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. ACORD CERTIFICATE OF LIABILITY INSURANCE OPID P GATE (MM/DD/YWY) <br />HARPE-1 <br />~ O5 06 04 <br />PF:IDLCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />U 6 A Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Unickel b Assoc. Lic#0827703 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 10727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92423-0727 <br />Phone: 909-793-6810 Fax: 909-798-3959 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED ~ f~/y.71~ ~ ~+71Y <br />C/l~? V ! INSURER A: CNA <br /> INSURER B: Great Am@r1 C3n Assurance CO <br />Harper 6 Assoc Engineering, Inc <br /> <br />Harrpper S Associates, Inc INSURER C: <br />124U E. Ontario Ave, #102-312 INSURER D: <br />Corona CA 92881 <br /> <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 REpUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV 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 MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC IVE <br />DATE MM/DDIVV POLICY EXPIRATION <br />GATE MMIDD/YY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000, QQQ <br />A X X COMMERGIALGENERALLIABILITY 2072016797 06/24/03 06/24/04 PREMISES Eaoccurence $ 100,000 <br /> <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1 Q , QQ Q <br /> PERSONAL SADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000, QQQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2, QQQ, QQQ <br /> POLICY PRO LOC <br />JEGT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />QQQ <br />$1 000 <br />A X ANV AUTO 2072018100 06/24/03 06/24/04 (Ea accltlent) , <br />r <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> .I ~ 1 ~ BODILY INJURY $ <br /> X NON-OWNED AUTOS ~ (Per accitlenQ <br /> <br /> ` PROPERTY DAMAGE <br /> $ <br /> V (Per accldenQ <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 2 ,QQQ ,QQQ <br />A X OCCUR CLAIMS MADE 2066377032 06/24/03 Q6/24/Q4 AGGREGATE 82, QQQ, QQQ <br /> 8 <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION ANO <br />EMPLOYERS' LIABILITY TORY LIMITS ER <br /> <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFIGER/MEMBER EXCLUDED? <br /> <br />If <br />es <br />describe antler <br />E.L. DISEASE-EA EMPLOYEE <br />$ <br /> , <br />y <br />SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />8 Pro£easional EDN5655941 08/01/03 08/01/04 Occ/Agg $2,000,000 <br /> Liabilit Ded $10 000 <br />DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECUIL PROVISIONS <br />*Except 10 Days Notice of Cancellation for Non Payment o£ 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 />CtH I IFlGATE HOLDER CANCELLATI(1N <br />SANTA-4 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI <br />DATE THEREOF, THE ISSUING INSURER WILL~TO MAIL 3O * DAYS WRITTEN <br />Clty of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,~L <br />Attn: Dave Urbin <br />220 South Daisy, Building <br />Santa Ana CA 92703 <br />'198 <br /> <br />