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HOUS&HA-01 <br />ACC ROR� CERTIFICATE OF LIABILITY INSURANCE DA71zuz020 <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 />PRODUCER "ue"low w vwvvv 1 <br />Inland Empire-Alliant Insurance Services, Inc. <br />685 Carnegie Or Ste 265 <br />San Bernardino, CA 92408 <br />MSURED <br />Houston & Harris P C S Inc <br />21831 Barton Road <br />Grand Terrace, CA 92313 <br />iui= N`e. Sae, (9091886.9861 1 FVc Nel (909)886-2013 1 <br />INSURER A.; Colony <br />INSURER B : NatiODV <br />INSURER C : Travelen <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 ADDL SURR POLICY NUMBER POLICY EFF I POLICY EXP <br />LINRS <br />A <br />COMMERCIAL <br />GENERAL LMUMLRY <br />CLAIMS MADE J OCCUR X X 103GLOO24297.02 612412020 W2412021 <br />EACH OCCURRENCE <br />DA 3ETO RENLED <br />f 1'000,000 <br />100,000 <br />5,000 <br />MED EXP An one arson <br />S 1,000,000 <br />PERSONAL&ADVINJURY <br />GEN'L <br />2,000,000 <br />AGGRE�GAT pLRIMpIT. APPLIES PER <br />POLICY l X JECT U LOC <br />GENERAL AGGREGATE <br />PRODUCTS COMPOPAGG <br />2,000,000 <br />OTHER <br />B AUTOMOBILE LIABILITY <br />_X <br />COMBINED SINGLE LIMIT <br />(Ea accidenn <br />S 1,000,000 <br />f <br />ANY AUTO X X ACP3066645740 612412020 6/2412021 <br />OWNED SCHEDULED <br />__ AUTOS ONLY AUTOS <br />BODILY INJURY Per emgn <br />— <br />BODILY <br />BOODILY INJURY Per acceciet <br />f <br />f <br />X AUTOS ONLY X . AUT0.S ONLY <br />PPs?V AGE <br />C <br />L UMBRELLA LIMB X OCCUR <br />OCCURRENCE <br />4,000,000 <br />X EXCES! CLAIMSMAOE ZUP-41N13398-20-NF 6124/2020 612412021 <br />_EACH <br />AGGREGATE <br />41000,000 <br />DIED I X I RETENTIONS 10,000 <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOWPARTNERIEXECUTNE YIN <br />OFFICERIMEMBW EXCLUDEDO <br />dRdd— n NNI <br />N yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />X HOWC013672 <br />91112019 <br />9/112020 <br />X PER UTE OTK <br />- EL EACH ACCIDENT <br />E.L. DISEASE - EA EMPLO <br />E.L. DISEASE -POLICY LIMIT <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />E <br />IProf Liability LHR840572 612U2020 6124I2021 <br />Agg/Each Claim Limit <br />2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be aticheci if more space is required) <br />Job: Agreement A-2017-364 and A-2017-223. <br />City of Santa Ana is an additional Insured, waiver of subrogation as respects to general liability per endorsements attached; additional insured, waiver of <br />subrogation as respects to auto liability per endorsement attached; waiver of subrogation as respects to workers compensation per endorsement attached. <br />Cancellation Notice, per attached endorsements. <br />CANCELS AND REPLACES THE CERTIFICATE ISSUED ON 6123/2020. <br />REVIEWED & APPROWD <br />CERTIFICATE HOLDER fjY NISI( MANAGEMPNT niUkiniv CANrm I ATION <br />SHOULDOF H BE <br />RIN <br />City M Santa Ana <br />Risk Management Divisi20 <br />WRVILLAREAL <br />EXPIRATIONY DATEV THEREOFE NOTICESS <br />WILLCBECELLED DELIVERED <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Civic Center Drive FRA CINE. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />64.k,r44� <br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />