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<br />. <br /> <br />. <br /> <br />HARRANO-o1 <br /> <br />AFDI <br /> <br />ACORO,. <br /> <br />PRODUCER <br />Diversified Risk Insurance Brokers <br />License #0529776 <br />5900 Christie Avenue <br />Emeryville, CA 94608 <br /> <br />(510) 547-3203 <br /> <br />DATE (MMIDDNYVY) <br /> <br />7125t2006 <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 />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />Harris and Associates Inc. <br />Attn: Susan Mandilag <br />120 Mason Circle <br />Concord, CA 94520-1238 <br /> <br />INSURER A: OneBeacon America <br />INSURER B: Hartford Fire Insurance Co. <br />!"_}_NSURE~_c_:_!,mericanGuaran~~e__~ _Liabil.!!y ____________ <br />.INSURERD:Alaska National Insurance Company <br />INSURER E: Continental Casualt Co. <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY 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 />INSR .~~~~ i Pg,k+~~ ~~~~!W~E r Pgk!fJ 1~~~X\gN i <br />LTR POLICY NUMBER LIMITS <br /> i GENERAL LIABILITY I i ~~~~~~g~~~~~~---.-- -+-~.. 1,000,000 <br />A X !MMERCIAL GENERAL LIABILITY :718008245-0002 81112006 I 811t2007 . .-.--= <br /> PREMISE~_{I::~oo;:_c_urence}. . _ _,-$__ 50,000 <br /> CLAIMS MADE [!J OCCUR ~~~~(_/l.ny_~~~ person) , $ 5,00 <br /> X "X""C""U" PERSONAL & ADV INJURY , $ 1,000,000 <br /> X Severability of Interest GENERAL AGGREGATE $ 2,000,000 <br /> ~'L AGG~i-lfr~L1MIT APFlSI PER. I PRODUCTS - COMP/OP AGG ; $ :filjjjj;ooo <br /> POLICY i X ::rg LQC ---.-- <br />B ~TOMOB1LE LIABILITY 57UENUL6878 81112006 811t2007 I ?OM8INED SINGLE LIMIT $ 1,000,000 <br /> ~_ ANY AUTO I (Eaaccldenl) <br /> 1----- ------- <br /> '.n ALL OWNED AUTOS i BODILY INJURY <br /> : (Per person) $ <br /> SCHEDULED AUTOS <br /> X ,----- <br /> HIRED AUTOS <br /> X ; BQDIL Y INJURY $ <br /> , ,-'': NON-QWNED AUTOS I (Peraccidenl) <br /> -- PROPERTY DAMAGE S <br /> (Peraccidenl) <br /> GARAGE LIABILITY AUTO QNL Y - EA ACCIDENT S <br /> . -..-.---- <br /> 1- , ANY AUTO OTHER THAN EAACC S <br /> , .- _m_.__ <br /> AUTO ONLY: AGG IS <br /> ~ESS/UMBRELL~_~~BILlTY I EACH OCCURRENCE $ 5,000,000 <br />C ~_ OCCUR I I CLAIMS MADE AUC9305561-04 81112006 8t1l2007 AGGREGATE $ 5,000,00 <br /> 1----.. ----- $ <br /> DEDUCTIBLE $ <br /> 1--,--- -- <br /> , RETENTION $ $ <br /> WORKERS COMPENSATION AND X I T"6~~I~JI~s :OTH- <br /> ER <br />0 EMPLOYERS' LIABILITY 06HWD40007 8t1t2006 8/112007 1,000,000 <br /> E.L. EACH ACCIDENT $ <br /> , ANY PROPRIETORlPARTNER/EXECUTIVE i <br /> I OFFICER/MEMBER EXCLUDED? E.~-=-DISEASE - EA EMPLOYE~ $ 1,000,000 <br /> , ~~Eb~ts~rkb6~~16rNS below .-- <br /> E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER , <br />E 'Professional Liability AEA 113822501 I 81112006 I 81112007 Per Claim/Annual Agg: 5,000,000 <br /> i <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS -, ,-' ,. ,'(." <br />In the event of cancellation for non~payment of premium, a 10 day notice will apply. )9~r <br />Re: Bristol Corridor Widening, Phase I (H&A #062-0210.01) <br /> , <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Public Works Agency, Office of the Exec. Director <br />Attn: Souri Amirani <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92701- <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL~AIL 3~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, B~~ <br />~~_~II.X <br />~~ <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />--cD-..... <br /> <br />~~ <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORD CORPORATION 1988 <br />