NATIONAL DATA & SURVEYING SERVICES 2 - 2011

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OP ID: DW '`�� °�O' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYVV) 09/2811 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 6ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU RER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s PRODUCER 518 -384 -1100 Marshall 8. Sterling Upstate 518 - 384 -0193 113 Saratoga Road Glenville, NY 12302 Jon D. Brodsky CONTACT NAME: a /c °O� Erzt : A/C No EJ,t AIL ADDRESS: PRODUCER NATI001 DLISTOM ER ID i INSU RER(S) AFFORDING COVERAGE NAIC i INSURED National Data i;i Surveying INSURERA:Westr0 pe1LI0yd�S EACH OCCURRENCE $eNICeS In C. 8370 Wilshire Blvd Ste 205 INSURERS: $ - COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Beverly Hills, CA 90211 INSURERC: MED EXP (Any one person) INSURER D PERSONAL & ADV INJURY INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRE MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUM 6ER MM�D/YYW MM%DDDY/1'EYVV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS- COMP /OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accitlenp $ ANV AUTO BODILY INJURY (Per person) $ ALLOWNED AUTOS BODILY IN JURY (Per accltlenp $ SCHEDULED AUTOS H IR ED AUTOS PROPERTY DAMAGE (Par eccitlenq $ NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE ___ $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COM PENSAT ON WC STAT U- OTH- ANO EMPLOYERS' LIABILITY �, / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? � N / A TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (ManC akory In NH) If yes, tles cribe untl er DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liab 0309001043738 03J07/17 03/01/12 Limit 1,000,00 Retention 10,00 DESCRIPTION OF OPERATIONS /LOCATIONS / VEH CLES (Attach! ADDf� '10'1, AtltllLOnel Remarks Schetlul e, If more ap see la raqulre tl) Proof of Coverage- l.crtllrll.Nlcnu LUCrt - -- - -- ---' - -' - �_ -�� C.ArvI..CLLA 11Vry SANTA -8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERED IN ��L.aUI'a Siltt SI1c�C.C1 ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Y 20 Civic Center Plaza Assistant City Attorney Santa Ana, CA 92702 AUTOO ^RIZ_ED REPRESENTAT`ry E ^- 11 - f l Il . U 7988 -2009 ACORD CORPORATION. All rlg hts reserved. ACORD 25 (2009!09) The ACORD name and logo are registered marks of ACORD