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<br />I <br />S ''vci\t\ \ ( <br /> <br />, CERTIFICATE OF LIABILITY INSURANCE DAoTE(!.u.l'Dl)/'('('('(1 <br />A~ORP. OP 10 J~ <br />NATIOOl 10/16/0'7 <br />PROOUCER A~dW~Il~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Harshall & sterling ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Upstate Inc. A ~ J-cDtJ -. I \ Y - D , HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />113 saratoga Road ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />Glenville NY 12302 <br />Pbone:S18-384-1100 Fax:51B-384-0193 INSURERS AFFORDING COVERAGE NAlC# <br />lIfSURED 'NSLRER A CNA Insurance compa~~ea <br /> .. <br /> INSLRER U <br /> Nati7nal Data & surveying -- __ _~.'___n__ -- --- ..- <br /> Serv Cts, Inc. INSLRER C <br /> 83'70 W lab re Blvd ste 205 INSLRER 0 <br /> Beverly Hills CA 90211 - .. <br /> ItlS'.RER ~ <br /> <br />COVERAGES <br /> <br />~ ~';lICIES CF It'S"',1,'.':E LISTE:' 6:LC''''''''''E DEE', ISSLED T~ TN: "';LI"E:'I~.:C .-'BO'.'E FCR r-E P<\. C- ~EP1CO ',c CATEC II)T\~IT-;T:':~'.',', <br />Alft P!:O_ --Ef.'f:'''. TE~M (+:I' CCtOI.10'4 I:F ;.:.~ ':':.:J..twJU'~' JO.i:_HH:~ C'':(~'E.H':' ......,,.. PESPEc. r.::, VVHICH 1HIS CEP'""IFtCA.E ""AY b~ ISS_tl' '_"' <br />Wo- ~EI"':,Jtj T-E ..SUl.....ICE ;,fFCl':o::C a, T--E I'(t. :IES :-:5<:1'IDE:' "".Elll 15 SUl..e:T T.: "t. Tli: TE~.tS. E.'CUiSlC,.s ~/O 'C':lom:',; :: ;..':" <br />:':l:(IE5 ~:~TE LIMITS ;;.:ro',!1 t.\AT K'-'E erE" "ECof.EC,e, PA. ~ CvuVS <br /> <br />LTR INSIld TYPe OF ~lSlJfUHC! <br />! GeIERAl. lWllUTY <br />A I X '" CCf.'lo.'<:RCI."t :-:rCIW. Ll"llIL.n 82098024255 <br />f=---, r.;1 <br />f-- --.: (LA \IS I.I'VE L!J IXU" <br /> <br />I'OUCY NUMIlER <br /> <br />DAiEj~ <br /> <br />DATE IMIWOII'YI <br /> <br />09/30/07 <br /> <br />09/30/08 <br /> <br />LIMITS <br />E4':H ':':':'''''f'n 1 1000000 <br />~~f,~;5E51:: ~:'..'~.:.n .. 1 300000 <br />\l!:J~"',:"'":,,,,,,,,,,, ; 110000 <br />:E"$:"""'- 1'1: ,. . .., i 1 1000000 <br />:'::'01:"" A:.:.,,[.::~:r-- -iT 2000000 <br />:""('.>:"5 ....~ ..;"... i 1 2000000 <br /> <br />I-- <br /> <br />f-- <br />(.ENl ...:"':';;E(,.:.-e L .,.tIj Ar'"1=t~E5 PI;;:; <br />n P(t.IC, 11:~ n 1(,. <br />AUTOM08U Uo18LJTY <br />f-- <br />A ~ :.:., AJJl'; 2098024269 <br />:..Ll :-t.'r~:c .:..uTe:; <br /> <br />09/30/0'7 <br /> <br />09/30/08 <br /> <br />I :N['..":[ :......, "1 <br />:E" d-" :...'t <br /> <br />I ~~:~ ~'.~;: ~ .. . <br /> <br />: 1 1000000 <br /> <br />- <br /> <br />5-C""CU.EO "'-'os <br /> <br />- <br /> <br />- <br /> <br />- <br /> <br />HI1<ED A... Te,; <br />p.;.:nowM;O AUTOS <br /> <br />I <br />I =(( l' I'~.h ~.. <br />:P~il:r-.".,.!j <br /> <br />;....h>t.lf..'~hil..,.l',^M.^...1 <br />{P~, l)( uJM"!) <br /> <br />GARAGE LlA8ILITY <br />==1 AI'V Al./TI: <br /> <br />EXCESSN~~RElLAL~ <br />=:J 'XCL" 0 ClA!k', LW'f <br /> <br />.J1H::..... I~..A!I <br />ftUT(, :.',l" <br /> <br />^Uli) ;)r.l'" It\ '''~'_ll'U~l f <br /> <br />~..'. :.. 1 <br />.....' i~-'\. <br /> <br />=Al:h(;:':I.r.':"E~.._t: __ 1 s <br /> <br />A,.....;:;f"-..:..Tf: <br /> <br />RC€C"-':T:El.E <br />~TE',T1,t. S <br /> <br />~-~~ - . <br /> <br />1 <br />0- <br />1 <br />1 <br /> <br />....'ORI<ERS CONPEIlSAlION /oI~ <br />A BIl'I.OYERS' LIA8Ilm' <br /> <br />AU' P;:;CPJ:i':E"CI'rp~:;-T"..Ep.J'E.'llE:(VT vE <br />I~~F' ~ERJ~EweER E).: _u:~C:. <br />, dJ(~'lt;~~~ ~~~.3~:Jw <br />OTHER <br /> <br />'"'1:2980242'72 <br /> <br />I-~~, ~,~;; I <br /> <br /><;. <br /> <br />...:...:..:..: ~;:..': <br />l ,t.;,'" <br /> <br />f ;. I '. r,: ~ " ! <br /> <br />. <br />, I 1000000 <br />11000000 <br />: I 1000000 <br /> <br />09/30/07 <br /> <br />09/30/08 <br /> <br />_. E';<~.':'--Iro('.. <br /> <br />l., ~ ,. I <br /> <br />DESClIIPTIOH Of OPSlAllOftS IL0CA1lOHS I VEHIClES I EXCLUSlOfIS ADOED BY EtIDORSENENT I SPEaAI. I'AOVISIOtIS <br />City of Santa Ana is provided Additional Insured status wben required by <br />written contract or agreement witb respect to operations of tbe Named <br />Insured. <br /> <br />CERTIFICATE HOLDER <br /> <br />CITYl08 <br /> <br />CANCELLATION <br />SHOUlD />H'( Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRAlIot~ <br />DATE THEREOF. THE ISSUNG ItlSURER WIlL EtlOEAVOR TO MAlL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER IlAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBlIGAT1OtI OR UABa.1TY OF /oilY 1<1110 UPOII THE U.SUflER. ITS :'GEIlTS OR <br />REl'RESElfTAlIVES. <br /> <br />?-~sarr~TfVE <br /> <br />City of Santa Ana <br />Public Works Agency <br />Attn: Sbahir Gobran <br />20 CiVic center H-43 <br />Santa Ana CA 92702 <br /> <br />ACORD 25(2001/08) <br /> <br /> <br />.J j~, <br /> <br /> <br />67 ", 'j '/ <br />~~ ,\JiY-.._.-.tV?J'.... /:-- <br />--!" i-,ct'" , <br />. I <br />ASSlSlc; . <br /> <br />~ACORDCORPORAnoN1~ <br /> <br />