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�c -CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />D3`/26/A`YYdI <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS MATTER OF <br />I FORMATION <br />TED SOWEERSOX <br />ONLY AND CONFERS NO RIGHTS UPON THE <br />CERTIFICATE <br />STATE FAP -4 INSURANCE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND <br />EXTEND OR <br />3408E PACIFIC COAST RNY., STE 204 <br />ALTER THE COVERAGE AFFORDED BY THE POLI <br />IES BELOW. <br />DANA POINT, CA 92629 <br />+ <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />_ <br />INSURED <br />COAST SURVEY=NG, INC <br />INSURER a State Farm Mutual Auto Insurance CCRlpan <br />25179 <br />-- <br />INSURER B: <br />15031 PARKWAY LOOP, SUITE B <br />INSURER C: <br />TUSTIN, CA 92780 <br />INSURER O: <br />,ME LITER E. <br />t5 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />qOTWFFSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE f <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TOALL THE TERMS, EXCLUSIONS AND CO <br />POLICIES. AGGREGATE LIM ITS SHO WNMAY HAVE BEEN RGDUCEO SY PATO CLAIMS, <br />IAY BE ISSUED OR <br />qOTIONS OF SUCH <br />II SR <br />LTR <br />A30V <br />INSAN <br />TYPE F NSURANCE <br />_ <br />POLICYNUMBER <br />POU CY FFECTIVE POLICYEXPIRATION <br />DATE QMMIDDNY1 DATE MM.D0,W1 <br />LIMIT <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY` <br />EACH OCCURRENCE_ <br />S <br />E� <br />PREMISES i Ea= rrence <br />5- <br />MED EXP Ana ;ersnnl <br />5 -� _ <br />CLAIh1$MPDS OCCUR <br />PERSONAL &ADV INJURY <br />5 <br />GENERALAGGREGATE <br />6•,y.,.-�..-....- <br />GEHLAGGREGATEUXINPPUESPER <br />P <br />PRCOUCTS-COMPJOPAG3 <br />POLICY JECTRO- <br />LOC <br />A• <br />AUTO <br />X <br />% <br />M081LELIAE""ITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />1.30 91.31-1315-75 <br />C90 5581-1115-75 <br />059 S449-1515-75 <br />066 7143-315-75 <br />290 3043-815-75 <br />08/12/13 <br />08/12/14 <br />COMBINEOSINGLF.LIMIT <br />(Ea aceldantl <br />Y <br />BODILY INJURY <br />T.P,,.n) <br />-_— <br />^1,000,000 <br />BODILY INJURY <br />(Per accdan:l <br />1,000,000 <br />X <br />HIRED AUTOS <br />NbN-GVVNED AUTOS <br />288 1781.-815-75 <br />-X �I <br />x, ICONP/COLE <br />DED1D 00. <br />rnl <br />� �M o '' <br />��,�'��„ <br />.ROPERWDAIUNCE <br />s <br />Tv aIwmj <br />-.....mom <br />1, 000, 0C'0 <br />GARAGE LIABILITY <br />N'f A11TO <br />AAUTO <br />80,7)7 i'I. <br />rLmf' 3 i <br />t <br />�' i� <br />/'/,�...- 1,') <br />✓'"� <br />t��{1P.y <br />AUTO ONLY -EA ACCIDENT <br />OTHERTHAN EA ACC <br />ONLY, <br />AGO <br />EXCESSIUTABRELLALIA91I <br />FY <br />I�'I <br />OCCUR ,_�J CLAIMS MACE <br />�-� (Jtl <br />�{, <br />�y515{.c. <br />EACH OCCURRENCE <br />AGGREG,i7E <br />,�„--_v,-,-„,- <br />DEDUCTIBLE <br />RETENTION <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIADILITY <br />TWO ITATU- OTH <br />iOR LIA!ITS ER <br />E,L, EACH ACCIOENr <br />EL. DISEASE - EA EMPLOYEE <br />k9Y PROPRIETOMPARTNERIEXECUTIVE <br />OFFICERPAEMBER EXCLUDED? <br />�II ce, dggviUe u��er <br />SwF„CIAL PROVISIONS Wo. <br />E.L. OISEASE . POLICY LIMIT <br />A <br />OTHER <br />I <br />EMPLOYERS ZION-OWNILU <br />297 9449-F06-75 06/06/1” <br />06/06/15 <br />/Imm) <br />LIABT_LITY 3OLICY <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />project: rity of Santa Ana on call <br />CLF: ALL O?BRATIOLIS AS IT PERTAINS TO NAMED IJISrSP.F.17 <br />.^-I-"Y OF SANTA ASf.A SHOULD ANY OF THE ADOVE DESCRIBED POLICIES BE CANCELLED B FORE THE EXPIRATION <br />P.O. BOX 19E6 DATE TNEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN <br />SANTA ANA, C 927C7 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAI URE TO DO BO SHALL <br />IMPOSE 140 OBLIGATION OR LIADIL{TY OF ANY KIND UPON THE PIS PER. ITS AGENTS OR <br />REPRESENTATIVES. <br />ACORD 25 (2001108) The registration notices indicate ownership of the mar'rs by their respective Owner CACORD CORPO TION 1988, 2007 <br />132840 0313-2007 tit rights res@Ned <br />