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HARRAND-01 FIEL <br />ACORD,H CERTIFICATE OF LIABILITY INSURANCE DA 8167200/7 ) <br />PROWLER (510} 5473203 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Diversified Risk Insurance Brokers ~~ 030 <br />A . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0529776 ~ <br />~- ~ ~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />5900 Christie Avehue ~} ~ ZOOS ' <br />,f /~~~ <br />Emeryville, CA 94608 A' oZG~ ~ ~"" INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Harris & Associates Inc . A 2t~ 6 _ 1'9~ INSURERA OneBeacon America Insurance Co. <br />Attn: Susan Mandilag INSURERe Hartford Fire Insurance Co. <br />120 Mason Circle INSURERC American Guarantee & Liability <br />Concord, CA 94520 INSURER D~ Alaska National Insurance Company <br /> INSL$iER E. Continental Casual Co. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HOVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTwITHSI ANDING <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WffH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREh1ENi <br />, <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 />NJSR D'L POLICY NUMBER POLICY EFFE07IVE POLICY E%PIRATION LIMBS <br />LTR <br />GENERAL LLABILRV <br />EACH OCCURRENCE $ <br />1,DOO,OO <br />A X X COMMERCIAL GENERAL LIABILITY 7180096900001 8/1 /20D7 81112008 PREMISES Ee occurence E 1,000,00 <br />CLAIMS MADE ^X OCCUR MED ENP (Any one person) $ tD,DD <br />X "X" "C° °U° °ERSONAL 8 ADV INJURY $ 1,D00,00 <br />X Severablllty of Interest GEIJERPL AGGREGATE $ 2,000,00 <br />GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPNP AGG $ 2,000,00 <br />POLICY X °RO- LOC <br /> <br /> AUT OMOBILE LIABLRY COMBINED SINGLE LIMIT $ 1,000,00 <br />B X X ANr AurG 57UENUL6878 811/2007 811!2008 (Ee accment) <br /> <br /> ALL OJ•NED AUr05 BODILY tNJI:RY $ <br /> (Per per~nrl) <br /> SCHEDULED AIROS <br /> <br /> X HIRE) ANOE BODILY INJURY $ <br /> X NON-DYVNED AlR05 IPer ecntlenp <br /> <br /> PROPERTY DAMAGE $ <br /> (Par accltlerlq <br /> GARAGE LIABILnY AU100NLY-Eq ACCIDENT $ <br /> PNY NJTO OTHER THAN EA ACC $ <br /> PUrO ONLY- AGG $ <br /> E%GESSNMBRELLA LWBILftY EACH OCCURRENCE $ S,000,OO <br />C X occLw ~cLAIMSMADE WUC9305561-05 8/1/2007 81112008 AGGREGATE s 5,000,00 <br /> <br /> $ <br /> DEC{1CTIBLE $ <br /> <br /> RETEMION $ $ <br /> VIC STATI} GTI+ <br />X <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> <br />D EMPLOYERS' LIABILITY <br />O7HWD4OOD7 <br />611I2OO7 <br />81112008 <br />EL EACH ACCIDFM <br />$ 1,000,0 <br /> ANY PROPPIETDR1PAxrNERrEr.ECLRIVE 000 <br />00 <br />1 <br /> -0FFlCER/MEMBER EXCLUD_D~ EL DISEASE EA EMPLOYEE 5 , <br />, <br /> If yes oescnbe un9ar <br />SPECIAL PROVISIONS below <br />EL. DISEASE-POLICY LIMIT <br />$ 1,000,00 <br />OTHER <br />E Professional Liability AEA113822501 81112007 671!2008 Per Claim/Annual Agg: 5,000,00 <br />E rofesslonal Liability EA113622501 811!2007 8/1/2006 see Remarks" <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONB <br />n the event of eancellatlon for non-payment of premium, a 10 day notice will apply. <br />Re: Bristol Street Wldening Protect - Phase I (A-2006.192) (HSA #062-0412.01) -The City of Santa Ana, Its officers, employees, antl <br />representatives are named as additional Insured (Gen. S Auto Llab. ), If required by written contract/agreement, per attached OneBeacon <br />merica Additional Insured endorsement, and CA2046 0289. <br />rcormlrerc uro nca - cnFa hRCANCELLATION <br />/ i ~' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRADON <br />City of Santa Ana <br />Attn: Michelle Walker ~~ DATE THEREOF, THE ISSUNG INSURER WLLXt1f)1fAfr~lYlf.~MA1L 3O DAYS WRRTEN <br />Or <br />f <br />XD <br />16X>)OX'X9FDQCL <br />Clerk of the City Gnuncil - OTIDETOTHECERTIFIGATEHOLDERNAMDH]TOTHELEFT,B <br />l <br />fXr <br />f6C <br />7W(Js1f76Xdre1[11EXdf~1'+J6DCi1dG1CXXlX':.UYdfdUAXI~X~EX~IdCdt3ftXXX <br />20 Civic Center Plaza, (M-36} <br />CA 92702-1988~~~~=L.,t, t'V' ~' a" <br />Santa Ana r1i0Y 7fOh1f661i09XtWk$C <br />, AUTHORIZED REPRESENTATNE - <br />t~"~-f- ~~-r- ~~iz~t <br />ACORD 25 (2001106) (J ACURD CUKPOKATIUN ta66 <br />