NATIONAL DATA & SURVEYING SERVICES (3) - 2013

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A 2oE —1(raq ACCORDIII CERTIFICATE OF LIABILITY INSURANCE iD�3;>M 19DMw' 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 pol)cy(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!). PRODUCER ROSEWOOD RISK MGMT & INS SOLUTIONS 7162 Beverly Blvd, Ste 160 Lae Angeles, CA 90036 C}HSEi TJ77 Xehuda Kaplan PHONE _l. . (323)899-3081 FI (s2.:i> @oD-x745 ? _ Att rlo2 ) 800 MAIL ca Ir) cam ADDRESS :y p UR AFFORDING INSURERS AFFORDING COVERAGfi NAICC INUIT Penn. Starr Insurance Company 10673 INSURED National Data and Surveying Servic DBA All 'Traffic Data 8370 Wilshire Blvd., Ste 205 Beverly Hills, CA 90211 INSURERS: Nest Jersri..an Ins. Co. (Liberty Mutu=al) 44393 INSUR RQ '''fonts National Insuranca Coupany 254961 INSURER D: 2ltriah AInI:T Loan insurance Company 1 535 N INSURER F: 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 SUBJECTTO ALL THE PERMS, EXrUISIONS AND CONDITIONSOF SUCH POLICIES- LIMITS SHOWN MAYHAVE BEEN REDUCED 3YPAl3 CLAIMS. RR TYPE OFINGURANCE IVSD D CY E NM�DY UP POLICYY LIMITS EACH OCCURRENCE S 11000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MAGE OCCUR P E ISES EA oe rI $ 100,000 MED UP emen s 5,000 CPV0002988 9/17/14)/17/15 5' i PEm , LdAOVINJURY $ 1 1,000 ,000. GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT ❑LOC PRODUCTS- 5 ITxCluded OTHER' Ded. s 2,500 AUTCMOBILELIASIUTY m.n1 . IMIT 8 L,UUU,UVU BODILYINJURY(Perperson) $ ANYAUTO ALL OWNED SCHEDULED (l4) 55 79 09 10/18/1410/18/15 + AUTOS IAU y Fa' BODILY INJURY(Peraccident) $ NON-OAUTOS HIRED AUTOS y{, AUTOS ED OS AGE S Pora s �[ UMBRELLA LIAB }(, OCCUR5 EACH OCCURRENCE S 1 ODO r DO EXCESS LIAR I—ICLAIM&MADE °I 7?763H140ALI 9/17/14 9/1,7/15 AGGREGATE $ + 0 R_'NTION 510 000 WORKERSCOMPENEATION X PER AND EMPLOYERS' LIABILITY FICIV EWEXECUT' E YIN WC:9407597-01 9/17/14 /17/1.5 STATUTE ER E.L. EACH ACCIDENT $ 1/000/000 D OANY FPIGER ME R EXCLUDED? NIA ]' E. L. DISEASE - EA EMPLOYEE S 1,07,000 (Mandatorytn NN) Ryes,describe under DE$CRIPRONOFOP RA ON low E.LDISEASE-P i IMIT 110007070 DESCRIPTION OFOPERATIONS I LOCATIONS! VEHICLES (ACORD 1e1,. AddNonsl Remarks Schedule, may W attached It mora space is required) City of Santa Ana its officers, employees, and -agents are provided additional insured status on a primary and noncontributory basis as reciuired by written contract: or agreement. A Waiver of Subrogation is in favor of the additional insured. ! � .7 //4/,Kpj� 30 Days Notice of Cancellation, 10 Days for Nan Payment of Premium. /( City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Canter Santa Aria, CA Plaza -Ross Parrott, M-4.3 92701. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE ON Q lYbd-YU14 ACORU CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD