ 1,000,000
<br />EXCESS
<br />CLAIMS -MADE
<br />IDEDIXI RETENTION $ 10,000
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />A+ i R
<br />APPROVED
<br />�p �-
<br />(Et,�VV
<br />p�^, �r*
<br />V ED AS y O
<br />�, wn,6
<br />i pRM
<br />FORM
<br />-a 4./
<br />LIMITS
<br />ER
<br />E.L. EACH ACCIDENT
<br />$
<br />E.L DISEASE - EA EMPLOYEE
<br />$
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />OTNER
<br />pp ,�, �+
<br />L' ssis
<br />4rf r V, ®LS ♦S4�
<br />ant City [may`
<br />ruey
<br />TORY L MITS
<br />ER
<br />E.L. EACH ACCIDENT
<br />$
<br />E.L DISEASE - EA EMPLOYEE
<br />$
<br />E.L. DISEASE - POLICY LIMIT
<br />&
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anach Acorn 701, Addition 1, Remarks 5chadule, i /more apace Is required)
<br />Certificate Holder and it's officers, employees, agents, volunteers & representatives. Named as Additional Insured - Owners, Lessees
<br />or Contractors. Insurance is primary & noncontributory. Per SB147082 -C
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<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 />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />AUTHORIZED nPRIEUENTAHIVc
<br />,-G. law,
<br />© 1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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