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<br />ACORD. . CERTIFICATE OF LIABILITY INSURANC~p~c1 I DATE (MMIDOIYY) <br />08/09/01 <br />PRODUCER . TNIS CERTIFICA TE IS ISSUED AS A MA ITER OF INFORMATION <br />U & A Insurance Agency ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Unicke1 & 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 INSURERS AFFORDING COVERAGE <br />Phone: 909-793-6810 Fax: 909-798-3959 ! <br />INSURED INSURE~ A: Zurich <br /> INSURER B: Westport Insurance Corp <br /> Harper & Assoc Engineeringjlnc INSURER c: <br /> HaiBer & Associates, Inc <br /> 124 E. Ontario Ave, #102-312 INSURER 0: <br /> Corona CA 92881 <br /> I INSURE~ E: <br /> <br />COVERAGES <br />TrlE POLICIES OF IN~URANCE LISIED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE ~OLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENt, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLlCIES 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 />'Ir~R TYPE OF INSURANCE POLICY NUMBER ~~tkC~Mlotmr I "'~kfE 'fMMr~ONyr . LIMITS <br /> <br />GENERAL LIABILITY <br />- <br />A X COMMERCIALGENERALLlABILllY PPS38587664 <br />J CLAIMS MADI:; ~ OCCUR <br /> <br />08/01/01 <br /> <br />EACH OCCURRENCE $ 1,000,000 <br />08/01/02 FIRI:; DAMAGE (Any one fire) $ 1,000,000 <br />MEO EXP 'Anyone pelSon) $ 10, 000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 3"',000,000 <br />PRODUCTS -COMP/OP AGG $ 3,000,000 <br /> <br />r <br />'--- <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />~"POLICY n ~r8r n~oc <br />AUTOMOBILE LIABILITY <br />A ex ANY AUTO PPS38587664 <br />-'00 <br />~ ALL OWNED AUTOS <br />~ SCHeDULED AUTOS <br />~ HIRED AUTas <br />~ NON-QWNED AUTO~ <br /> <br />- <br /> <br />PPS38587664 <br /> <br /> , <br /> COMBINED SINGle LIMIT <br />08/01/01 08/01/02 (Eaaccldent) <br /> BODlL Y INJUtfy <br /> (Per person) <br /> BOOll Y INJURY <br /> (Per acc~t;lentl <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> AUTO ONLY - EA ACCIDENT <br /> OTHER THAN EAACC <br /> AUTO ONLY: AGG <br /> EACH OCCURRENCE <br />08/01/01 08/02/02 AGGREGATE <br /> <br />$1,000,000 <br /> <br />$ <br /> <br />s <br /> <br />~RAGE LIABILITY <br />I ANY AUTO <br /> <br />EXCESS LIABILITY . <br />A tJ~CCUR 0 CLAIMS M~DE <br /> <br />'.' <br />RDEDUCTlBlE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />s <br /> <br />OTHER <br /> <br />v-':' _ C / <br />":1" [;~. (.-'-_/1.... (. ..{"'-~ / ."" / /,/ <br /> <br />Llura Sheedy / <br /> <br />Deputy City Attorney <br /> <br />s <br />s <br />s <br />$1,000,000 <br />S 1,000,000 <br />S <br />S <br />S <br /> <br />APPROVED AS "0 FORM <br /> <br />I TORY uMrrsl IV.,," <br />E.L EACH ACCIOENT <br /> <br />E.L. DISEASE _ POLICY LIMIT <br /> <br />S <br />E.L OISEASE . EA EMPLOYE $ <br />S <br /> <br />B Professional AEPL101610-0 08/01/01 08/01/02 $2000 DED <br />Liabilitv <br />DESCRIPTION OF OPERATlONSJLOCATlONSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS <br />*Except 10 Days Notice of Cancellation for Non Payment of Premium. <br />Certificate Holder is named as additional insured as respects General ~ <br />Liability CG2010 11/85 applies. Primary/Non Contributing Wording Applies. <br />(AIPRIXX) 714-647-3345 <br /> <br />$2,000,000 <br /> <br />CERTIFICATE HOLDER J Y I ADDITlONAlINSURED; INSURER lETTER: <br />SANTA-4 <br /> <br />City of Santa Ana <br />Attn: Dave Urbin <br />220 South Daisy, Building <br />Santa Ana CA 92703 <br /> <br />CANCELLA TION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI\ <br />DATE THEREOF, iliE ISSUING INSURER WILl , MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THe lEFT, <br /> <br />ACORD 25-S (7/97) <br /> <br />John <br /> <br />I <br />Paqu1avan '{ H~i\ ,..J4 III <br /> <br />I: ' ~ ACOR CORPORATION 1988 <br /> <br />'-- <br />