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COAST SURVEYING, INC. 4 - 2014
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COAST SURVEYING, INC. 4 - 2014
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Last modified
5/30/2017 2:36:31 PM
Creation date
7/22/2014 11:42:34 AM
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Contracts
Company Name
COAST SURVEYING, INC.
Contract #
A-2014-101
Agency
PUBLIC WORKS
Council Approval Date
4/15/2014
Expiration Date
6/30/2016
Insurance Exp Date
9/18/2017
Destruction Year
2021
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ACORD CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYY) <br />8/28/2013 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates <br />P. 0. Box 10550 <br />Santa Ana CA 92711-0550 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />�_a__. <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURERA: Travelers Pronerty Casualty Co of Ameri <br />INSURER B: TrBV Q�_P iS ln0',21(ln].tV CO. Of COnneC1i1Cl]t <br />Coast Surveying, Inc <br />15031 Parkway Loop, Suite S <br />Tustin CA 92780-6527 <br />INSURER c: Travel ers—C 5ualty_,&__�,urejy Co_, Ame_rica___ <br />INSURER D: <br />EACH OCCURRENCE sl 000,000 <br />_ <br />. INSURER E. <br />I <br />COVERAGES <br />THE 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 />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN$R <br />TYPE OP INSURANCE <br />�_a__. <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />1,01Y <br />LIMITS <br />B <br />GENERAL LIABILITY <br />6804849L280 <br />9/18/2013 19/18/2014 <br />EACH OCCURRENCE sl 000,000 <br />FIRE DAMAGE (Any one fire) Sl QQQ QQQ <br />sox 1986 <br />Ana CA 927021 <br />COMMERCIAL GENERAL LIABILITY <br />_ CLAIMS MARE � OCCUR <br />MEA EXP (Any one person) $j Oi--0-0—t ._ <br />ADV INJURY $1 QQQ Q00 <br />IX_ ContractualPERSONALB <br />Liability <br />GENERAL AGGREGATE $2,000 rnn .._ <br />GGEEN'L AGGREGATE <br />1 I POLICY <br />LIMIT APPLIES PER', <br />RO n LOC <br />X PIFCT <br />PRODUCTS-COMPIOPAGG!$2,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident $ <br />BODILY INJURY <br />(Per parson) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />j <br />BODILY INJURY <br />(Peraceident $ <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />PROPERTY DAMAGE------�-- <br />(Peraccident $ <br />'S� "'� <br />RNI <br />GARAGE LIABILITY <br />AUTO ONLY - EAACCIDENT $ <br />THEIR EA ACC $ <br />AUTO ONLY: AGO�$ <br />LJ ANY AUTO <br />- <br />m <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />�1llSt <br />?I,eS15CHdAC <br />Stitt i O <br />�(ty A COTiT <br />V <br />EACH OCCURRENCE $ <br />AGGREGATE is <br />S <br />PDEDUCTIBLE <br />. 5 <br />RETENTION $ <br />A <br />I jEMPLOYWORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />IpB7$36Y814 <br />19/18/2013 <br />19/18/2014 <br />1 STATU- OTH-! <br />IX IT <br />12 <br />E.L. EACH ACCIDENT $1, OOO COO <br />E.L. DISEASE - EA EMPLOYEE $1, 000, 000 <br />. <br />E. L. DISEASE -POLICY LIMIT 1$1 000 000 <br />C <br />IOTHER 1105343474 <br />'Professional Liability i <br />,Claims Made <br />9/18/2013 <br />9/18/2014 <br />IPer Claim $1,000,000 <br />(Annual Aggr. $2,000,000 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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 />the Additional Insured is Primary & Non -Contributory as required by written contract. Waiver of Subrogation included <br />in Work Compensation as required by written contract. <br />CERTIFICATE HOLDER I I ADDITIONAL NSURED' INSURER LETTER: CANCELLATION I n T)ao Nni ice `m- lgnn--Pa vmenr. <br />ACORD 25-S (7187) 0 ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXCIRATION DATE THEREOF, THE ISSUING INSURER <br />City <br />Of Santa Ana <br />WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br />Attn: <br />David Ip <br />HOLDER NAMED TO THE LEFT. <br />P.O. <br />Santa <br />sox 1986 <br />Ana CA 927021 <br />yl'',1j '�: LU 13 <br />AUTHORIZED REPRESENTAT(e <br />ACORD 25-S (7187) 0 ACORD CORPORATION 1988 <br />
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