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<br />ACORD., <br /> <br />CERTIFI <br /> <br />. TE OF LIABILITY INS "ANC~~~l DA~E~i~~'/:,13 <br /> <br />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 />PRODUCER <br />U , A Insurance Agency <br />Unickel , Assoc. Lic*0827703 <br />P.O. Box 10727 <br />San Bernardino CA 92423-0727 <br />Phone: 909-793-6810 Fax: 909-798-3959 <br /> <br />,,1 (DO <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />r <br /> <br />INSURER A: CNA <br />INSURER B: West ort Insurance CO <br />INSURER c: <br />INSURER D: <br />INSURER E' <br /> <br />Harper' Assoc.Engineering,Inc <br />Ha~er & ASSOc1ates, Inc <br />1240 E. Ontario Ave, '102-312 <br />Corona CA 92881 <br /> <br />COVERAGES <br /> <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 ANY 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 BY PAID CLAIMS. <br />l~f,r TYPE OF INSURANCE POLICY NUMBER DATE MM/DoNYlc DATE'fMM/DDlYY'l' LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE $1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 2072016797 06/24/03 06/24/04 FIRE DAMAGE (Anyone fire) , 100,000 <br /> i CLAIMS MADE ~ OCCUR MED EXP (Anyone person) , 10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> - $ 2,000,000 <br /> GENERAL AGGREGATE <br /> - <br /> GEN'L AGG~EnELlMIT APPlS;PER: PRODUCTS - COMP/OP AGG $ 2 ,000 ,000 <br /> I PRO- <br /> POLICY JEer lOC <br /> ~TOM08ILE UABILlTY COMBINED SINGLE liMIT $ 1,000,000 <br />A X ANYAUTO 2072018100 06/24/03 06/24/04 (Ea accident) <br />~ <br /> ALL OWNED AUTOS BOOIL Y INJURY <br /> - , <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> ~ HIRED AUTOS BODILY INJURY <br /> (Per accident) $ <br /> ~ NON-OWNED AUTOS <br /> - PROPERTY DAMAGE $ <br /> (peraccidenl) <br /> RE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANYAlJTO OTHER THAN EA ACC , <br /> AUTO ONLY AGG , <br /> EXCESS LIABILITY EACH OCCURRENCE , 2,000,000 <br />A t.!J OCCUR D CLAIMS MADE 2066377032 06/24/03 06/24/04 AGGREGATE '2,000,000 <br /> APPROVED AS TO FORM $ <br /> ~ DEDUCTIBLE ~t n .J $ <br /> RETENTION , $ <br /> WORKERS COMPENSATION AND rUW Sf/; Y / I tb~~l7~Ws I IUJ~- <br /> EMPLOYERS' LIABILITY E,L. EACH ACCIDENT $ <br /> epuly City Attorne . E.l. DISEASE. EA EMPLOYE $ <br /> E.L. DISEASE. POLICY LIMIT $ <br /> OTHER <br />B Professional AEPL101610-0 08/01/02 08/01/03 $2000 DED $2,000,000 <br /> Liabilitv <br />DESCRIPTION OF OPERATIONSIlOCATlONSNEHICLEStEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />*Except 10 Days Notice of Cancellation for 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 />CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SANTA-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br /> DATE THEREOF, THE ISSUING INSURER WILl MAIL 30 DAYS WRITTEN <br /> City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Attn: Dave Urbin - <br /> 220 South Daisy, Building - " <br /> Santa Ana CA 92703 YES. <br /> I John Paaulavan ?& lttc. fA ~r: If In /"'.. <br />ACORD 26-5 (7/97) \J I @ACO CORPORATIOlifW88 <br /> <br />tWy <br />