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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DAM(MMIDONYYY) <br />11/12/2024 <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 />CONTACT <br />NAME: Pasadena Office <br />SullivanCurtisMonroe Insurance Services (Pasadena) <br />PHONE <br />2010 Main Street <br />949-250-7172 FAX No: 949-852-9762 <br />EMAIL <br />ADDRESS: <br />Suite 700 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Irvine, CA 92614 <br />INSURERA: Hartford Fire Insurance Company <br />19682 <br />www.SUIIIVanCUrtisMOnroe.Com License # OES3670 <br />INSURED <br />INSURER B: National Union Fire Ins Co Pittsburgh PA <br />19445 <br />McGrath RentCorp <br />DBA: Mobile Modular Management Corporation <br />INsuRERc: Brid ewe Insurance Company <br />12489 <br />INSURER D: AGCS Marine Insurance Company22837 <br />5700 Las Positas Road <br />Livermore CA 94551 <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 82707195 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, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />MMIDD/YYYYY <br />MMID�IY VV <br />LIMITS <br />A <br />MMERCIALGENERALLIABILITY <br />,/ <br />✓ <br />72CESOF7559 <br />4/30/2024 <br />4/30/2025 <br />EACH OCCURRENCE <br />$1000000 <br />CLAIMS -MADE OCCUR <br />TI(xocU <br />Ded. $25,000 <br />-EYAMAGE TO PREMISES EaEoccu NTED ence <br />$300000 <br />MED EXP (Any one person) <br />$1O 000 <br />tractual <br />included <br />PERSONAL BADV INJURY <br />$1000000 <br />GENT <br />AGGREGATE LIMIT APPLI ES PER: <br />GENERALAGGREGATE <br />$2,000,000 <br />POLICY JECT 11 LOC <br />PRODUCTS - COMP/OPAGG <br />$2000000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANYAUO <br />✓ <br />✓ <br />5425651 <br />HAPD - $100K limit <br />3/1/2024 <br />3/1/2025 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1 000 000 <br />I/ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Par accident) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />✓ <br />HIRED NN-OWNED <br />AUTOS ONLY ✓ AUTOS ONLY <br />Comp&Coll Ded:$250 <br />(Per a accident) <br />$ <br />Florida PIP -Total A <br />$10 000 <br />C <br />UMBRELLA LIAB <br />✓ <br />occuR <br />8EA7XL000230701-$2M Lead <br />4/30/2024 <br />4/30/2025 <br />EACH OCCURRENCE <br />$50000000 <br />✓ <br />EXCESS LIAB <br />CLAIMS -MADE <br />SEE ATTACHED <br />AGGREGATE <br />$5000OOQ0 <br />LED I I RETENTION$ <br />$ <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERSLIABILITY <br />' YIN <br />ANYPROFFICE IMEMB REXC UDEEXECUTIVE <br />OFFICER/MEMBEREXCLIIDEDy <br />NIA <br />✓ <br />WC015852320(CA) <br />WC015852321 (ADS) <br />3/1/2024 <br />3/1/2024 <br />3/1/2025 <br />3/1/2025 <br />,/ PER <br />ERA <br />E.L. EACH ACCIDENT <br />$1 OOO OOO <br />E.L. DISEASE- EA EMPLOYEE <br />$1 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1 OOO OOO <br />D <br />Tenant Liability <br />MX193076389 <br />4/30/2024 <br />4/3U/2025 <br />$1,000,000 Limit / $100,000 Deductible <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD <br />101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Quote #0-479961, Sourcewell Member #1888, Modular Classroom Buildings at 3000 Centennial Road, Santa Ana, CA 92704. <br />The City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are named as additional insured per attached form. <br />Coverage is primary and non-contributory per attached form. Waiver of Subrogation applies per attached form. 30 day notice of cancellation applies per <br />attached form. <br />APPROVED <br />CERTIFICATE HOLDER <br />CANCELLAT By Cynthia Mora at 4:54 pm, Dec 02, 2024 <br />City of Santa Ana <br />See addendum for complete holder <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 />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Gohar Petiryan <br />01988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />82707195 1 MCGRAPENl 1 2024-25 GLI/XIS/CPP/CA0/WC0 I Maheah Mylarappa 111/12/2C24 4:52:29 PM (PST) I Page 1 of 16 <br />