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<br />ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY)
<br />
<br />PRODUCER 0757776 1-800-877-4560
<br />Hub I
<br />t
<br />i 06/06/09
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI
<br />
<br />n
<br />ernat
<br />onal of California Insurance Services ON
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />,400 Taylor Blvd. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND
<br />EXTEND OR
<br /> ,
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Pleasant Hill, CA 94523
<br /> INSURERS AFFORDING COVERAGE
<br />INSURED
<br />Harris & Associates Inc. INSURER A:OneBeacon America Insurance Co.
<br />Attn: Susan Mandilag
<br />120 Mason Circle INSURER B: Hartford Fire Insurance Company
<br /> INSURER C:Inaurance Company of State of PA
<br />Concord, CA 94520 INSURERD:Travelers Property Casualt Co of Amer.
<br />I INSURER E: Continental r+a a„ai ~.. n,.
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 />ISR
<br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
<br />LIMBS
<br />A GENERAL LIABILITY 7180096900003 08/01/09 08/01/10 EACH OCCURRENCE $ 1, 000, 000
<br />X COMMERCIAL GENERAL LIABILITY
<br />FIRE DAMAGE (Anyonefire) $1,000,000
<br />CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10, 000
<br />X "X" "C" "U"
<br />PERSONAL & ADV INJURY $ 1, 000, 000
<br />X Sev. of Interest
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />.,....,...I-~pRO_ ~~ PRODUCTS-COMP/OPAGG $2,000,000
<br /> B AU TOMOBILE LIABILITY 57UENUL6878
<br /> ,, aQ$/01/09 OB/Ol/10
<br /> X ANY AUTO
<br />
<br />ALL OWNED
<br />~~ . "~,_
<br />~'' n
<br />. COMBINED SINGLE LIMIT
<br />(Ea accident) $ 1, 000, 000
<br /> AUTOS ~~"
<br /> SCHEDULED AUTOS ~.~;
<br />'~-- BODILY INJURY
<br />(Per person)
<br />$
<br /> X HIRED AUT II
<br /> OS g
<br />Y
<br />
<br />
<br />X
<br />
<br />NON-OWNED AUTOS - }
<br />i f
<br />s~
<br />U I
<br />BODILY INJURY
<br />(Per accident)
<br />$
<br /> _
<br />~~ I 1 ,
<br /> P~ YYY '
<br /> r., ~~ ,.,~
<br />S" PROPERTY DAMAGE
<br /> (Per acddenl) $
<br /> GARAGE LIABILITY ~'
<br /> 2
<br />~ ~!
<br />~~
<br /> ANY AUTO • a'1~ AUTO ONLY - EA ACCIDENT $
<br /> -,-
<br />"' ~~''-
<br />OTHER THAN EA ACC
<br />$
<br /> AUTO ONLY:
<br />
<br />C
<br />EXC
<br />ESS LIABILITY
<br />BE19210578 AGG $
<br /> 08/01/09 08/01/10
<br />
<br />X OCCUR EACH OCCURRENCE $ 1, 000, 000
<br /> CLAIMS MADE
<br />AGGREGATE
<br />$ 1,000,000
<br />
<br />DEDUCTIBLE Policy #AR6460401* $
<br />
<br />RETENTION $ Each Occurrence $10,000,000
<br />
<br />D
<br />
<br />WOR
<br />
<br />KERS COMPENSATION AND
<br />
<br />PSUB8166N36 Aggregate
<br />$10,000,000
<br />
<br />EMPLOYERS' A09 08/01/09 08/01/10 g WC STATU- OTH-
<br /> LIABILITY
<br /> E.L. EACH ACCIDENT $ 1, 000, 000
<br /> E.L. DISEASE-EA EMPLOYE $1,000,000
<br /> OTHER E.L. DISEASE-POLICY LIMIT $ 1,000,000
<br />E Professional Liability AEA113822501 08/01/09 08/01/10 E
<br />h Cl
<br />i
<br /> ac
<br />a
<br />m s5, 000, 000
<br /> Aggregate s10,000,000
<br />
<br />DES
<br />CRIPTION OF OPERATIONSILOCATIONSNEH
<br />ICLES/EXCLUSIONS ADDED BY ENDOR Ded. each claim s150,000
<br />
<br />* E
<br />xcess Liab Pol #AR6460401, SEMENT
<br />Colony National Insurance Co /SPECIAL PROVISIONS
<br />., Effective 0
<br />8/01/09-10
<br />
<br />Gen
<br />for
<br />eral & Auto Liability Addit
<br />ms AS00010 0198 & HA9913 01
<br />ional Insured status granted
<br />87.
<br />, if required .
<br />by written co
<br />ntract/agreement, per attached
<br />Re: Bristol Street Widening Project - Phase I (A-2006-192) (HA #062-0412.01)
<br />CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Ten Day Notice for Non-Payment Of Premium
<br />062-0412.01
<br />Attn: Sheri Barkley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City Of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL X~MAIL 30 DAYS WRITTEN
<br />Public Works Desi n En NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 9(QpF9UW1tg7C~g
<br />g gineering
<br />20 Civic Center Plaza XI10l~>~OCRIT4X>~,1tlNi!{~t~uCR>al~7tl~GA~4QCi017lI7Il776Nk~K]QXOt7O>'~FIi761[1f~7C
<br />R1E81iraE]iJ[XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
<br />Santa Ana, CA 92701 AUTHORIZED :EPRESENTATIVE
<br />USA
<br />ACORD 25-S (7/97) dgarcia '4` ~'""
<br />12741712 mACORD CORPORATION 1988
<br />Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600
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