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PAULUSENG
<br />JLOPE
<br />DATE I
<br />1/14/214/2025
<br />CERTIFICATE OF LIABILITY INSURANCE
<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(les) 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 />ONTAMEACT J@SSICa Lopez
<br />Commercial The Brokerage
<br />The Brokerage, an Alera Group Company
<br />20261 SW Acacia St, Suite 200
<br />PHONE FAX
<br />(AIC, No, Et), (949) 287.5677 (a/c, No :(949) 335-0621
<br />E-MAIL s,jlopez@thebrokerageins.com
<br />Newport Beach, CA 92660
<br />INSURERS AFFORDING COVERAGE
<br />NAIC a
<br />INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
<br />25674
<br />INSURED
<br />INSURER B:TheContinental Insurance Company
<br />35289
<br />INSURER C: Nautilus Insurance Company
<br />17370
<br />Paulus Engineering, Inc.
<br />INSURER D:
<br />2871 E. Coronado Street
<br />Anaheim, CA 92806
<br />INSURER E:
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1
<br />THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FORTHE 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
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />TO ALL THE TERMS,
<br />INSR
<br />TYPE OF INSURANCE
<br />ADDLSUBRLTR D
<br />Me
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />DTE-CO-1Y47573A-TIL-24
<br />5/1/2024
<br />511/2025
<br />EACH OCCURRENCE
<br />1,000,000
<br />MGE TE
<br />PREDAAI E TORENccuDpence 1300,000
<br />MED EXP (My oneperson)
<br />5,000
<br />PERSONAL S ADV INJURY
<br />1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY [ X] jEOT LOG
<br />GENERAL AGGREGATE
<br />1 2,000,000
<br />GEN'L
<br />PRODUCTS - COMP/OPAGG
<br />2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANYAUTO
<br />OWNED
<br />AUTOS ONLY AUTOS
<br />SSW
<br />X
<br />X
<br />810-1Y475612.24.26-G
<br />5/1/2024
<br />5/112025
<br />CEOMBINEDISINGLE LIMIT
<br />$ 1,000,000
<br />$
<br />BODILY INJURY Parperson)
<br />BODILY INJURY Per accidenl1
<br />$
<br />FSCHEDULED
<br />p
<br />AUTOS ONLY AUTOS ONLY
<br />P OFaERJ.Yl AMAGE
<br />$
<br />B
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />OCCUR
<br />CLAIMS -MADE
<br />CUE 7092166134
<br />51112024
<br />5/112025
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />[I
<br />AGGREGATE
<br />S 4,000,000
<br />DED X RETENTION$ 10,000
<br />A
<br />AWORKERS
<br />D EMPLOYERS' COMPENSATION
<br />ANYPROPRIETORIPARTNERIEXECUTIVE YIN
<br />FFPICEWME BER EXCLUDED?
<br />If yes, describe under low
<br />DESCRIPTION OF OPERATIONS be
<br />NIA
<br />X
<br />UB-1Y475765.24-26-G
<br />5/112024
<br />5/112025
<br />X STATUTE I I OTH-
<br />E.L. EACH ACCIDENT
<br />11000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />C
<br />Pollution
<br />CPL2026079.16
<br />5/1I2024
<br />5/1/2025
<br />Aggregate
<br />2,000,000
<br />C
<br />Liability
<br />CPL2026079.16
<br />5/1/2024
<br />5/1/2025
<br />Each Occurrence
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached If more space Is required(
<br />RE: On -Call emergency water and sewer cleanup services RFP 24.054, glaipwv/auaipwv/wcwv
<br />City of Santa Ana, Its City Council, officers, officials, employees, agents, and volunteers are Included as Additional Insureds as respects General and Auto
<br />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, and Auto Liability: See Attached Endorsements.
<br />*Excess Liability follows form over the General Liability, Auto Liability, and Employers Liability.
<br />PPROVED
<br />fB
<br />CERTIFICATE HOLDER CANCELLATIONy.Cynfhfa MOra of 8:27-am, Jan 15; 2025-
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Cityof Santa Ana
<br />PWA Water Resources Division
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />220 S Daisy Ave - M85
<br />AU/THORRIIIZ7ED REPRESENTATIVE
<br />Santa Ana, CA 92703
<br />ACORD 25 (2016/03) @ 1988.2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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