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<br />ACORD" CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />I DATE(J"lMfDDfY'l1
<br />03/01/00
<br />THIS CERTIFICATE IS ISSUED AS A MATTEA OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGe AFFOODED BY THE POlICIES BElON.
<br />
<br />rr!lODUCiO:R
<br />Arrr,strong/Robitaille Ins Svcs
<br />301 E. Colorado Blvd. #301
<br />Pasadena, CA 91101
<br />626 795-7575
<br />~D
<br />HARPER & ASSOCIATES, INC.
<br />1240 E. Ontario Ave., #102-312
<br />Corona, CA 91719
<br />
<br />,
<br />COVERAG'S
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />1'",seRoRA. United Capitol Insurance CO.
<br />I~S",!:;=" e,Safeco Insu-rance Companies
<br />I"SUR'RC..Firemans Fund Ins Co
<br />. INS"-IRER D
<br />Ir..;SU>:E::: E:
<br />
<br /> -
<br />THE PCUOESQF!NSUR.A.NCE: LISTED B&O\o'I HAVE BEEN ISSUED TO THE INSURED NA\AED .ABOVE F:lRTHE FOUCY;:lERlOO INDIC.A.TED. NOW,,1THSiN>lDING
<br />f..i.J'I REau!R8VI~T. TERM OR CONDITIC1J OF ANY CCl'-lTAACT OR OTHER DOCUVoE.'\lT V.1TH RE~ECT TO \l'iHICH THIS CERTIFICATE MAY BE ISSUED Og
<br />MAY PERTftlN. THE INSU'=iANCE AFFORCED BY m: POUClES DESCRIBED HERSN IS SUBJECT TO All.. TrlE iERM$. EXClUSIONS AND COf\;OITlONS OF SUCi
<br />POi...ICE$. AGGRE3ATE LIMITS 9-JCVo'N W';.YHAVE E)EEN REDUCED BY PAID ClJ..NIS.
<br />r~;!'i rtPE OF 11tI3URA.l,)CE POLICYNUMBE'I .'flr~FJlbcJ~ ~~iV'ti~:/~AJ~ I L!h!.n
<br />A ~"'LL'A""1Y 'GLAI003906 108/01/99 08/0l/00 EA:::HOCC\j~;;:;;:';CE 1$2,000,000
<br /> [fJ'VE?C__Go,o;;A_lIHUTY I I FiRi;; DAMA3E(AnYon"l:re) I :)50 ~ 000
<br /> ~ 1Vl' "'EOEXP(Anl"ono:;::o:rscn; 1~5,OOO
<br /> ClA,~S MAC)::::lU OCOUR i
<br /> ~I/PD Ded:2, 500 ",-f:SONAL &A)V '~Jl;::;Y j $2,000,000
<br /> ! I I GENE:::,hA.33::;EGAIE 1502,000.000
<br /> f-' , P,"lOD:.'C1S -CO\W/O.:l,l,:33 i $2 , 000 , 000
<br /> iGE:\i L A3~.Fi :;:3,1,'::: liMIT A~?',"I'::::; PER: i
<br /> 11 . jI'"o- n I I
<br /> PQ~.Cy : ~E:::;;T ~oo I
<br />B tKr"'OB LE L'''B:L:TV (SA815B658 08/01/99108/01/00 I CO"B."D5,'''''''''' I
<br /> XlA~'(,r.<Jm j (E~acc'd"nl) 1'1,000,000
<br /> LJ AL..OW,EDAJTOS , i,
<br /> I , 80:hYIr-,Jt;>;Y
<br /> ,
<br /> H SC."~Q"LEJAU-:-CS I (PllCpO:'~on)
<br /> I I -
<br /> ~ niF-EJAUTOS SOQILYI~JURY
<br /> ~ "O',i-OW\i;;:i) AuTOS ! I (?era.cc!der,t] ,
<br /> I
<br /> H , PROPERTYDAvlAGE
<br /> ; I ,
<br /> , (?"r~c'd"~I) ,
<br /> I GAf\'\'G E L'A e. vrt' , , i AUTO O~ LV - EA ACOI JE'\iT! $
<br /> R......".A;;-,-:::;. i I I ~$
<br /> , D,HE::;THA'Il
<br /> I I AuTOO'LV:
<br /> L.3G $
<br />C I EXCESSLABlIY iXEKOO074626227 08/01/99IOB/Ol/00 I EAGHOCGO'""'E 1,1. 000.000
<br /> o oc~:..." 11 ClAiVS lvIAO,;:l I ~O"GA" _~'OOO'OOO
<br /> . ~ .
<br /> I i
<br /> R O=D~CUJLE i I
<br /> !
<br /> R""E.I.;,,O\i ,
<br /> WORKE~S COllli'ENSATI:JN J"I.ID . i I,WCSTAi'J- I f~rl.
<br /> , TO::!YLI~,~S I ER
<br /> EMP~OYE."I::I l'A9'L;TY , ,
<br /> ,
<br /> ! I E.!... EAGriA:::;CI:l::'IT ,
<br /> i I E.!...D:S EAS!:.-EA ",r.,.1PLOY::Ei $
<br /> E.L. DIS EAS ~.POl'CYU~l':.1 $
<br />A t","prOfessional IGLA1003906 i08/01/99I08/01/00 $2,000,OOo.eac.occ.
<br /> iability $ 5,000. Ded.
<br /> , : I
<br /> I Claims Made Form
<br />c ESC~ PTO'l OF Ct:'~1ATO"!O/LOCA T O..Si'~ EM C~ES/EX:;lU9 OHS "'-COED SV EN oaRS EM ENT/SPEC:'\'L PROVSONS
<br />** Supplemental Kame **
<br />Harper & Associates Engineering, Inc.
<br />CERTIFICATE Ha..OEA I X i A.i::lDIT.:)N.\LIIIlSURED:it.SURER LETTER: A CANCELLATION
<br /> SHOUlDA1'IYOF T/': EADDY!: OESCR! BED POLlo.:::S e ECAl'fCELLEC BEFORETli E EXP,I'.A TON
<br />City of Santa Ana DATETHEf\EOF, TH E ISSU:NG INSUf:\Ef\ WILLJVK:Jwf.QfW!ilt),4AIL3...0.-. DAYSWP.1TEN
<br />its officers, agents and II/OTiCtlO THE C ;FlUICA TE HOLD EA NAMED TO THE l EFT.)UO"X9llC.9;l[~X"'HKX
<br />employees ~XtXl:t~XQf>XlJIC~~J:J'i!lKJX'PlQe:X;tJ?lt9OXX~Jll:l;JI.XWJli~
<br />220 South Daisy ...._..,,,,,....,
<br />Santa Ana CA 92703 AUTHO~~~;:4~T:VE
<br /> ,,1.4 "'" ";';;'
<br />ACORD 25-S (7:97) 1 of 2 #S100769/H84 VE:b AS TO CHI., o ACORD CORPORATION 19as
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