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HOUS&HA-01 5MAR1 AC+C ► CERTIFICATE OF LIABILITY INSURANCE DA6/2712017PAMIDIXYY} 6/zn2o17 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 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 PRODUCER License # OC36861 Inland Empire-Ailiant Insurance Services, Inc. 735 Carnegie Or Ste 200 San Bernardino, CA 92408 INSURED Houston & Harris P C S Inc 21831 Barton Road Grand Terrace, CA 92313 pecialty Insurance Mutual Insurance I RSUI Cypress Insurance Company (CA) _ 10855 Landmark American Insurance Company 33138 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW _ _ HAVE BEEN ISSUEDTOTHE INSURED NAMEDABOVE FORTHE 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. ILTR TYPE OF INSURANCE IN p WV0U ___— � POLICY NUMBER MJ6DM'W hiPOAtLO07YYX1'Y UMiTS A X-COMMEROIAL GENERAL tJAeILRY ( EACH OCCURRENCE ...$ -REFT $ 1,000,00 V- ..... CLAIMS-MARE � OCCUR X AGS0027605 OW24/2017 0612412016 PREMISES rren4e 50,000 MEDEXP{Anyoneperson) $ 5,00 PERSONAL It ADV INJURY $ 1,000,000 GENE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 �AATI POLICY L. J PE� LOG PRODUCTS COMP/OP AGO $ 2,000,000 OTHER' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ___ $ 1,000,000 [/ B X ANVAUrO ACP3036645740 06/24/2017 06/24/2018 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON -OWNED _ PROPERTY DAMAGE HIREDAUTOS AUTOS Per eodident $ BRELLA UAIE X OCCUR EACH OCCURRENCE $ 4,000,00ESS UAB CLAIMS_MADE NHA242820 X 06t24t2097 06t2412018 AGGREGATE $ 4,000,00R 0 $ _X]RETENTION$ WORKERS COMPENSATION X PER OERH AND EMPLOYERS LIABILITY D ANY PROPRIETORIPARTNEWEXECUTIVE YIN X HOWC705376 09/01/2016 OD101/2017 E.L. EACH ACCIDENT $ 1,000,000 V OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E.L. DISEASE -EA EMPLOYE $ �1,000,000 Dfyes, descrlbe under ESCRIPI ION OF OPERATIONS below E.L. DISEASE - POLIGV LIMI7 $ 1,000,000 E Professional Liabili LHR832189 06/24/2017 06124/2018 Agg/Each Claim Limit 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AGGRO 101, Additional Remarlus Schedule, may be attached If more apace Is required) Job: Operations pertaining to named Insured for Certificate Holder. City of Santa Ana is Additional Insured as respects to General Liability per endorsement attached. Waiver of Subrogation applies as respects to worker's compensation per endorsement attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE. ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division 20 Civic Center Plaza M-16 AUTHORIZED REPRESENTATIVE j/, 44-�--- Santa Ana, CA 92701 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD cS/:mJt-a