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,ACORD CERTIFICATE OF <br />LIABILITY INSURANCE OP ID KG FDATE(MM/DDnYYY) <br />PRODUCER <br />Alliant Insurance Services , Inc <br />(Lic-OC36861) <br />735 Carnegie Drive, Ste 200 <br />HOUST-2 09/08/09 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92408 <br />NSR <br />Phone: 909-886-9861 Fax: 909-886-2013 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />POLI Y EXPIRATI N <br />DATE MM/DD/YY <br />'INSURER A: Everest National Insurance Co <br />INSURER B: <br />i <br />GENERAL LIABILITY <br />Houston 6 Harris PCS Inc <br />21831 Barton Road <br />Grand Terrace CA 92313 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />L.0 V <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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />P LI Y EFFE TIVE <br />DATE MM/DDIYY <br />POLI Y EXPIRATI N <br />DATE MM/DD/YY <br />LIMITS <br />i <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />PREMISES (Ea occurence) $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE X❑ OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />ANY AUTO <br />(Ea accident) <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />SCHEDULED AUTOS <br />(Per person) <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />AS TO© <br />NON -OWNED AUTOS <br />AppR� <br />ED <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE <br />LIABILITYC <br />Stitt S <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTOA <br />swlt Cjtl� At <br />OCT1C� <br />EA ACC $ <br />$ <br />OTHER THAN <br />AUTO ONLY: <br />AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR CLAIMS MADE <br />AGGREGATE $ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />X TORY LIMITS I I QTH- <br />ER <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />7600003267091 <br />09 /01/09 <br />09/01/10 <br />E.L. EACH ACCIDENT $1,000,000 <br />EXCLUDED? <br />Oyes, <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />If yes, describe under <br />describe and <br />E.L. DISEASE - POLICY LIMIT $ 1 , 00 0 , 000 <br />SPECIAL PRO below <br />OTHERVISIONS <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Operations pertaining to named insured for certholder. City of Santa Ana and <br />its officers, agents, representatives, volunteers, & employees; Work Comp <br />Waiver to follow. *30 days NOC for non-payment except 10 days NOC for <br />non-payment. CARRIER WILL NOT MODIFY CANCELLATION CLAUSE/NO XX OUT. Null & <br />Voids prior certificate issued 09/02/09. <br />P-CnT MI ATC - n <br />..vrc rwwcn CANCELLATION <br />City of Santa Ana <br />Public Works Agency <br />M-85 <br />220 S. Daisy Ave <br />Santa Ana CA 92703 <br />CISAN06 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />ACORD 25 (2001/08) ZACM CORPORATION 1988 <br />