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•ACGRD CERTIFICATE OF LIABILITY <br />DarE(MMDDm) <br />INSURANCE OPID <br />OUST-2 11/10/03 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Austin Cooper 6 Price <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ins Agency Inc (Lic-0546677) <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P O Box 3280 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />San Bernardino CA 92413-3280 <br />Phone:909-886-9861 Fax:909-886-2013 <br />INSURED <br />INSURER A: National Surety Corporation <br />INSURER B. <br />INSURER C. <br />Houston S Harris PCS Inc <br />INSURER D: <br />21831 Barton Road <br />Grand Terrace CA 92313 <br />INSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY (EFFE EFFECTIVE <br />DATE MM/ODm <br />N <br />POLICY EXPIRATION <br />DATE MM/DDm <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />MZX80815378 <br />06/24/03 <br />06/24/04 <br />FIRE DAMAGE (Any one fire) <br />$100,000 <br />CLAIMS MADE FX] OCCUR <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL $ ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />s2,000,000 <br />17 POLICY F7 PE 0 X LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />MZX80815378 <br />06/24/03 <br />06/24/04 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1, DDD DDD <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per eccitlenl) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per acdtleni) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: ADD <br />$ <br />ANY AUTO <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />AL,PRONtED <br />AS i0 FO <br />iM <br />AGGREGATE <br />$ <br />$ <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />'1Ut'8 SltcedV <br />I)Cj>tlLy LIO' tic <br />fDCV <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISUSE - EA EMPLOYEE <br />$ <br />E. L. DISEASE -POLICY LIMIT <br />$ <br />OTHER <br />A <br />Property Section <br />MZX80815378 <br />06/24/03 <br />06/24/04 <br />DESCRIPTION OF OPERATIONS/LOCATIONS EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Pipe Cleaning opertions pertaining to named insured for certholder <br />City of Santa Ana and its officers,agents,reprsentatives,volunteers 6 <br />employees are add'1 ins/prim wrdg as respects gen'l liab per CG7158 1001 <br />30 days N O C except 10 days for nonpayment <br />CARRIER has approved modification of Cancellation for City Santa Ana Only <br />CERTIFICATE HOLDER I Y I ADDITIONAL INSURED: INSURER LETTER: A -CANCELLATION <br />City Of Santa Ana <br />M-21 Ross Annex 4th flr <br />20 Civic Center Plaza <br />Santa Ana CA 92704 <br />HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO! <br />CISAN06 7 <br />DATE THEREOF, THE ISSUING INSURER WILLS MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />26S (7/97) <br />ACORD <br />