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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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Template:
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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DATE (MNIDDITYYYf <br />A4c Ro v® CERTIFICATE OF LIABILITY INSURANCE sr1012o14 <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: Who ceftifleate holder is an ADDITIONAL INSURED, the policy(les) 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 />PRODUCER <br />)ealey, Renton & Associates <br />D. O. Box 10550 <br />Tanta Ana CA 92711-0550 <br />INSURED <br />Coast Surveying, Inc <br />15031 Parkway Loop, Suite B <br />Tustin CA 92780-6527 <br />_,2u)L -101 <br />L.L7YGI4AOCD YGn.rr ,Vn,r.. r...rr....rVLw+wV <br />THIS IS TO CERTIFY THAT THE POLICIES O' INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AS E FOATHE 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 <br />TYP[OP INSURANCE <br />AM <br />HER <br />SUES <br />POLICY MVMEER <br />ROLICYEFF <br />POLICWAMO EXP <br />LIMITS <br />B <br />DlNERALL uw <br />P.O. Bon 1988SLurxoRlao <br />Santa Ana CA 92702 <br />4948L2e0 <br />/182014 <br />N82015 <br />EACH OCCURRENCE 51,000.000 <br />PREMISES 1 $1'000.000 <br />X COMMEnUL. GENERAL LABILITY <br />MED EXP M ens i $10,000 <br />jCWNS-NAGE X❑ OCCUR <br />X acWal <br />PERSONAL S AW EQUITY $1000.000 <br />Liability <br />GENERALAGGREGATE $2000000 <br />APPROVED AS TO <br />FORM <br />GENE. AGGREGATE <br />POLICYX <br />UNIT APPLIES PER: <br />PRO. LOCCD <br />PRODUCTS -COMPIOP AGG $2,000,000 <br />$ <br />AUTOMOBILE UAlMUTY <br />w <br />Laura A. RDs <br />Senior Assistant Cit <br />ini <br />,At <br />BODILY wJURv (PM Versdn) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY(PMa¢Idmt) $ <br />PROPERTY OAIAAGE S <br />HIRED AIIT(13 AUTOS <br />$ <br />% UMBRELLA LIAR <br />% I <br />OCCUR <br />CUP4156T601 <br />76/2014 <br />/18/2015 <br />EACH OCCURRENCE 65,000.000 <br />AGGREGATE 65.000,000 <br />EXCESS WB <br />CIAa1s-MADE <br />DED I I RETENTION <br />WORKERS COMPENSATION <br />S <br />X A O H- <br />U87836YB14 <br />/18/2014 <br />/162015 <br />E.L. EACH ACCIDENT $7,000,000 <br />AND EMPLOYERS- LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUfIVE� <br />E.L. DISEASE - EA EMPLOYE 31,000.000 <br />�,IC�ERIryEAet'E%CLUDED? <br />NIA <br />E.L DISEASE -POLICY LIMIt $1,000,000 <br />I .deecdEe under <br />OE PTION FOPERATIONS WOW <br />C <br />�Pmfessiorall-iatoilftV <br />Claims Made <br />105343474 <br />/182014 <br />/78/2015 <br />Par Claim $1,000,000 <br />Anml it Aggr. $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (AMeN ACOBD 101, AddltiwA Remarks Schedule, If mora apnea M required) <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 are Additional Insured <br />as respects to General Liability coverage as required by written contract. Coverage afforded the Additional Insured is Primary & <br />Non -Contributory as required by written contract. Waiver of Subrogation included in Work Compensation as required by written contract. <br />GERIIFIL,AICMULMCR <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: David Ip <br />REPRESENTATIVE <br />P.O. Bon 1988SLurxoRlao <br />Santa Ana CA 92702 <br />nnu Au dnG.r uA <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />_ _____---- _. --_._ _.... _. ',�( <br />A—z,14 — io l <br />
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