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<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYYI <br />8/8/2007 <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 /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />5900 Christie Avenue <br />Emeryvi/le, CA 94608 INSURERS AFFORDING COVERAGE NArc # <br />INSURED Harris & Associates Inc. INSURER A OneBeacon America Insurance Co. <br /> Attn: Susan Mandilag INSURER B Hartford Fire Insurance Co. <br /> 120 Mason Circle INSURER C American Guarantee & Liability <br /> Concord, CA 94520 INSURER D Alaska National Insurance Company <br /> A ~ ?Jttill~ Iq'2.~ INSURER E. Continental Casualty Co. <br /> <br />HARRAND-01 <br /> <br />FIEL <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING <br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 r.P.,~} TYPO: "" I POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR <br /> ~NERAL LIABILITY EACH OCCURRENCE $ 1,000,OOC <br />A X ~ 3MERCIAl GENERAl LIABILITY 7180096900001 8/1/2007 8/1/2008 PREMISES (Ea occurence) $ 1,OOO,00C <br /> ~ CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 1 O,oot <br /> X "X""C""U" PERSONAl & P-DV INJURY $ 1,000,000 <br /> - <br /> X Severability of Interest GENERAl AGGREGATE $ 2,000,000 <br /> - 2,000,000 <br /> ~'L AGGRErYi L~~~APPn~ER PRODUCTS - COMP/OP AGG $ <br /> POLICY X : ",'rT LOC <br /> ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br />B X ANY AUTO 57UENUL6878 8/112007 811/2008 (Ea accident) <br /> - <br /> - AlL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODIL Y INJURY <br /> X (Per aCOldenl) $ <br /> - NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accldenl) <br /> RGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONL Y AGG $ <br /> mESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,OOO,OOC <br />C X OCCUR D CLAIMS MADE lAuc9305561-o5 8/1/2007 8/1/2008 AGGREGATE $ 5,OOO,00C <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND X I WC STATU- I IOTH- <br /> TORY LIMITS ER <br />D EMPLOYERS' LIABILITY 07HWD40007 8/1/2007 8/1/2008 1,OOO,OOC <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E L EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 1,OOO,00C <br /> If yes, describe under 1,000,000 <br /> SPECiAl PROVISIONS below E L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />E Professional Liability AEA 113822501 8/1/2007 8/1/2008 Per Claim/Annual Agg: 5,000,000 <br />E Professional Liability AEA 113822501 8/1/2007 8/1/2008 See Remarks'" <br />DESCRIPTION OF OPERATIONS / 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. <br /> p. - ;;>t><J<g - I q 2- <br />Re: BrIstol Corridor Widening, Phase I (H&A#062-G210.01) -The City of Santa Ana, Its officers, employees, and representatives are named <br />as additional Insured (Gen. & Auto Llab.), If required by written contract/agreement, per attached OneBeacon America Additional Insured <br />endorsement, and CA2048 0299. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana ",OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Attn: Michelle Walker DATE THEREOF. THE ISSUING INSURER WILL~~~MAIL 3~ DAYS WRITTEN <br />20 Civic Center Plaza (M-36) 1I~/117 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. B~~iXO(~(:~X~ll\MiX. <br />Santa Ana, CA 92701- . ~~.lGfl(~~XtK~~~X.~~~~XX) <br /> )t~)t~~~ <br /> AUTHORIZED REPRESENTATIVE ~~--~~ .;.?--"~~ <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br />