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— --441 HOUS&HA-01 S jLL1 A4CC>RD DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 07/15/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER License # OC36861 CONTACT Inland Empire-Alliant Insurance Services, Inc. PAHON o, EXs ; 909 886-9861 ` , No): (909886-2013 11 685 Carnegie Dr Ste 265 San Bernardino, CA 92408 INSURED Houston & Harris P C S Inc 21831 Barton Road Grand Terrace, CA 92313 INSURER A: L;oiony insurance L INSURER a : Nationwide Mutual INSURER c : Travelers Casualty and INSURER D : Cypress Insurance INSURERE: Landmark America INSURER F : of America 331 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE ADDL SUBR Wvp POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0 CLAIMS -MADE � OCCUR XINSD X 103GLOO24297-01 06/24/2019 06/24/2020 DAMAGE TO RENTED 100,0 PRE GEN'L AGGREG TE LIMIT APPLIES PER: X PRO- ❑ POLICY JECT LOC OTHER: B AUTOMOBILE LIABILITY X ANY AUTO X X OWNED SCHEDULED AUTOS ONLY AUUT�O❑SV� X AUTOS ONLY X AUTOS 0 C UMBRELLA LIAR X OCCUR X EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 0 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE —'I, X OFFICER/MEMBER EXCLUDED? I, N / A (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Prof Liability )56645740 06/24/2019 06/24/2020 1N13398-19-NF 0112412019 01/24/2020 0665 09/01 /2018 109/0112019 11 06/24/2019 06/24/2020 ;XP (Any one erson 5,ODU NAL & ADV INJURY 1,000,000 :?AL AGGREGATE 2,000,000 UCTS - COMP/OP AGG 2,000,000 INED SINGLE LIMIT 1,000,000 Y INJURY Perperson) .)INJURY Per accident $ ERTY DAMAGE rident) $ Claim Limit ,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORD 101, Additional Remarks Schedule, may bu attached if more space is required) Job: Agreement A-2017.364 and A-2017.223. City of Santa Ana Is an additional Insured, waiver of subrogation as respects to general liability per endorsements attached; additional insured, waiver of subrogation as respects to auto liability per endorsement attached; waiver of subrogation as respects to workers compensation per endorsement attached. CANCELS AND REPLACES CERTIFICATE ISSUED ON 6/24/2019. City of Santa Ana Risk Management Divisi 20 Civic Center Drive Santa Ana, CA 92702 REVIEWED & APPROVED ".. n•_i. 11 .. . _ e-• 161019 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. M. LAMBERT AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD