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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIODIVYYY) <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT --r,,, - <br />INSURED <br />KCAL Insurance Agency <br />2048 S. Hacienda Blvd., <br />Hacienda Heights, CA 91745 <br />License #: OB07015 <br />GEOSPATIAL TECHNOLOGIES INC. <br />10055 SLATER AVE STE 214 <br />FOUNTAIN VALLEY, CA 92708 <br />joann@kcal.net <br />No): (626)369-7539 <br />COVERAGES CERTIFICATE NUMBER: 00000000-112662 REVISION NUMBER' 3 <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, 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 <br />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 />_-ADDLSU6R <br />LTR TYPE OF INSURANCE POLICY NUMBER <br />_POLICY EFF POLICY EXP---"'""""' -' <br />MMDDYYYY MMID,yr LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE S <br />CLAIMS MADE OCCUR <br />DAMAGE TO RENTED <br />.. <br />PREMISE$JEaRggJn n L S <br />SII <br />... ...._... __ _..__......... - <br />MED EXP (Any one person) ; $ <br />- . <br />.......... ____ ... ........... <br />PERSONAL&ADV INJURY i$ <br />..... ___ <br />G AGGREGATE LIMIT APPLE S PER', <br />....... <br />GENERAL AGGREGATE -$ <br />POLICYJEMI , E LOC <br />�- <br />PRODUCTS-COMP/OP AGO <br />is <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />ANY AUTO <br />(Ed madenlL <br />BODILY INJURY (P rpersaTTIJ $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Peraccident) 5 <br />HIRED <br />HIRED NON -OWNED <br />PROPERTY DAMAGE <br />1.5 <br />AUTOS ONLY AUTOS 0NLYjP <br />raccldenq__ <br />fS <br />UMBRELLA UPS OCCUR I, <br />EACH OCCURRENCE S <br />EXCESS LIAR - <br />__ CLAIMS MADE <br />. <br />---- __...... ..... <br />-AGGREGATE,,.,,,.,.,,,- S <br />DED RETENTION <br />OR <br />WORKERS <br />A 172WECEV7186 <br />PER <br />'01/22/2017 I,I 01/22/2010 X STATUTE ERH <br />ANO EMPLOYERS' LIABILITY <br />EMPLOYERS' <br />PROPRIETORIPXCTNERJE <br />ANY XECUTIVEYIN <br />r NIA <br />EL LEACH ACCIDENT $ 1,D0®,QOQ <br />_ bqidato� in <br />E.L.DISEASE - EA EMPLOYER$ 1,000,000 <br />Ifyes, ke rrib. under <br />— — <br />DESCRIPTION OF OPERATION rk,low <br />E.L. DISEASE -POLICY LIMIT _$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORDI 101, Additional Remarks- Schedule, may be spurred if more space is required) <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE <br />i <br />@ 1988-2015 ACORD CORPORATION. All riahts reserved <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Printed by SAM on January 05, 2017 at 12:32PM <br />