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4~~RD CERTIFICATE OF LIABILITY INSURANCE OP ID P <br />HARPE-1 DnrE(MMlDOmyY) <br />05 06 04 <br />PROOUCeR ~ <br />U fi A Insurance Agency <br />Unickel & Assoc. Lic#0827703 <br />P. O. Box 10727 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92423-0727 <br />Phone:909-793-6810 Fax:909-798-3959 _ <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED INSURER A: CNA <br /> INSURER B: Great Amerl Can A39L1ranCe CO <br />Harper fi Assoc Engineering, Inc <br />Harrpper fi Associates <br />nc INSURER C: <br />, <br />124D E. Ontario Ave, 102-312 <br />CA 92881 <br />' INSURER O: <br />Corona <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 ANV 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 BV PAID CWMS. <br />LTR NSR - TYPE OF INSURANCE POLICY NUMBER DATE MMIOD DATE MMlDD I - UMTTS <br /> GENERAL LIABILITY EACH OCCURRENCE S1 OOO, OOO <br />A X X COMMERCIAL GENERAL LIABILITY 2072016797 06/24/03 06/24/04 PREMISES Ea ocarenca S 100 OOO <br /> CLMMS MADE XO OCCUR MED EXP (Any one Person) S l O OOO <br /> PERSONAL SADV INJURY S 1,000 OOO <br /> GENERAL AGGREGATE S 2 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG S 2 , OOO , OOO <br /> POLICY PRO- LOC <br />JECT <br /> AUT OMOBILE LU\BILIT/ COMBINED SINGLE LIMIT <br />000 <br />S 1 <br />000 <br />A X ANY AUTO 2072018100 06/24/03 06/24/04 (Ea accident) , <br />, <br /> D AUTOS <br />ALL OWNE ~~Tt;': ~ BODILY INJURY f <br /> rr <br />SCHEDULED AUTOS - ,.. ~ , ~ _ ~ '- (Par person) <br /> X HIRED AUTOS ~'J ~ ~~.-,. ~ _: _ <br />BODILY INJURY <br />S <br /> X NON-OWNED AUTOS /~ ~ (Par acddant) <br /> <br /> ~. <br />~ ~ ~ PROPERTY DAMAGE S <br /> M- <br />J (Per accident) <br /> GARAGE LIABILTfY :*-^"~`-•~ AUTO ONLY-FA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC S <br /> AlJT00NLY: AGG S <br /> EXCESSAIMBRELLALIABILITY EACH OCCURRENCE S2,000,OOO <br />A X OCCUR ~CLAIMSMADE 2066377032 06/24/03 06/24/04 AGGREGATE s2 000,000 <br /> S <br /> DEDUCTIBLE S <br /> RETENTION S S <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br />RIETORIPARTNEWEXECUTIVE <br />P <br />~ <br />E.L. EACH ACCIDENT <br />S <br /> ANY <br />ROP <br />OFFICER/MEMBER EXCLUDEDT E.L. DISEASE • EA EMPLOYE S <br /> If yrn, desrnba under <br />SPECIAL PROVISIONS bebw <br />E.L. DISEASE -POLICY LIMIT <br />f <br /> OTHER <br />B Professional EDN5655941 08/01/03 08/01/04 Occ/Agg $2,000,000 <br /> Liabilit Ded $10,000 <br />DESCRIPTION OF OPERATIONS I LOCA710N51 VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />*Except 10 Days Notice of Cancellation £or Non Payment. of Premium. <br />Certificate Holder is named as additional insured regarding General <br />Liability per attached endorsement. Primary/Non Contributing Wording <br />Applies. (AIPRIXX) 714-647-3345 <br />GhK I IhIGA I C KULUGR bHrvI.CLLH 11 V IY <br />SANTA-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />' DATE THEREOF, THE ISSUING INSURER WILL_TO MAIL 3O * DAYS WRRTEN <br />City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED 70 THE LEFT, L <br />Attn: Dave Urbin <br />220 South Daisy, Building <br />Santa Ana CA 92703 <br />(20011081 <br /> <br />