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ACC>RD' CERTIFICATE OF LIABILITY INSURANCE MTE 0/2014 <br />* av1DreD1a <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 certlllcate 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 />certificate holder In lieu of such endorsement(s). <br />PRODUCER Phone: 628.855.8288 Few. (fi2S 85&0978 <br />KCAL INSURANCE AGENCY <br />2048 S. HACIENDA BLVD. <br />CONTACT Emery Lee <br />-• - - _ <br />PHONE 628.955.8298 FpX 628 ) 955-0979 <br />ye. <br />HACIENDA HEIGHTS, CA 91745 <br />... „( <br />EdWL <br />DREes: <br />INSURER($) AFFORDING COVERAGE <br />NAIC# <br />GENERAL LMSILITY <br />Agency Llup; OB07015 <br />IIJSUNERA HARTFORD <br />INSURERS <br />INeUREP .,. ., .. ....... ... <br />GEOSPATIAL TECHNOLOGIES, INC. <br />10055 SLATER AVE., STE. #214 <br />FOUNTAIN VALLEY CA 92708 <br />INSURER c <br />DAMAGE TSB WEE $ "' <br />INS RER P. <br />1 <br />I_. <br />NSURER E <br />_ CLAIM$ -MADE OCCUR <br />INSURER <br />bmnitirIA+AICIeumumK; Iwwl KEVISION NUMBER' <br />THIS IS TO CERTIFY T AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 ALLTHE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR, <br />LTE <br />TYPE OFIN$URANCE <br />-. �. <br />SUB <br />ADD'L MD <br />POLICY NUMBER <br />POUCYEFF pppCYEXP <br />LIMITS <br />_. IMMmDrrrvv -... _ <br />EACH OCCURRENCE S <br />GENERAL LMSILITY <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TSB WEE $ "' <br />1 <br />I_. <br />PREMIERE IEa oca,ence) _ <br />_ CLAIM$ -MADE OCCUR <br />MEO. EXP (Any one person) $ <br />- <br />PERSONAL &ADV INJURY $ <br />GENERALAGGREGATE $ <br />'L AGGREGATE LIMIT APPLIES PER <br />_. .— <br />PRODUCTS. - COMPIOP AUG <br />TO FO S <br />�GEN <br />E° <br />POLICY LOG <br />AppROVED AS <br />' AUTOMOBILE <br />LIABILITY <br />CtlMBINEp SINGLE LIMIT <br />IEa a«aenO <br />$ <br />ANY AUTO <br />V <br />-_. <br />BODILY INJURY person) <br />....._ <br />$ <br />'- <br />ALLOWNED SCHEDULED <br />AUTOS <br />T' <br />Laura A. Rossini <br />BODILY INJURY (Per aeddwt) <br />$ <br />AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />Assistant City <br />Attorul <br />— <br />$ <br />PROPERTY DAMAGE - <br />Perecadenq <br />_ _ <br />UMBRELLA LIAR <br />OCCUR <br />I _ <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />- <br />AGGREGATE <br />$ <br />$ <br />DEC RETENTION$ <br />A WORMERS COMPENSATION <br />72WECEV7186 <br />01/22114 01722115 TATU- -1I OTN' - " <br />S <br />AND EMPLOYERS' LWpILITY <br />ANY PROPMETOWPARTNERIEXECUTINE YIN <br />TO7T—AT—U--]- <br />'LIMIT6 ER <br />E.L. EACHACCIDENT S 1,600,060 <br />OFFICEWMEMDER EXCLUDED? <br />MIA <br />(MO.d.., In re) <br />. E.L. EAS <br />EL DISEASE-EA EMPLOYEE $ 1,606,060 <br />Ifyae tlexeea ender <br />DESCRIPTION OFOPERATIONS Inbw <br />'EL. DISEASE - POLICY LIMIT $ 1,660,060 <br />—/LOCATIONS <br />6E$eRIPT10N OF OPERATIONS / VEHICLES Andeh ACORp lot, Additional Remarks Schedule, if more apace Is required) <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVISION$. <br />AUrHORIZEO RFHiESENTpTIVE <br />Attention: <br />Ina AUUKU new and 1090 are registered ni Of AGURD <br />