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a~'oR_n,. CERTIFICATE OF LIABILITY INSURANCE DPID P DATE(MMIDD/YYYY) <br />' HARPE-1 08 21 06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />U & A Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Unickel & Assoc. Lic#0827703 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 10727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92423-0727 <br />Phone: 909-793-6810 Fax: 909-798-3959 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: CNA - Valley Forge <br /> <br />Har <br />er & Assoc En <br />i <br />i <br />I INSURER B: cw. - Tranaporcauon ins co <br />p <br />g <br />neer <br />ng, <br />nc <br /> <br />Harpper & Associates, Inc INSURER C: u.s. special [y insurance co. <br />124U E. Ontario Ave, #102-312 wsuRER D: <br />Corona CA 92881 <br /> _ <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W RICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />IN <br />LTR <br />NSR <br />TYPE OF INSURANCE ~ <br />POLICY NUMBER POLICY EFFEOYIVE <br />DATE MM/DDl1'1' POLICY P ATION <br />DATE MMIDDM' <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , OOO <br />A X X COMMERCIAL GENERALLIABILITV 2072016797 06/24/06 06/24/07 PREM6ES(Eaoccurence) $1,000,000 <br /> CLAIMS MADEOCCUR MED EXP (Anyone person) $1Q, QQQ <br /> __ PERSONALRADVINJURY ,$1.000 <br />000 <br /> ____ GENERAL AGGREGATE , <br />$2 <br />000 <br />000 <br /> GEN'IAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPIOP AGG , <br />, <br />$2,000,000 <br /> POLICY PRO- <br />JECT LOC <br /> AUT OMOBILE LIABILITY <br /> <br />$ COMBINED SINGLE LIMIT <br />E <br />id <br />t $ 1 QQQ QQQ <br /> $ ANV AUTO 2072018100 06/24/06 06/24/07 ( <br />a acc <br />en <br />) r <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> }{ HIRED AUTOS <br /> BODILY INJURY $ <br /> $ NON-OW NED AUTOS (Per accitlenQ <br /> PROPERTY D <br /> AMAGE $ <br /> (Per accident) <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> <br />- ANV AUTO EA ACG <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $2,000, QQQ <br />$ }[ OCCUR CLAIMS MADE 2066377032 06/24/06 Q6/24/Q7 AGGREGATE $2, QQQ, QQQ <br /> 3 <br /> OEOUCTIBLE <br /> }[ RETENTION $SO, QQQ $ <br /> WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY TORY LIMITS ER <br /> <br /> ANY PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br />If <br />es <br />tlescribe under E.L. DI$C-ASE-EA EMPLOYEE $ <br /> , <br />y <br />SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />C Professional US 06 1133102 08/01/06 08/01/07 Occ/Agg $2,000,000 <br /> Liabilit Ded $10,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />*Except 10 Days Notice o£ 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 />laK l Ih ICA I t NULUER CANCELLATION <br />SANTA-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL eNecwvelwO MAIL 3Q* DAYS WRITTEN <br />Public Works Agency NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BYif~RtlRE;6BB~9g~BlIµL <br />Attn: Steve Worrall <br />I <br />220 South Daisy, $yilding A ' <br />Santa Ana CA 92703` - /~..i 'I"( la~~ - <br /> AUTHORQEO REP SENT IVE <br /> <br />LD (tuu~/un) /~-~jfb=cry _..[_~~ _._ _. ~ ©ACORD CORPORATION 1988 <br />// /1 Shc SLG .1: l[V AI MF9 PV <br />