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Digitally signed by Francine R. Francine R. Villareal Villareal Date: 2021.05.26 07:54:05-07'00' ACOR" CERTIFICATE OF LIABILITY INSURANCE Ill 5/1/2022 FDATE(MMIDDIYWY) 4/ 77/2021 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 have ADDITIONAL INSURED provisions or 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 certificate holder in lieu of such endorsement(s). PRODUCER LOckton Companies CONT NAMEACT 3280 Peachtree Road NE, Suite #250 Atlanta GA 30305 (404)460-3600 PHONE FAX Ext : A/C Na E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: The Continental Insurance Company 35289 INSURED NV5, Inc. 1491108 163 Technology Drive INSURER B : National Fire Insurance Co of Hartford 20478 INSURER C : Transportation Insurance Company 20494 INSURER D : Berkley Insurance Company 32603 Suite 100 Irvine CA 92619 INSURER E INSURER F : COVERAGES Irvine CERTIFICATE NUMBER: 17506716 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 7014856125 5/l/2021 5/1/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 X' VIED EXP (Any one person) $ 15,000 Contractual Llab X' Cross Llab Inct PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2 00O 000 $ OTHER: B AUTOMOBILE LIABILITY Y Y 7014842659 5/1/2021 5/1/2022 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO BODILY INJURY (Per accident) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $XXXXXXX A X UMBRELLA LAB X OCCUR N N 7014841883 5/1/2021 5/1/2022 EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 20,000,000 EXCESS LIAB CLAIMS -MADE DED T X RETENTION $ $0 $ XXXXXXX B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N I A Y 7014842824SAOS) 7014842810(CA) 5/1/2021 5/l/2021 5/1/2022 5/l /2022 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Prof Liab N N AEC-9044114-05 5/1/2021 5/1/2022 Ea Claim/Agg $10mil/$20mil A Bus Per Prop 7014856125 5/l/2021 5/1/2022 Limit $19,429,515 A Leased/Rented Equip 7014900785 5/l/2021 5/1/2022 Limit $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: A-2015-163 OnCall & A-2015-237 OnCall, A-2016-283, A-2018-159-05, A-2018-160-04, A-2020-076-01, A-2020-075-05, REP 417-034 Construction Engineering -Walnut Pump Station Building upgrade and San Lorenzo Sewage Lift Station. *SEE PAGE TWO* 17506716 City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ILL u" cF i3R Mwag't'.Ih ertl; DiVisiun i/ A REVIEWED & APPROVED BY: C� 1988.201 ACORD C . The ACORD name and logo are registered marks of ACORD RiskMtangementAnTlyst