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LEEDELE-01 JLOPEZ
<br /> ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 9/29/2025
<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 Jessica Lopez
<br /> NAME:
<br /> Commercial The Brokerage PHONE FAX
<br /> The Brokerage,an Alera Group Company (A/C,No,Ext):(949)287-5677 (A/C,No):(949) 335-0621
<br /> 18575 Jamboree Rd,Suite 500 a DDRIESS:llopez@thebrokerageins.com
<br /> Irvine,CA 92612
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURERA:Middlesex Insurance Company 23434
<br /> INSURED INSURERB:ZURICH AMERICAN INSURANCE COMPANY 16535
<br /> Leed Electric,Inc. INSURER C:TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 25674
<br /> 13138 Arctic Circle INSURER D:Indian Harbor Insurance Company 36940
<br /> Santa Fe Springs,CA 90670
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR A0230199003 10/1/2025 10/1/2026 DAMAGE TO RENTED 500,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000
<br /> POLICY X 71 PEA LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO X X BAP 4227795-02 10/1/2025 10/1/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000
<br /> EXCESS LAB CLAIMS-MADE X X CUP-3X079407-25-NF 10/1/2025 10/1/2026 AGGREGATE $ 2,000,000
<br /> DED X RETENTION$ 0 $
<br /> B WORKERS COMPENSATION X PER STATUTE E ERR
<br /> AND EMPLOYERS'LIABILITY
<br /> WC 5646573-02 10/1/2025 10/1/2026 1,000,000
<br /> ANY PROPRIETOR/EXCLUDED?
<br /> R/EXECUTIVE ❑ X E.L.EACH ACCIDENT $
<br /> OF EXCLUDED? N/A
<br /> (Mandatory in NH) 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 /> D Poll/Prof Liab. PECO06428602 10/1/2025 10/1/2026 $2Mill Occ/Agg: 3,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:Agreement:A-2022-025-02;Agreement To Provide On-Call Electrical Repair And Rehabilitation Services. glaiwv/auaiwv/wcwv/xsaiwv
<br /> City of Santa Ana,its officers,employees,volunteers,agents and representatives and any other entity which contractor is required are included as Additional
<br /> Insureds as respects General Liability,Auto Liability,and Umbrella Liability per attached endorsements.
<br /> This Insurance shall apply as Primary and Non-Contributory per attached endorsement.
<br /> Waiver of Subrogation for Workers'Compensation,General Liability,Auto Liability,and Umbrella Liability:See Attached Endorsements.
<br /> *Excess Liability follows form over the General Liability,Auto Liability,and Employers Liability.
<br /> APPROVED
<br /> CERTIFICATE HOLDER By Tu Tran Nguyen at 4:27 pm,Sep 29,2025 CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Digital ly signed THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana TU Trap byTuTran ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 215 S.Center St.,M-85 Nguyen
<br /> Santa Ana,CA 92701 Nguyen Date:2025.09.29
<br /> 16:28:22-07'00' AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
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