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DIgIl,11, slened Is Ranclne R. Francine R. Vlllarea NareaI " DUe' 2a21.02.0216:05:4e aa'¢e' ROCKFORCE- RFINLAYSON CERTIFICATE OF LIABILITY INSURANCE DATE 12110/2020YI 12110/2020 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 endorsements . PRODUCER CONTACT The Weoditch Company Insurance Services, Inc. 1 Park Plaza Suite 400 ID/IRe, CA 81614 PHONE EaO: (949) 563.9800 FAX No):(949) 553.0670 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A: Lloyd's of London 32727 INSURED INSURER B: Clear Blue Insurance Company 28860 INSURERC:Arch Insurance Company 11160 Rockforce Construction, LLC INSURER D : 26772 Vista Terrace Lake Forest, CA 92630 INSURER E INSURER F : COVERAGES CF_RTIFICATF NIIMRFR- DPVIQlnM MI IMRCD- 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 CONTRACTOR 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 LT rypE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF DDM'YY POLICY UP IDDFYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR X GLL-10740.01 12/10/2020 12110/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO nnce 100,000 MED EXP (Anyoneperson) Excluded PERSONAL&ADV INJURY $ 1,000,000 AGGREGATE LIMIT � APPLIES PER: POLICY � JEC ] LOC GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS-COMPIOP AGG $ 21000,000 $ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B mfi $ 1,000,000 X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BW02-STR-2000024-00 12/1012020 12/1012021 BODILY Per erson $ BODILY INJURY Per accltlent $ OPffdent AMAGE $ X AUTOS ONLY X ARPOS NNBN UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ C WORKERS ND EMPLOYERS' COMPENSATION ANYPROPRIETORIPARTNER/E%ECUTIVE N opiFICE�i/ryEn BER EXCLUOEDY n (Mande o I NM) If yes, describe under DESCRIPTION OF OPERATIONS below NIA ZAWCN804701 711/2020 711/2021 _ X STATUTE ERH E.L. EACH ACCIDENT _ $ 1,000,D00 E.L. DISEASE - EA EMPLOYEE _ $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,D00,000 DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) RE: Project 906-3610; San Lorenzo Sewage Lift Station. glalp/auai City of Santa Ana, its officers, employees, agents and representatives are included as Additional Insureds as respects General Liability and Auto Liability per attached endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division, 4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE �., lOekManaBzrnnttD(visfoR .�,t REVIEWED & APPROVBD BY, ACORD 25 (2016103) ©1988-2016 ACORD C & ,a a Ru'1kkMan The ACORD name and logo are registered marks of ACORD 2isanagement Analyst