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�OR�® CERTIFICATE OF LIABILITY INSU g I e411iz0'_3
<br />Digitally signed
<br />b A"WL% A d
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO iL;AiZ ti+�LDER.-THfS-
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER H EWOVAN POOW"
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUIN;; INSURERS), 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 endorsement(s).
<br />PRODUCER LOckton Companies CONTACT
<br />444 W. 47th Street, Suite 900 PHONE FAX
<br />IAIKansas City MO 64112-1906 E-MAIL
<br />o Ext : tA/C No):
<br />(816)960-9000 ADDRESS:
<br />ketsu@1ockton.com INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A: Greenwich Insurance Company 22322
<br />INSURED SOUTH COAST MECHANICAL, LLC INSURER B : The Cincinnati Insurance Company 10677
<br />1471587 SOUTH COAST ELECTRICAL, INC. INSURER C: XL Insurance America, Inc. 24554
<br />800 E. ORANGETHORPE AVE. INSURER D : Steadfast Insurance Company 26387
<br />ANAHEIM CA 92801-1123 INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER! I RAI 115A REVISION NUMBER! XXXXXXX
<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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />S ^BR
<br />POLICY NUMBER
<br />MM D POLICY EFF
<br />MM DI DYE
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />RGD300147503
<br />4/1/2022
<br />4/1/2023
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE X{ OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occurrence),
<br />$ 500,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'LAGGREGATE
<br />LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000000
<br />POLICY ECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />RAD943796403
<br />4/1/2022
<br />4/1/2023
<br />„CO aBINEDtSINGLE LIMIT(Ep
<br />$ 5,000., 000
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />$ XXXXXXX
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$ XXXXXXX
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />$XXXXXXX
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />$XXXXXXX
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />N
<br />N
<br />EXS0572000
<br />4/1/2022
<br />4/1/2023
<br />EACH OCCURRENCE
<br />$ 5,000 000
<br />X
<br />H
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$ XXXXXXX
<br />C
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? N
<br />(Mandatoryin NH)
<br />N / A
<br />Y
<br />RWD3001476-03
<br />STOP GAP: ND, OH, WA, WY
<br />4/1/2022
<br />4/1/2023
<br />OT-
<br />X STATUTE EERH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000 000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />D
<br />POLLUTION & PROF.
<br />N
<br />N
<br />E005833423-10
<br />4/1/2022
<br />4/1/2023
<br />OCCURRENCE: $10,000,000
<br />LIAB
<br />AGGREGATE: $10,000,000
<br />PROPERTY (IF)
<br />LIMIT: $1,500,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: INSURED'S WORK/SERVICES; THE CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS ARE ADDITIONAL INSUREDS
<br />FOR GENERAL LIABILITY, AUTO LIABILITY, PRIMARY/NON-CONTRIBUTORY; WAIVER OF SUBROGATION FOR GENERAL LIABILITY, AUTO LIABILITY,
<br />WORKERS COMPENSATION; PER ATTACHED ENDORSEMENTS.
<br />CERTIFICATE HOLDER CANCELLATION See Attachments
<br />18621354
<br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />RISK MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 CIVIC CENTER PLAZA, 4TH FLOOR ACCORDANCE WITH THE POLICY PROVISIONS.
<br />SANTA ANA CA 92701
<br />AUTHORIZED REPRESENTATIV .
<br />Ir/ REVIEWED&APPROVED BY.-
<br />O 1988 � 015 ACORD
<br />o
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />e Aeevaa
<br />�--'� Risk Management Specialist
<br />
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