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HARRAND-01 AFDI
<br />ACORD,R CERTIFICATE OF LIABILITY INSURANCE D"'e;si2ooe '
<br />PRODUCER
<br />Diversified RisklHUb International
<br />
<br />License #0757776 (800) 877.4560 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<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 HaR13 8a ASBOCIate4 IrIC. ) INSURERA: OneB@aCOn America IfISBraOCO CO.
<br />Attn: Susan Mandilag ~ - ' (~ LRER e. Hartford Fire Insurance Co.
<br />120 Mason Circle INSURERCAmericanCuarantee & Liabili
<br />Concord, CA 94520 ~ . ~ p b 7~ ~ ~j 5 INSURER D-Alaska National Insurance Com an
<br /> INSURER a Colon National Insurance Com an
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHS
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED
<br />THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS O
<br />MAY PERTAIN
<br />,
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IN POLICY NUMBER POLICY EFFECTVE POLICY EXPIRATION LIMITS
<br /> GENERAL UABILRY EACH OCCURRENCE $ 1,DD6,DD
<br />A X X COMMERCIAL GENERAL LIABILITY 71690969D-DDD2 6/112DD9 8/1/2009 PREMISES Ee occureRx $ 1,6D6,DB
<br /> CLAIMS MADE QOCGUR NED EXP IanY mePH~^) $ 16,6D
<br /> X '~(°OC""D° PERSON4L 8ADVINJURV $ 1,DB6,09
<br /> X Severabillty of Interest GENERAL AGGREGATE $ 2,600,6D
<br /> GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCT$~COMPNP AGG $ 2,OBO,D6
<br /> POLICY X ~- LOC
<br /> AUT OMOBILE LUI&LITY CAM&NED SINGLE LIMIT $ 1,6DQDB
<br />B X X ANV AUTO 57UENUL6878 81112008 8/1/2009 (Ea aaceml
<br /> '
<br />~
<br /> ALL OWNED AlR05 R
<br />O yO URY
<br />BODce $
<br /> SCHEDULED AUTOS ~ (
<br />~)
<br /> VF'~
<br /> X HIRED AUTOS Yg -~ BODILY IN,URY $
<br /> X NON-0WNED AUTOS ~
<br />f (Peraaitleil)
<br /> ! .~ R~K
<br />T^P
<br />AMAGE
<br />P~
<br />S
<br /> 1SP L~ ? j>,tto ~I'
<br /> t•
<br /> GARAGE LUIBILITV Pss~sta AUTO ONLY-E4 ACCIDENT $
<br />
<br /> ANY AUTO OTHERTHAN EAACC $
<br /> AUr00NLV AGO $
<br /> E%CESSNMBRELLA LUIeILITY EACH OCCURRENCE $ 1,000,00
<br />(. X OCCUR ^CLAIM$MADE UC9305561.06 61112DDB 6f1f2DD9 AGGREGATE $ 1,UB6,DB
<br />
<br />
<br /> DEDUCTIBLE $
<br />
<br /> RETENTION $ $
<br /> Y/C $TATU- GTH-
<br />X
<br /> WORKERSCOMPENSATIONAND I I R
<br />D EMPLOYERS'LIABRJTY 08WHD40007 611f2DD6 6/1/2DB9 E. L. EACHACCIDENT $ 1,669,9D
<br /> ANV PROPRIETOR/PARTNER~EXECUTIVE
<br />1
<br />D6D
<br />9U
<br /> DFFIDER~MEMBER EXCLUDED? ELDISEASE-E4 EMPLOYEE ,
<br />,
<br />$
<br /> If yy6, l1EiQiC2 uMa-
<br />$PEDIAL PROVISIONS below
<br />EL DISEASE-POLICY LIMIT 1,DDD,D6
<br />$
<br /> OTHER
<br />E Excess Liability AR6460401 8/1/2008 8!112009 +o,ooo,ooo excess +,ooo,ooo
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY 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 Street Widening Project - Phase I (A-2006-192) (H&A #062-0412.01)
<br />he City of Santa Ana, its officers, employees, and representatives are named as additional insured (Gen. 8 Auto Liab.), if required by
<br />ritten contractlagreement, per attached OneBeacon America Additional Insured endorsement, and CA2046 0299.
<br />rnur.Pl 1 ennN
<br />
<br /> SHOULD ANY OF THE ABOVE DESCRIBEp POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City of Santa Ana pATETHEREOF,THEI55UINGINSURERWILL~~X~XIt(X~MAIL 3Q_DAY$WRITTEN
<br />Clerk of the City Council NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BxOQ76DG9tDEX9C9AWQXIQ94L
<br />20 Civic Center Plaza (M36) ~ pptyp~gXp(;(p(tq,(I)LOII.XiB(XX
<br />Santa Ana, CA 92701-
<br /> AUTHORPFn REPRESENTATIVE ~/ ~
<br />~+~ G(~i<-ter....
<br />ACORD 25 (2001106) IJ NVURU VURrVRXIIVR IOOO
<br />
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