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— --441 HOUS&HA-01 S jLL1 <br />A4CC>RD DATE (MMIDDIYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 07/15/2019 <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 endorsements . <br />PRODUCER License # OC36861 CONTACT <br />Inland Empire-Alliant Insurance Services, Inc. PAHON o, EXs ; 909 886-9861 ` , No): (909886-2013 <br />11 <br />685 Carnegie Dr Ste 265 <br />San Bernardino, CA 92408 <br />INSURED <br />Houston & Harris P C S Inc <br />21831 Barton Road <br />Grand Terrace, CA 92313 <br />INSURER A: L;oiony insurance L <br />INSURER a : Nationwide Mutual <br />INSURER c : Travelers Casualty and <br />INSURER D : Cypress Insurance <br />INSURERE: Landmark America <br />INSURER F : <br />of America <br />331 <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 />R TYPE OF INSURANCE ADDL SUBR Wvp POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br />X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0 <br />CLAIMS -MADE � OCCUR XINSD X 103GLOO24297-01 06/24/2019 06/24/2020 DAMAGE TO RENTED 100,0 <br />PRE <br />GEN'L AGGREG TE LIMIT APPLIES PER: <br />X PRO- ❑ <br />POLICY JECT LOC <br />OTHER: <br />B <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />X <br />X <br />OWNED SCHEDULED <br />AUTOS ONLY AUUT�O❑SV� <br />X AUTOS ONLY X AUTOS 0 <br />C <br />UMBRELLA LIAR <br />X <br />OCCUR <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION $ 0 <br />D WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE —'I, <br />X <br />OFFICER/MEMBER EXCLUDED? I, <br />N / A <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />Prof Liability <br />)56645740 06/24/2019 06/24/2020 <br />1N13398-19-NF 0112412019 01/24/2020 <br />0665 09/01 /2018 109/0112019 <br />11 06/24/2019 06/24/2020 <br />;XP (Any one erson <br />5,ODU <br />NAL & ADV INJURY <br />1,000,000 <br />:?AL AGGREGATE <br />2,000,000 <br />UCTS - COMP/OP AGG <br />2,000,000 <br />INED SINGLE LIMIT <br />1,000,000 <br />Y INJURY Perperson) <br />.)INJURY Per accident <br />$ <br />ERTY DAMAGE <br />rident) <br />$ <br />Claim Limit <br />,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORD 101, Additional Remarks Schedule, may bu attached 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 />CANCELS AND REPLACES CERTIFICATE ISSUED ON 6/24/2019. <br />City of Santa Ana <br />Risk Management Divisi <br />20 Civic Center Drive <br />Santa Ana, CA 92702 <br />REVIEWED & APPROVED <br />".. n•_i. 11 .. . _ e-• <br />161019 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 />M. LAMBERT <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />