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Digitally ggned by Fondle,R. <br />FrancineR.Villareal Villareal <br />4�R�® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDYYYYI <br />3/5/2021 <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 endorsement(s). <br />PRODUCER Patriot Risk & Insurance Services <br />2415 Campus Drive, Suite #200 <br />Irvine, CA 92612 <br />CONTACT <br />NAME <br />PHONE 949 466-7900 FAX No: <br />EMAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />www:patrisk.com OK07568 <br />INSURERA: Middlesex Insurance Company <br />23434 <br />INSURED <br />South Coast Mechanical, I . <br />South Coast Electrical, Inc. <br />INSURERS: Federal Insurance Company <br />20281 <br />INSURER C: Travelers Property CasualtyCompany of America <br />25674 <br />INSURER D: Hiscox Insurance Company Inc. <br />10200 <br />800 E. Orangethorpe Avenue <br />INSURER E: <br />Anaheim CA 92801 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: Rnsipsea REVISION NUMRFR- <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 />INS <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSE, <br />SUER <br />video <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICYEXP <br />MMIUD <br />LIMITS <br />A <br />,/ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE �✓ OCCUR <br />r/ <br />r/ <br />A0147343-003 <br />5/1/2020 <br />5/1/2021 <br />EACH OCCURRENCE <br />$1000000 <br />15AMAGE TO <br />PREMISES E.—RENTED <br />. ence <br />$100,000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL& ADV INJURY <br />$1,000000 <br />DEVIL <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY E JET F-1LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP/OP AGO <br />$2,000000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />54309687 <br />5/1/2020 <br />5/1/2021 <br />EOMaBBIINdEED SINGLE LIMIT <br />$1000000 <br />✓ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY ✓ AUTOS <br />BODILY INJURY (Paraccident) <br />$ <br />HIRED NONOWNEDPROPERTY <br />AUTOS ONLY AUTOS ONLY <br />DAMAGE <br />Per accident <br />$ <br />C <br />✓ <br />UMBRELLA LIAB <br />�/ <br />OCCUR <br />ZUP16N187392ONF <br />5/1/2020 <br />5/1/2021 <br />EACH OCCURRENCE <br />$10 000,000 <br />AGGREGATE <br />$10 000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOR/PARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />✓ <br />54309689 <br />5/1/2020 <br />5/1/2021 <br />PER 0TH- <br />✓ STATUTE ER <br />EL EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$t 000 rion <br />(Mandatory in NH) <br />If under <br />antler <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />Dyes, IPTION <br />DESCRIPTION OPERATIONS below <br />A <br />Leased/Rented Equipment <br />A0147343-002 <br />5/1/2020 <br />5/1/2021 <br />Limit: $75,000 / Ded: $1,000 <br />D <br />Cyber Liability <br />MPL414458119 <br />5/21/2020 <br />5/21/2021 <br />Limit: $1,000,000 / Retention $5,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />RE: All California Operations as required by written contract. <br />City of Santa Ana is named as additional insured with respect to liability as required by written contract. <br />Coverage is primary and non-contributory. Waiver of subrogation applies. See attached endorsements. <br />`30-Day notice of cancellation / 10-days for non-payment of premium. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana CA 92701 <br />ACORD 25 (2016/03) <br />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 />AUTHORIZED REPRESENTATIVE / <br />2 X <br />Dave Jacobson <br />5 ACORD C <br />The ACORD name and logo are registered marks of ACORD <br />IOdeMnugenind Dhiclon r. <br />REVIEWED&APPROVEDBY: <br />Risk Management Analyst <br />60518569 t 20/21GL/AU/OM3/WC/LM/CYBSR I Dena Kurtz ( 3/5/2021 10: 25:30 AM (PST) I Page 1 of 21 <br />This eer ificate cancels and supersedes ALL previously issued certificates. <br />