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pru <br />►ci Rzs CERTIFICATE OF LIABILITY INSUR74MCEZ7 e <br />Wfflffiffi==_ <br />ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI TS P T E��^C}�E;RDOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER T V l IN,< <br />S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE E illTIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.�ppl ui•a r a endor <br />If the certificate sub ect to the DteDrlmsOa dL condltR'lonps of the Ipolicy, certain policl (, �Aq INSUr.�p pr <br />ION IS WAIVED, 1 =L7- <br />_._ _ _,_�.� .., .Hn eRrtificate holder In lieu of such endorsemant(s). <br />PRODUCER <br />Arthur J. Gallagher Risk Management Services, Inc. <br />250 Park Avenue, 5th Floor <br />New York NY 10177 <br />INSURED <br />RailWorks Track Services LLC <br />12740 Lakeland Road <br />Unit B <br />Santa Fe Springs, CA 90670 <br />Ang*12D22 <br />JIV@ ER. THIS <br />BY THE POLICIES <br />4%.AUTHORIZED <br />hpp¢rrd�plL`by{��tt �rl�rr�sllepdr�T <br />�LO. 1 Je V / LJVI <br />--CERTIFICATE NUMBER: 16298rsacU <br />=E :77 THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR To <br />NOTWITHSTANDING <br />OR MAY REQUIREMENT. <br />TERM <br />OR INSURANCE AFFORDEOF ANY D D 8Y THE POLICIES DESCRI EDR OTHER OHE HEREIN IS SUBJECT ToTALL THE TERMS, <br />AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDDUCED By PAID CLAIMS. LIMITS <br />� IMMIDDm ICY PI I <br />TYPE OF INSURANCE ....._. .._.___ 4/112022 4/1/2023 <br />COMMERCIAL GENERAL LIABILITY <br />TB5-621-095327-032 <br />CLAIMS -MADE [fl OCCUR <br />I"I Cant. Lleb <br />RU RR E%I. Del <br />I'L AGGREGATE LIMIT APPLIES PER: <br />POLICY a JECOT LOC <br />OTHER'. <br />A55-621-095327-042 <br />rrnw« ....__ .O <br />BODILY INJURY (Per <br />A AUTOMOBILE LIABILITY <br />X ANY AUTO <br />BODILY INJURY (Per <br />SCHEDULED <br />PROPERTY DANIAGi <br />OWNED <br />AUTOS ONLY AUTOS <br />Per accident <br />HIRED NOWOWNED <br />ONLY <br />AUTOS ONLY AUTOS <br />EACH OCCURRENC <br />UMBRELLALIAB OCCUR <br />AGGREGATE <br />EXCESS LIAR CLAIMS -MADE <br />DED RETENTIONS <br />WA2-620-095327-012 <br />PER <br />V1/2022 4/1/2023 X STATUTE <br />411/2023E.L. <br />wORRER9 COMPENSATION <br />YVg2.621-095327-022 <br />4/12022 EACH ACCIDEI <br />A <br />A ANOEMPLOYERS'LIABILITY YIN <br />NIA <br />E.L. DISEASE -EAi <br />ANYPRJPRIETORIPAREXTNEMEXECUTIVE <br />,MPMBERCLUDEO? <br />- <br />DESCRIPTION OF OPERATIONSILOCATIONSI VEHICLES IACORD111,Addillonal Remarks Schedule, may be abached it more space is requlretl) <br />as Add le d re <br />Re- Suite 106n1ODO E) on a pt ast Ana Boulevard <br />oo evard SARTulory basiThe s with respect to Gof Santa eneral Liits ability wherei�equired by written contract. Cross L abil tty/Seveare <br />rab llty ofincluded <br />Interest is included under the General Liability policy where required by written contract. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL BE DELIVERED IN <br />WITH THE POLICY PROVISIONS. <br />The City of Santa Ana <br />Attention. Executive Director of Public Works AgcY <br />20 Civic Center Plaza (M-21) <br />Santa Ana CA 92701 <br />© 198a-2UTO ~ <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Me *M S APPROVED Or <br />'�' f `�RE <br />;' q,� fkwrAA <br />�^® Risk Management 5pedalist <br />