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Digitally signed by Ton Pierson
<br />Tori Pierson Date: 2022.07.1213.0628
<br />,4� o® CERTIFICATE OF LIABILITY INSURANCE
<br />UATEYYVY,
<br />o7/oa/2022
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<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
<br />Marsh USA Inc.
<br />525 Vine Street, Suite 900
<br />CONTACT
<br />NAME:
<br />PHONE LAC, No
<br />E-MAIL
<br />ADDRESS:
<br />Cincinnati, OH 45202
<br />INSURER(S)AFFORDING COVERAGE
<br />NAIC 9
<br />INSURER A: Continental Casualty Co.
<br />20443
<br />ON103042465—GAWUE-22-23
<br />INSURED Statewide Traffic Safety 8 Signs, Inc.
<br />INSURER B: American Casualty Company Of Reading, Pa
<br />20427
<br />INSURER C : Continental Insurance Co.
<br />35289
<br />she Statewide Safety Systems
<br />INSURER D: Transportation Insurance CD
<br />20494
<br />Lindon lane
<br />Nipomo, CA 93444
<br />Nip
<br />INsuRERE: Landmark American Insurance Company
<br />33138
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: CLE-006767954-07 REVISION NUMBER: 7
<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 />INSRLm
<br />LTR
<br />OF INSURANCE
<br />ADDLTYPE
<br />WILD
<br />D
<br />POLICYNUMSER
<br />MM/UUYEFF
<br />MMADOY/Y YY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIALGENERAL LIABILITY
<br />X
<br />X
<br />7014845044
<br />06/28/2022
<br />OW812023
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occurrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY � JET LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L
<br />PRODUCTS-COMP/OP AGO
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILELIABILITY
<br />X
<br />BUA 7014879999
<br />06/2N022
<br />06/28/2023
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 2,000,000
<br />BODILY INJURY (Par person)
<br />$
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY HAUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />X
<br />UMEIRELLAUAB
<br />Xd
<br />OCCUR
<br />CUE6083004523
<br />06/28/2022
<br />06/28/2023
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />$
<br />B
<br />D
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANVPROPRIEPORIPARTNEWEXECUTIVE V / N
<br />OFFICERmEREXCLUDED? 1EMB❑N
<br />(Mandatory in NH)
<br />NIA
<br />X
<br />WC 714973185 (ADS)
<br />WC 715437870 (AZ, OR, WI)
<br />WC 715437867 CA
<br />( )
<br />06128/2022
<br />06/2812022
<br />06/28/2023
<br />0628/2023
<br />06/2812023
<br />X I PER oTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />ii 1,000,000
<br />D
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />GAP 7015437884 (Slop -Gap Coverage)
<br />062812022
<br />06/28/2023
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />E
<br />Professional l Pollution
<br />LHC796833
<br />06/1512022
<br />06/15/2023
<br />Limit
<br />See Attached
<br />Deductible
<br />5,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ti more space is required)
<br />The City of Santa Ana, its oficem, officials, employees, and volunteers Islam included as additional insured where required by written contract with respect to general liability. This insurance is primary and non-
<br />contributory over all other insurance where required by written contract. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions. Umbrella is follow form of
<br />primary, subbed to polity terms, conditions, and exclusions.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATNE Nlak mar%israd Dhybn
<br />RI 6 NPROJ® Or.
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<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD W
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