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F0ATE(MMIDDlym) <br />CERTIFICATE LIABILITY I 6r1412017 <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 andorsament s . <br />PRODUCER ro ° <br />NAME: <br />Marsh Sponsored Programs PHONE 1-877-320-9393 F�Axc Ne .515.365 0895 <br />a division of Marsh USA Inc. E-MAIL riskmana ement@marsh m.com Vendor ID: 31459 <br />PO Box 14404 <br />Des Moines, IA 50306.9686 INSURER S AFFORDINGCOVERAGE NAZd <br />INSURER A Old Republic Insurance Company 24147 <br />INSURED INSURER 9, <br />HARRIS & ASSOCIATES, INC <br />1401 Willow Pass Road, Ste 500 INSURER c <br />Concord, CA 94520 INSURERD <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS 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 />INSR TYPE OF INSURANCE Apel. USR POLICY EFF PO ICY EXP <br />INSO <br />LIE POLICY NUMBER <br />Y LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />; <br />CLAIMS ®.00CUR <br />__.___ ....� <br />. -MADE .._ ... <br />MED EMP (Ar orw on) <br />; <br />PERSONAL& ADV INJURY <br />; <br />GEhrL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />; <br />PR <br />11 <br />POLICY JECI IJ LOC <br />PRODUCTS COMPIOP AGG <br />; <br />OTHER. <br />; <br />AUTOMOBILE LIAO IUTY <br />O i INCL UMI <br />Cklant <br />; 1,000.000 <br />X ANY AUTO <br />BODILY INJURY (Per preen) <br />; <br />UOJ SCHEDULED <br />A ATS X X LlOD554.16 08/0112016 08101/2417 BODILY INJURY (Por au"ward) ; <br />NON -OWNED <br />HAEDAUTO'S AUTOS <br />PROPERTY DAMAGE <br />a <br />; <br />b <br />UMBRELLA LIAROCCUR <br />HC-LAIMSMADE <br />EACH OCCURRENCE <br />; <br />EXCESS LIAR <br />AGGREGATE <br />; <br />OEO RETENTION; <br />; <br />WORKERSCOMPENSATIONE <br />O <br />t T <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIEIORIPARTNERtEXECUIIVE <br />Lne ER <br />E,L.EACHACt:'�IDENf <br />; <br />OFFICERIMEMBEREXCLUDED? ®NIA <br />(Mandatary In NH) <br />EL DISEASE', • EA EWLOYEE <br />; <br />It les, under <br />DESCRIPVON <br />OF OPERATIONS be ow <br />E.L. LN EASE - POLICY LIMIT <br />; <br />DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (ACORD 101, Addhkonal Remarks Schedule. may be anachod =1 more space ;s raqutrod) GPBR: 1XL1 <br />Policy pravbles protection for any & all aperations4obs performed by the named Insured w hefu required by Witten contract. Certificate holaVar is an Additional Insured where required by written contrail. <br />Waiver of Sulxogatton included where roqulred by written contract. Wwrance Is primary and ruin-con0lbutary. <br />Clly° Is officers, employees, agents and representatives are additional instead where requited by radian contract. <br />RE On -Call angineertng sorvicas (A-2015.166) THIN 01401379) <br />a' <br />REVIEWED BY: <br />EUNICE HEREDtA (PG OF ) <br />140.1379 (2018) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE MOLL BE DELIVERED IN <br />Leticia Lopez ACCORDANCE IYfTH THE POLICY PROVISIONS. <br />Public Works Agency <br />20 Civic Center Plaza M•36 AUTHORIZED REPRESENT TRIS <br />Santa Anew CA 92702 <br />198 8-2014 a I "1! CORPORATION. <br />COR (2014/01) The ACORD <br />name and logo are registered marks of ,, OD <br />9286305 <br />