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HARRAND-01 AFDI
<br />ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYVII
<br />8/5/2008
<br />PRODUCER (800) 877.4560
<br />Diversified RisklHub International
<br />License #0757776 THIS CERTIFICATE IS ISSUED A8 A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE
<br />HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />400 Taylor Blvd., Suite #300
<br />Pleasant Hill, CA 94523
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURED Harris 8 Associates Inc. suRERA~ OneBeacon America Insurance Co.
<br />Attn: Susan Mandilag ~ NsuRER B: Hartford Fire Insurance Co.
<br />120 Mason Circle INSURERCAmericanCuarantee & Liabili
<br />Concord,CA94520 INSURER D. Alaska NationallnsuranceCom a
<br /> INSURER E. t~.OlOn National Insurance Com
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHS
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS O
<br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> POLICY NUMBER POLICY EFFECTVE POLICY EXPIRAnON LIMITS
<br /> GENERAL UABILnY EACH OCCURRENCE $ 1,000,DO
<br />A X X COMMERCIAL GENERAL LIABILITY 718009690-0002 81112008 8N/2009 PREMISES aorcurenm $ 1,OOQ00
<br /> CIAIMS MADE OOCCUR MED EXP (Any ae persm) $ 1D,DD
<br /> X ,x,,•C•••IP• PERSONAL&POVINJURY E 1,OOD,OO
<br /> X Severability of Interest GENERAL AGGREGATE $ 2,ODO,OO
<br /> GEN'L AGGREGATE LIMIT PPPLIES PER- PRODUCTS-COMwOP AGG $ 2,DOO,OO
<br /> POLICY X PR6 LOC
<br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,DDD,DD
<br />B X ANY AUTO 57UENUL6878 8/112008 8/1/2009 (Ea arcitlem)
<br /> Au owNED Auros
<br />~n
<br />eoDILV INJURY
<br />$
<br /> SCHEDULED AUTOS Og,lYy (Per pesap
<br /> X HIRED AUTOS TO BODILY INJURY $
<br /> X NON-0WNED AUTOS ~
<br />{~ IPaawdentl
<br /> ~
<br />Y
<br /> +~
<br />'~ PROPERTY DAM4GE
<br /> 4 - ~ IPeraaidenry $
<br />
<br /> GARAGE LIABILITY ^ ~. r~ Ot AIROONLY-EA ACCIDEM $
<br /> ~S
<br />t" r`
<br /> ANY AUTO t V OTHER TH4N ~A~ $
<br /> ~
<br />;!j~a AUTOONLY- AGG $
<br /> EXCESSNMBRELLA LIABILm' EACH OCCURRENCE $ 1,000,OD
<br />C X OCCUR ^GLAIMS MADE AUC9305561-06 8N@008 8!1!2009 AGGREGATE $ 1,000,DD
<br />
<br /> DEDUCTIELE 5
<br /> RETENTION 5 $
<br /> WORKERS COMPENSATION AND X WC STAT7- OTH-
<br />D EMPLOYERS'WBILITY
<br />ANV PROPRIETOR?ARTNER/EXECUTIVE OSWHD40007 8IV2008 SI1I2009 E. L. EACHACCIDENT 5 1,000,00
<br /> OFFICERMIEMBER EXCLUDED? E.L. DISE45E-EA EMPLOYEE $ 1,000,DO
<br /> If yam, oesoibe untler
<br />SPECIAL PROVISIONS below
<br />EL DISEASE-POLICY IJMIT
<br />5 1,DDD,DD
<br /> OTHER
<br />E Excess Liability R6460401 8/1/2008 81112009 +o,ooo,ooo excess i,DOD,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS
<br />n the event of cancellation for non-payment of premium, a 10 day notice will apply. Evidence of PROFESSIONAL LIAB on following page.
<br />Re: Bristol Corridor Widening, Phase I (H&A #D62-0210.D1)
<br />he City of Santa Ana, its officers, employees, and representatives are named as additional insured (Gen. 8 Auto Llab.), if required 6y
<br />ritten contracUagreement, per attached OneBeacon America Additional Insured endorsement, and CA2049 0299.
<br />CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL,~~XdIMAIL 3~OAV5 WRITTEN
<br />Clerk of the City Council
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, eXN361G9l9EX9C9QNQXIIQI4L
<br />20 Civic Center Plaza (M-36) XittJG7Ul01;1WCDr~d1U61161f~7(l(9(44Xpd7i11QDf8(06XOt9WtltfGdC9f4DXB1Xl6l(X
<br />Santa Ana, CA 92701-
<br /> AUTHORU:ED REPRESENTATIVE ~(-~
<br />~a- ~~-rs~.+
<br />ACORD 25 (2001106) ©ACORD CORPORATION 1988
<br />
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