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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID KG DATE(MM/DD/YYYY) <br />HOUST-2 09/08/09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />A113 -ant Insurance Services, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />(Lic-OC36861) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />735 Carnegie Drive, Ste 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92408 <br />Phone:909-886-9861 Fax:909-886-2013 <br />,.------ <br />Houston & Harris PCS Inc <br />21831 Barton Road <br />Grand Terrace CA 92313 <br />wv crcrAvca <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A Fireman's Fund Ins Co <br />INSURER B: <br />INSURER C: <br />INSURER D: i <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REOUIREMENT, 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 NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDWYY 1DATE MM/DD1YY LIMITS <br />A <br />X <br />i. GENERAL LIABILITY <br />j X' COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE X] OCCUR <br />I----�-- <br />MZX80907585 <br />06/24/09 <br />06/24/10 <br />I <br />EACH OCCURRENCE <br />$1,000,000 <br />PII"REMISEsj�ece) <br />MED EXP An one person) <br />(Any P _) <br />_ <br />$ lOO,000 <br />$ 10 000 <br />r ----- <br />__ <br />PERSONAL 8 ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />_ <br />s2,000,000 <br />� <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />l___ _ _ <br />POLICY �X I JECT LOC <br />PRODUCTS -COMPlOPAGG <br />-- <br />---- - <br />s2,000,000 <br />- -- <br />LIABILITY <br />A <br />�AUTOMOBILE <br />X <br />� ANY AUTO <br />I MZX80907585 <br />06/24/09 <br />06/24/10 <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br />$1,000 <br />,000 <br />_ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS(Per <br />APPROVED AS <br />O FORM: <br />BODILY INJURY <br />person) <br />$ <br />X <br />— <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />_ <br />- <br />BODILY INJURY <br />(Per accident) <br />_ <br />$ <br />— <br />Laura Si ' t S <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />- — ---- <br />eedy <br />GARAGELIABIUTY <br />ANY AUTO <br />Assistant CiLy Attorney <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />— <br />AUTO ONLY: AGG <br />$ <br />- <br />$ <br />A <br />jX <br />EXCESSIUMBRELLA LIABILITY <br />1 OCCUR 171 CLAIMS MADE <br />XAE80862188 <br />06/24/09 <br />06/24/10 <br />EACH OCCURRENCE <br />s2,000,000 <br />AGGREGATE <br />s2,000,000 <br />$ <br />$ <br />L <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />A <br />A <br />Equipment Floater <br />Property <br />MZX80860171 <br />MZX80907585 <br />06/24/09 <br />06/24/09 <br />06/24/10 <br />06/24/10 <br />See Below If Applies <br />See Below If Applies <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I 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 are add'1 <br />insd/prim wrdg as respects gen'l liab per end'ts CG7158 12/03 & CG7253 09/05 <br />*30 day N O C except 10 day for non-payment of premium. CARRIER WILL NOT <br />MODIFY CANCELLATION CLAUSE/NO XX OUT. Null & Voids prior cert 07/28/09. <br />I.AIYI.CLLA 11UN <br />CISAN0 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />Public Works Agency - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />M-85 <br />220 S. Daisy Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana CA 92703 REPRESENTATIVES. <br />ACORD 25 (2001/08) OAC CORPORATION 1988 <br />