NATIONAL DATA & SURVEYING SERVICES (3) - 2013

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OP ID: MIN ,rac�o,Ram CERTIFICATE OF LIABILITY INSURANCE DATE11107/11313 V) 11/0 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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 & Sterling Upstate 518-384-0193 113 Saratoga Road Glenville, NY 12302 CONTACT NAME: PHONE------ FAX o Ext AIC, No E MAIL ADDRESS: PRODUCER NATI001 CUSTOMER ID X: INSURERS AFFORDING COVERAGE NAIC N INSURED National Data & Surveying INSURER A:Westrope/Lloyds Services, Inc. 8370 Wilshire Blvd Ste 205 INSURER B: PREMISES IF, occelalce $ Beverly Hills, CA 90211 INSURER C INSURER D, 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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. /NSR R TYPE OF INSURANCE DOL D POLICY NUMBER MMIIDYEFF NYYY POLICY LIMITS Santa Ana, CA 92702 GENERAL LIABILITY EACH OCCURRENCE $ PREMISES IF, occelalce $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1-1 POLICY PEO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BOD I LY INJURY (Par person) $ ALLOWNEDAUTOS BOD ILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE IS AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC STATt1- OTH- TORY LIMITS E ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ CFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS beI.. E.L. DISEASE - POLICY LIMIT $ A Professional Liab 000000104373G 03/01/13 03101/14 Limit Agg 2,000,0013 Limit per claim Retention 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Proof of Coverage CERTIFICATE HOLDER CANCELLATION SANTA -8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center AUTHORIZED REPRESENTATIVE Plaza -Ross Amex, M-43 Santa Ana, CA 92702 ► n� ACORD 25 (2009109) ©1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD