Laserfiche WebLink
<br />HARRAND-01 FIEL <br /> <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DAlE (MMIOOIYYYY) <br />8/812007 <br />PRODUCER (510) 547-3203 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Diversified Risk Insurance Brokers A 030 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />License #0529776 - ~ 05 : _ 0 J ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />5900 Christie Avenue A - ,tCOS':;t- c:5s- <br />Emeryville, CA 94608 - ~CXJ INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Harris & Associates Inc. A -~oo 6 - f9~ INSURER A: OneBeacon America Insurance Co. <br /> Atln: Susan Mandllag INSURERS Hartford Fire Insurance Co. <br /> 120 Mason Circle INSURER c American Guarantee & Liability <br /> Concord. CA 94520 INSURER 0" Alaska Nationallnsuranc.e company <br /> INSLllER E Continental Casualty Co. <br /> <br />THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO \\HICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />fiN$R ijW"l P~,!:!SY EFFEC11VE ~~~ EXPIRATION <br />L...b!B.. truU POLlCY NUMBER <br />~NERAL. LIABILITY <br />A X ~ ~MERCIAl GENERAl LIABILITY 7180096900001 <br />I CLAIMS MADE 0 OCCUR <br />I X ..X....C....U.. <br />~ Severability of Interest <br /> <br />~t AGGRE~ L~~~ APF'~ PER <br />I Ipct.lcy I, X I~':;;M 1 lloc <br /> <br />COVERAGES <br /> <br />LIMITS <br /> <br />8/112007 <br /> <br />81112008 <br /> <br />EACH OCCURRENCE <br />PREMISES IEe~;c~~~encel <br />MED EX? (MY one person) <br /> <br />PERSONAL. 8. ADV INJURY <br /> <br />GEr-.ERAL AGGREGATE <br /> <br />PROOUClS-COMP~PAGG <br /> <br /> ~OMOBlLE UABLI1"1' COMBINED SINGLE LIMIT . <br />B X ~ ANY AUTO 57UENUL6878 811/2007 8/112008 (Ea8CCldrmt) <br /> :---- ALL UWNED AUTOS BOOll Y INJURY . <br /> ~ SCHEDULED AUTOS (Per person) <br /> ~ HIRE) AUTOS BODILY INJc..RY . <br /> A NON-OWNED AUTOS lPeraccldenl) <br /> f--j PROPERTY DM1AGE . <br /> (Per acCident) <br />I R""G'L"'S/L1lY AUTO ONLY - EAACCICENT I <br /> ANYAllTO OlHER THAN EA ACe I <br /> AUTO ONLY AJ:,G I <br /> tK]ESSfUMBRElLO. LlABILm' rUC9305561-05 EACH OCCURRENCE I <br />C X OCCU? D CLAIMS MADE 8/112007 81112008 AGGREGAl'E . <br /> . <br /> RDEClICTI.LE I <br /> RETENTION I I <br /> WORKERS COMPENSATION AND X I ~yS[fMWs \ 10m- <br />0 EMPLOYERS'lIABIUTY 07HWD40007 81112007 81112008 <br /> my PROPRIETORJPA;rrNERfEXECUTIVE E L EACH ACCIDFNT . <br /> CFFIC~J7JMEM'3ER EXClUD:':D? E.L DISEASE EAEMPLOYEE I <br /> Ifye;,dsscribeunder <br /> SPECIAL PROVISIOr-;S b~ow E L DISEASE - POLICY LIMIT . <br /> OTHER <br />E ~~,ofesslonal Liability ~~113822501 8/112007 81112008 Per Claim/Annual Agg: <br />E rofesslonal Liability EA 113822501 8/112007 8I1/20D8 See Remarks" <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />n the event of cancellation for non-payment of premium, a 10 day notice will apply. <br /> <br />I <br />. <br />I <br /> <br />1,000.001 <br />1,000.00C <br />10,00 <br />1,000.ODC <br />2,000,00 <br />2.000,00 <br /> <br />1,000.00 <br /> <br />5.ooo.0OC <br />5,000,000 <br /> <br />1,000.ODt <br />1.000,000 <br />1.000.000 <br /> <br />5.000.00 <br /> <br />Re: 8rlstol Strest WidenIng Project - Phase I (A-2006-192) (H&A #062-0412.01) -The CIty of Santa Ana, Its officers, employees, and <br />representatives are named as additional Insured (Gen. & Auto Llab.), If required by written contract/agreement, per attached OneBeacon <br />~merfca AddItional Insured endorsement, and CA2048 0299. <br /> <br />CERTIFICATE HOLDER <br /> <br />:ni" CANCELLATION <br /> <br />, . <br /> <br />, ~, .., <br /> <br />City of Santa Ana ~ iz <br />Altn: Michelle Walker ~. <br />Clerk 0/ the City Cauncii _..1 <br />20 Civic Center Plaza. (M-36) ..'. ,. <br />Santa Ana, CA 92702~198S".,::,L<<dt "-'1'-)' [ ltur',:.:;y <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSlANG INSURER WIlL~j(:)6iIMAlL 3~ DAYS WRITTEN <br />~OncE TO THE CER11FICATE HOLDER NAMED TO THE LEFT, B~)t~~~)lI)::M-K1X. <br />~l\d(il\l(~~lIi/(iOO(/f'XJt~Ji~)tli~XX <br />lIa1'~1( <br />AUTHORIZED REPRESENTATIVE <br /> <br />ACORD 25 (2001/08) <br /> <br /><"':~-~ ~ ,,;::?--~~ <br /> <br />@ACORDCORPORATlON1988 <br />