| 
								    Ap2017 01 05p 
<br />P,3 
<br />ACC>RCER[7 
<br />OU;Y 
<br />r 
<br />TIFICATE OF LIABILITY INSURANCE �C41'2t120 1'7 
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CCNFERS 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 CONSTITU'T'E A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 
<br />IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) Must be endorsed. It SUBROGATION IS WAIVED, subject to the 
<br />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 endorse rr ent(s). 
<br />PRODUCER TED BOWERSOX, AGENT 
<br />34085 PACIFIC COAST HIGHWAY, 9204 
<br />DANA POINT, CA 92629 
<br />INSURED COAST SURVEYING, INC 
<br />15031 PARKk4VAY LOOP, SUITES _A§ 91 -R -E !1!9,:. 
<br />TUSTIN, CA 92780 ArSY12—En D -:1 
<br />PrVIRInN1 N11MRIPPI. 
<br />"HiS IS T'_1 'vERTJFY THAT IHE POLICIES OF INSURANCL LISTED BELOW HAVE BEEN ISSUED TO T'HE INSURED NAJOED A80VE FOR THE POLICY PERIOD 
<br />INDICAIED. NCVN7-'S-ANOA�G ANY REQUIRENIEN1, 
<br />TERN OR CONOX101I OF ANY CONTRACT OR OTHER OCCUMLNT 0V11`,l RESPECT TO WHICH THIS 
<br />CER JIFICA1 E MAY BE ISSUED OR MAY PERTAIN'rt 
<br />E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUF.IECT To ALI_ 
<br />THE TERMS, 
<br />EXCLUSICNS AND CCNDITIC14S 0' SJCH PC-ICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA,D CLAIMS 
<br />INSRPOLICYEFF 
<br />POL ICY EXP 
<br />r(PF OF INSURANCE 
<br />IMM!D01YyYY) --umr-'s 
<br />GENERAL LIABILITY 
<br />EA�,H C1CXLRzENC,, 
<br />--l—ERZ-11' I GENILIL L AA.TATY 
<br />PREM 
<br />T., ILI 
<br />GENERAL AGGREGATE 
<br />S 
<br />SEM. Arc-;rGA LR IV APIi--S PiR 
<br />F RCDC12 P 
<br />II�Gl�_r 
<br />A LAUTOUGUI-E LIABILITY 
<br />290 3 043 -BI 5-75 
<br />0211512017 02115,1201s Jcip f 
<br />ANS F,.,r: 
<br />059 5449-81 5-75 
<br />02)1572017 0211512018 80r1LYINJURY IPerp.*orJ 
<br />�1.1,1 - , , 
<br />scL�L 
<br />A,110S 
<br />I 
<br />066 7143-815-75 
<br />_.-Pww; 
<br />3OCJy1N1U1I1dd_0s 
<br />02;1512017 0215120111 
<br />r`R0PERry CrVAAC 
<br />Ioco 
<br />X I+RrD AUT03 y 
<br />-I 
<br />1 
<br />X DED 0 C 
<br />UFABREUI_A IJAS 
<br />EACH OCCIJF RENCF 
<br />EXCESS LIAB -_LAII,',S-VADI` 
<br />DE:) RETENTION'S 
<br />KERS COMPENSATION 
<br />�=-.ErAP _tOYER S'LIAS I L rry 
<br />t 
<br />rc 
<br />wH 
<br />I 
<br />,OPR,� AP_'KE_'XI--U_T VI_ 
<br />At,YF� 'OR; 
<br />-CIDr _f 
<br />EL, EACI I AC N 
<br />CFF CEIM�NTER E"XC_JDE�.:-1 
<br />In NH; 
<br />;,'A 
<br />V 1 b,,,dr 
<br />A EPAP-CYEWi 1,0.11-0,hNED LLAiHL1_Y PaAC' 
<br />297 9443-FO6-75 06,106/2017 06JO612018 
<br />DES, RIPTION Cf OPERATIONS! LOCATONSi VEHICLES (Att,,cl,ACORDIO�,AdditionaiR.mart,$ched.l..ifc.,pa.ois"q.�,,�ll, 
<br />I 
<br />, "DCITIONAL INSLPED: THE CITY OF SANTA ANA, 
<br />F"S 0FFIC;`_R,9,E%Ir1L0YEES AND R EPRES ENTAT IVES 
<br />REF: D=SIGN ENGINEERING A-20'11-099 
<br />7HIS:,5URANCE IS PRIMARY AND NONCON-RiBuroRY WITH RESPECTS TC CLAAISARiSAG OUT 
<br />VEHICLES 
<br />CANCEL'.ATIO',L 30 DAY 110 FOR NON-PAYMENT REVIEWED BY-, 
<br />wl 
<br />CITY OF SANTA ANA 
<br />P.O. BOX 1988, M-6,� 
<br />SANTA ANA, CA 92702 
<br />ACORD 25 (2010105) 
<br />OpLKA I IUNS VI- : V"t 
<br />EUNICE FIEREDfA (PG"rZj0F 
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 
<br />ACCORDANCE WITH THE POLICY PROVISIONS. 
<br />[HOR1770 REPRESENTATIVE 
<br />/_9 07t 
<br />- - - ----------- - - ----- 
<br />1988-2010 ACORD CORPORATION, All rights reserved. 
<br />The AGORO name and logo are registered marks of ACORD I001486 132FA98 CI -23-20'.3 
<br />
								 |