|
A� 09/29/2025® CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY)
<br /> /2025
<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 CONTACT
<br /> "`MARSH USA LLC NAME:
<br /> HONE FAX
<br /> 1166 AVENUE OF THE AMERICAS A/CC No Ext: C,No):
<br /> NEW YORK,NY 10036 E-MAIL
<br /> Phone:866-966-4664 ADDRESS:
<br /> Emcor.Certrequest@marsh.com/Fax: 203-229-6787 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> CN 1 02796740-KDC-GAWU-25-26 wsURERA: Continental Casualty Company 20443
<br /> INSURED KDC INC DBA KDC SYSTEMS INSURER B: American Casualty Company of Reading,PA 20427
<br /> 4462 CORPORATE CENTER DRIVE INSURER C: Transportation Insurance Cc 20494
<br /> LOS ALAMITOS,CA 90720 INSURER D: Continental Insurance Company 35289
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: NYC-012199757-06 REVISION NUMBER: 4
<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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY GL8033391088 10/01/2025 10/01/2026 EACH OCCURRENCE $ 12,000,000
<br /> CLAIMS-MADE X� OCCUR DAMPREMISESAGE TOEa RENTEo D
<br /> ccurrence $ 1,000,000
<br /> MED EXP(Any one person) $ 25,000
<br /> PERSONAL&ADV INJURY $ 12,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 14,000,000
<br /> POLICY ECT LOC PRODUCTS-COMP/OP AGG $ 14,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY BUA8033391091 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT
<br /> Ea accident $ 12,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY Per accident $
<br /> Auto Physical Damage $ Included
<br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION WC 8 33425613(AOS) 10/01/2025 10/01/2026 X PER oTH-
<br /> AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $STATUTE ER
<br /> D ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N N/A WC 8 33451421(CA) 10/01/2025 10/01/2026 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? 51
<br /> O (Mandatory in NH) WC 8 33452858(AZ,OR,WI) 10/01/2025 10/01/2026 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Digitally,ig-d by
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES ACORD 101,Additional Remarks Schedule,maybe attached if more ace is required) n g 10.0
<br /> ( Y P 9 ) Date:zozs.io.m
<br /> RE:ALL OPERATIONS. Nguyen o9.19:o9-moo
<br /> ADDITIONAL INSURED UNDER ALL POLICIES(EXCEPT WORKERS COMPENSATION&EMPLOYERS LIABILITY)WHERE REQUIRED BY CONTRACT:CITY OF SANTA ANA,ITS OFFICERS,
<br /> EMPLOYEES,AGENTS,VOLUNTEERS AND REPRESENTATIVES.
<br /> WHERE REQUIRED BY CONTRACT,COVERAGE PROVIDED TO THE ADDITIONAL INSUREDS IS PRIMARY&NON-CONTRIBUTORY.
<br /> WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT AND WHERE NOT PROHIBITED BY LAW.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> By Tu Tran Nguyen at 9:18 am,Oct 07,2025
<br /> CITY OF SANTA ANA-WATER RESOURCES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 220 S DAISY AVE ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> SANTA ANA,CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA LLC
<br /> @ 1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
|