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Ai:ORD CERTIFICATE OF LIABILITY INSURANCE oP ID P DATE (MM/DDMIYY) <br />HARPE-1 06 10 04 <br />pROOUCER <br />'U & A Insurance Agency <br />Unickel 6 Assoc. Lic#0827703 <br />Box 10727 <br />P <br />O 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 />. <br />. <br />San Bernardino CA 92423-0727 <br />Phone: 909-793-6810 Fax: 909-798-3959 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />~~o'1 <br />~ INSURER A: CNA - Valle FOr e <br />-a c~o <br />/ wsuRER B: CNA - American Cas <br />Harper 6 Assoc Engineering, Inc <br />Inc <br />Harxpper 6 Associates INSURER C: CNA - Trance ortation Ins Co <br />, <br />124D E. Ontario Ave, #102-312 INSURER D: Great American Assurance Co <br />Corona CA 92881 <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 />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/DD/Y%E <br />POATEY MM/DD <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , DDD <br />A X X GOMMERCIALGENERALLIABILITV 2072016797 06/24/04 06/24/05 PREMISES Eaoccurence $ 1,000,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10 , 000 <br /> PERSONAL RADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$1,000,000 <br />B X ANVAUio 2072018100 06/24/04 06/24/05 (Eaaccldent) <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> }[ HIRED AUTOS BODILY INJURY <br />$ <br /> }{ NON-OWNED AUTOS <br />(Peraaident) <br /> <br /> A~ <br />~ ~ <br />~ PROPERTY DAMAGE $ <br /> l <br />~ (Per accitlenl) <br /> <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXCESS/UMBRELLA LV\BILITY EACH OCCURRENCE $2,000,000 <br />C X OCCUR ~CLAIMSMADE 2066377032 06/24/04 06/24/05 AGGREGATE $2,000,000 <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br />ETORIPARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> ANV PROPRI <br />OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> It yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$ <br /> OTHER <br />D Professional EDN5655941 08/01/03 08/01/04 Occ/Agg $2,000,000 <br /> Liabilit Ded $10 000 <br />DESCRIPTION OF OPERATIONS (LOCATIONS / VEHICLES I EXCLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />*Except 10 day notice o£ cancellation for non payment of premium. Cert. <br />holder its officers, agents, employees are named additional insured <br />regarding General Liability per attached endorsement. Re: East and West <br />Reservoirs (A/I,XX) Fax: 714-647-3345 <br />CERTIFICATE HOLDER CANCELLATION <br />SANTA-1 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />City Of Santa Ana G INSURER WILL MAIL 3O* DAYS WRITTEN <br />DATE THEREOF, THE ISSU <br />IN <br />PUb11C Works Agency ~~ <br />LL <br />NOTICE TO THE CERTIFICgtIEH DER NAMED TO THE LEFT, <br />Attn: Steve Worrall ' <br />220 S. Daiaey Ave., Bldg A 1 <br />Santa Ana CA 92703 ) <br /> AUTHORIZED REPRESEN ATIV <br />/~l~-. V A._-~~' <br />ACORD 25 (2001108) <br />ACORD CORPORATION 79tl <br />~`1$.:. R. ~.. <br />