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I, <br />HOUST -2 OP ID: KG <br />CERTI 7ATF06/21(MmtDDIYYYY) <br />ATE OF LIABILITY INSWANCE <br />!12 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER 909 -886 -9861 (IAONTE cT Kennail Goad <br />Alliant Insurance Services,InC <br />(Lic- OC36861) 909 -886 -2013 P, °NE 909- 474$766 AIC .1: 909-886-2013 <br />735 Carnegie Drive, Ste 200 E-M lRE <br />San Bernardino, CA 92408 SS: kgoad@alliantinsurance.com <br />Chuck Shanklin, CIC INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A:lronshore S ecialty Insurance <br />INSURED Houston 8r Harris PCS Inc INSURER a : Everest National Insurance Co <br />21831 Barton Road INSURER c: RSUI Indemnity Company <br />Grand Terrace, CA 92313 <br />INSURER D: Peerless Insurance Company 24198 <br />INSURER E - <br />INSURER F : <br />COVERAGES CPRTtNIr_ATF dll iumv:o. ocvrc rr�u eu ms�r- <br />THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LNTR <br />TYPE OF INSURANCE <br />R <br />POLICY NUMBER <br />MM(DDNY <br />POLICY EXP <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />X <br />AGS0027600 <br />06/24/12 <br />06124113 <br />PREMISES Ea occurrence) <br />$ 50,00 <br />CLAIMS-MADE a OCCUR <br />MED EXP (Any one person) <br />S 6,00 <br />PERSONAL & ADV INJURY <br />$ 1,000,00 <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />GENT AGGREGATE L(MITAPPLIES PER: <br />PRODUCTS - CGWIOP AGG <br />S 2,000,00 <br />POLICY X PRO- LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />EOM IINEED(SINGLE TT <br />$ 1,000,00 <br />X <br />BODILY INJURY (Per persan) <br />$ <br />D <br />ANYAUTO <br />BAS780527 <br />06/24112 <br />06/24113 <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />S <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />X <br />PROPERTY AMA GE <br />Per accident <br />$ <br />S <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,00 <br />X <br />AGGREGATE <br />$ 2,000,00 <br />C <br />EXCESS LIAR <br />CLAIMS -MADE <br />NHA230690 <br />06/24/12 <br />06124/13 <br />DIED I X I RETENTIONS NIL <br />$ <br />WORKERS COMPENSATION <br />X WC STATU- 10TH <br />ER <br />B <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />IM <br />OFFICEREMBER EXCLUDED? ❑ <br />N 1 A <br />7600003267111 <br />08101/11 <br />09/01112 <br />E.L DISEASE - EA EMPLOYEE <br />$ 1,000,00 <br />(Mandatory in NH) <br />H yen, deaWbe under <br />E.L. DISEASE - POLICY LIMIT <br />S 1,000,0 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATION$ / VEHICLES (Attach ACORD 101, Add clonal Rema&s Schedule, tt more space Is required) <br />Certholder is add'[ insd as respects gen'I liab per CG2010 0704 & CG2037 <br />0704. APPROVED AS TO <br />, (l(�;v <br />Laura Stilt S1 cdv <br />Assistant Cit V _1 <br />CITYA -1 <br />City of Santa Ana <br />Attn: Water Resources AP <br />220 S Daisy Ave <br />Santa Ana, CA 92703 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />cA41-kfLl <br />%) 1955 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD <br />