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<br />A CDRD,. CERTIFICATE OF LIABILITY INSURANCE I DATE fMMlDDIYYYY)
<br />9/7/2005
<br />PRODUCER (510) 547-3203 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Diversified Risk Insurance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />License #0529776 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />5900 ChrIstie Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Emeryvllle, CA 94608 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED Harris and Associates Inc. INSURER A, Atlantic Specialty Insurance Company
<br /> Attn: Tracy Rapozo , 'L
<br /> INSURER B' Hartford Fire Insurance Co.
<br /> 120 Mason Circle INSURER C, American Guarantee & Liability
<br /> Concord, CA 94520-1238 A..- _ INSURER 0, Alaska National Insurance Company
<br /> - ?JX15-l 1"::( .J INSURER E' Continental Casual!Y Co.
<br />
<br />HARRANO-01 AFOI
<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 />IN R 0 TVP. n. , POl.ICV EFFECTIVE POLICY EXPIRATION
<br /> POLICY NUMBER LIMITS
<br /> ~NERAL LIABILITY EACH OCCURRENCE $ 1,000,00
<br />A X X COMMERCIAL GENERAL LIABILITY 718008245-0001 8/1/2005 8/1/2006 PREMISES 1E~~~~ncel $ 50,00
<br /> I CLAIMS MADE [!J OCCUR MED EXP (Anyone person) S 5,00
<br /> X "X" "C....U.. PERSONAL & ADV INJURY S 1,000,00
<br /> X SevBrablllty of Interest GENERAL AGGREGATE S 2,000,00
<br /> ~'~ AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG S 2,000,00
<br /> POLICY 1Xl- ~8,: ~f LOC
<br /> ~OMOBILE LIASIUTY COMBINED SINGLE LIMIT S 1,OOO,OOC
<br />B ~ ANY AUTO 57UENUL6878 8/1/2005 8/1/2006 {Eaaccident}
<br /> t- ALL OWNED AUTOS BODilY INJURY
<br /> (Per person) $
<br /> rx SCHEDULED AUTOS
<br /> HIRED AUTOS BODilY INJURY
<br /> tx (Per accident) S
<br /> - NON-OWNED AUTOS
<br /> - PROPERTY DAMAGE S
<br /> (Peraccidenl)
<br /> ~~GE LIABILITY AUTO ONLY. EA ACCIDENT $
<br /> ANY AUTO OTHER THAN EA ACC $
<br /> AUTO ONLY: AGG S
<br /> ~~SSIUMBRELLA L1ABIUTY EACH OCCURRENCE $ 5,000,00
<br />C X OCCUR 0 CLAIMS MADE AUC9305561-o3 8/112005 8/1/2006 AGGREGATE S 5,OOO,_OOC
<br /> s
<br /> R DEDUCTIBLE $
<br /> RETENTION $ S
<br /> WORKERS COMPENSATION AND X I T';\~-rm,1Ns , I OJ~'
<br />0 EMPLOYERS' LIABILITY 05HW040007 8/1/2005 8/1/2006 E.L. EACH ACCIDENT $ 1,000,00
<br /> ANY PROPRIETORlPARTNERlEXECUTlVE E.L. DISEASE. EA EMPLOYEE 1,000,00
<br /> OFFICER/MEMBER EXCLUDED? S
<br /> g~~~tS~~~vjs?~s below E.l. DISEASE. POLICY LIMIT $ 1,000,00
<br /> OTHER
<br />E Professional Liability AEA113822501 8/1/2005 8/1/2006 Per Claim: 5,000,001
<br />E See Remarks on next page AEA113822501 8/1/2005 8/1/2006 Aggregate: 5,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS APPROVED AS 'TU I~
<br />In thB event of cancellation for non-payment of premium, a10 dBY notice will apply. P~JngriA ,i'i
<br />Re: On-Call Civil EngineBring, Architectural & Landscaping Services (H&A #042-0406.01)
<br /> I Laura Stii~~odY
<br /> Assistant Cit tlorlley
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnON
<br />City of Santa Ana DATE THEREOF, THE ISSUING INSURERWILLl{aRlJ06X)6MAIL 3~ DAYS WRITTEN
<br />Alln: Jason Gabriel, PE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 8~
<br />Civic Hall - Ross Annex
<br />20 Civic Center Avenue, M-36 ~
<br />Santa Ana, CA 92702-
<br /> AUTHORIZED REPRESENTATIVE ~-.... ~
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORDCORPORATlON1988
<br />
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