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ACORO" <br />2-o3Lvi-+ A, Loil 2,2-3 <br />HOUSSHA-01 SG <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDONYYY) <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsemer lsl. <br />PRODUCER --now n —we, <br />Inland Empire-Alliant Insurance Services, Inc. <br />735 Carnegie Or Ste 200 <br />San Bernardino, CA 92400 <br />INSURED <br />Houston & Harris P C S Inc <br />21831 Barton Road <br />Grand Terrace, CA 92313 <br />CONTACT <br />NAME; <br />PHONE <br />INC,No Ertl: (909) 886-9861 FAX c, No):(909) 886-2013 <br />EMAIL <br />ADDRESS• <br />INSURERS) AFFORDING COVERAGE- NAICk <br />_ INSURER 8: Nationwide Mutual Insurance Company <br />INSURER c : RSUI Indemnity Company <br />COVERAGES C.FRTIFlr.ATF NIIMRFR• RFVICInm kll IUMCD. <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 />ILTR NSR TYPE OF INSURANCE ASD BUS IN MDPOLICY NUMBER <br />_ <br />PO pDV EFF POILICO LIMITS <br />A X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,0 <br />CLAIMS -MADE X OCCUR X 103GLOO24297-00 <br />06/24/2018 06/24/2019 PR9Es (ERENTED $ 100,000 <br />_ <br />MED EXP(Anymeperson 51000 <br />'-PERSONAL &ADVINJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $ 2AM000 <br />POLICY X JECT LOC <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />OTHER: _ _ <br />$ <br />B AUTOMOBILE LIABILITY <br />��socideot)SINGLE LIMR I$ _ 1,000,000 <br />X ANYAUTO _ _ ACP3046645740 <br />06124/2018 06/24/2019 BODILY INJURY (Per person) $ <br />OWNED SCHEDULED <br />_ <br />AUTOS ONLY AUTOS <br />INJURY( Per accident? $ <br />X HIRED X NON -OWNED <br />pBpODILY _ <br />tlentDAMAGE <br />AUTOS ONLY AUTOS ONLY <br />IPepOac _ $ <br />C UMBRELLA LIAB X OCCUR <br />_. <br />EACH OCCURRENCE E _ 4,000,000 <br />X EXCESS LIAB CLAIMS MADE NHA245203 <br />06/24/2018 06/24/2019 4,000,000 <br />AGGREGATE $ <br />DED X RETENTION$ 0 <br />. <br />g <br />D AND EMPLOY <br />X STATUTE ERH <br />R6ELISASILIITY <br />7/N <br />ANY PROPRIETOR/PARTNEWEXECUTIVE X HOWC910665 <br />09/0112018 09/01/2019 E.L. EACH ACCIDENT $ 1,000,000 <br />OFFICERIMEMBER EXCLUDED? NIA <br />(Mandatory in NH) <br />EL. DISEASE-EAEMPLOYEE $ 1,000,000 <br />UDESCRIPTION OF OPERATIONS be. <br />EL DISEASE - POLICY LIMIT $ 1,000,000 <br />E Prof. Liability LHR835107 <br />06124/2018 06/24/2019 Agg/Each Claim Limit 2,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached 0 more space is required) <br />Job: AgreementA-2044474-02— <br />City of Santa Ana is Additional Insured as respects to General Liability per endorsements attached. Waiver of Subrogation applies as respects to worker's <br />compensation per endorsement attached. <br />+" , o v <br />City of Santa Ana <br />Water Resources Division <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 />6PL,41, <br />ACORD 25 (2U16/U3) 01988-2015 ACORD CORPORATION. All rights reserved. <br />V, <br />The ACORD name and logo are registered marks of ACORD <br />