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• <br />HARRAND-01 AFDI <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE °"i <br />zs <br />zo s "' <br />,R / <br />/ <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 /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0529776 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />5900 Christie Avenue <br />Emeryville, CA 94608 INSURERS AFFORDING COVERAGE NAIC # <br />IN8URE0 Harris antlAssociates Inc. INSURER A OneBeacon America <br /> <br />Attn: Susan Mandlla <br />9 __ _ _ __ _ __ <br />-- <br />INSURERS: Hartford Fire Insurance Co. <br />120 Mason Circle -- - -~ -- "-- ---- <br />! INSURER c American Guarantee & Liability <br />Concord <br />CA 94520-1238 <br />, wsuRERDAIaska National Insurance Company <br /> INSURER a Continental CasuaR Co. <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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAY 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 />INSR ADO' POLICY EFFECTIVE I POLICY EXPIRATION <br />POLICY NUMBER LIMITS <br />', OENERAL LIABILITY ~ ~ 1,000,00 <br />EACH <br />N <br />C6 '. $ <br />RE <br />A X ' X COMMERCIAL GENERAL LIABILITY ~i718008245-0002 8!1/2006 ~ 8N/2007 ~ <br />. ._. <br />~ <br />R <br />PREMISE81Ea occurence) 8 SO,OO <br />' CLAIMS MADE OCCUR MED FXP(Pn one person) ~ E S,OO <br />--_ __. Y' _ _~ <br />X 'X"'C"'U" PER80NP1 EAOV INJURY ''~ $ 1,000,000 <br />X Severability of Interest GENERAL AGGREGAT£ ',$ 2,000,00 <br />GEML AGGREGATE LIMIT APPLIES PER - PRODUCTS-COMPIOPAGG IS 2,000,ODO <br />_. <br />POLICY ~'i X PRO- L~ I _- <br />AUT OMOBILE LIABILITY ~ COMBINED SINGLE LIMIT 5 1,000,00 <br />B X grlvAUro 57UENUL8878 81112006 i 81112007 ~tEae=~~u <br />'.. ALL OWNED AUTOS BODILY INJURY S <br /> SCHEDULED gUTOS , (Per Mrson) <br />___.. ___..._-_ <br />X HIRED AUTOS r <br />~ 60DILV INJURY $ <br />~ <br />~~ X NON-0WNED AUTOS I ~(Per accitlenq <br />.. _ __..____-___ PROPERTY DAMAGE 5 <br /> (Per accitlenU <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 <br /> ~ ANY AUTO EA ACC 5 <br /> .._ OTHER THAN <br />_- __ .. __.___ __ <br /> I ' AUTO ONLY: qGG I S <br /> EzCESBIUMBRELLA LIABILRY EACH OCCURRENCE S S,000,OOO <br />C X OCCUR ~ ICLAIMB MADE <br />- AUC9305561.04 8/1/2006 6/1/2007 AGGREGATE a 5.000,00 <br />__. _..... <br />__ <br /> 5 <br /> DEOUCrIELE <br />~ $ <br /> ' RETENTION E S <br /> WORKERS COMPENSATION ANO ~( WC STATU- :OTH- <br />TORYLIMIT _ '. ER <br /> <br /> <br />D <br />~ <br />EMPLOYERB'LIABILYTY <br /> <br />ANV PROPRIETOR/PARTNER/E%ECVTNE <br /> <br />O6HWD40007 <br /> <br />8/1/2008 <br /> <br />81112007 <br /> <br />EL EACH ACCIDENT _ <br />1,000,000 <br />E <br />' <br />~ OFFILER/MEMBER E%CLVDED] <br />E.L. DISEASE-EA EMPLOYE -1,000,00 <br />E__ <br /> <br />n es. dettnba under <br />SPECIAL PROVISIONS belew <br /> <br />E.L. DISEASE-POLICY LIMIT _ _ <br />1,000,000 <br />3 <br />OTHER <br />E Professlonai Liability AEA113822501 8/112006 $/1/2007 Per CIaiMAnnual Agg: 5,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATNJNSIVEHILLES/EXCLU810N8 ADDED BY ENDORBEMEHTISPECIAL PROVISIONS - ~~~ ... ~ _ <br />.. . <br />In the event of cancellation for non-payment of premium, a 10 day notlca will apply. <br />Re: Bristol Corridor Widening, Phase I (H8A #062.0210.01) iy~ ~~ <br />_ <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIEB BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF <br />THE ISSUING INSURER WILLXIt~Xtt'J~IAIL 3O DAYS WRITTEN <br />Public Works Agency, Office of She Exec. Director , <br />Attn: Souri Amirani NOTICE TO THE CERTIFICATE MOLDER NAMEp TO THE LEFT, BCCdtXI)5)6XYdC)@tYxdilCL <br />20 Civic Center Plaza, 4th Floor lWld4>b X <br />Santa Ana, CA 92701- )fBFxiQtiOt'X1NfY <br /> AUTHORIZED REPRESENTATIVE <br />~~ ~~M~ <br />ACORD 25 (2001/08) ©ACORD CORPORATION 1988 <br />