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DATE(MMIDDIYYYY) <br />A`C)R v® CERTIFICATE OF LIABILITY INSURANCE 9/24/2024 <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 />CONTACT <br />PRODUCER NAME: - Certificates. Department_FAX <br />— <br />Ed ewood Partners Insurance Center PHONE 55g-451-3200 tAJC No}: 925-901-0671 <br />P.N. Box 5003 E-MAIL EhlCcerts a icbrokers.com <br />San Raman, CA 94583 AopRE$s. -_—.. _ _@�..._ _ <br />OVERAGE NAiC M <br />INSURERS Ai FFORDING.0 <br />Www.epicbrokers.com CA LICENSE #0B29370 <br />INsuRERA - Steadfast Insurance.CompanY _ __ ___, 26387 <br />INSURED <br />INSURERS.: _ ---'- <br />All American Asphalt <br />INSURERC: <br />P.O. Box 2229 <br />Carona CA 92878 <br />INSURER D --- <br />INSURER E :-'_---' <br />INSURER F <br />OVERAGES CERTIFICATE NUMBER: 82049639 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 />CH THIS <br />CERTIFICATE MAYYIBESISSUED OR MAY PERTAIN, THE INSURANCE AFFORDETHTANDING ANY REQUIREMENT, TERM OR CONDITION OD BY THE F ANY OPOLLICIES DESCRIBED NTRCT OR OTHER OHE EIN SCUMENT WSUB SUBITH JECT ALL ECT TO THIETERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />--- - POLICYY EFF �LICY E%P_ IIMITS <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />�uw� <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY a JECT LOC <br />OTHER', <br />AUTO MOBILELIABILITY <br />ANY AUTO <br />' <br />AWNED SCHEDULED <br />J AUTOS ONLY AUTOS <br />MIRED NON -OWNED <br />AUTOS ONLY <br />AUTOS ONLY <br />i <br />I <br />UMBRELLALIAB <br />OCCUR <br />EXCESS LIAR <br />d1E <br />F <br />OED RETENTION S <br />WORKERS COMPENSATION <br />l <br />AND EMPLOYERS' LIABILnY Y I N <br />ANYPROPRIETDRIPARTNEPJEXECUTIVE ❑ <br />NIA <br />OFF ICERIMEMBEREXCtUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />CDnlractDrS PDllu50n <br />DAMAGE YO RENTE <br />PREMISES Ea occurranne S __.__._... .._ <br />_MED EXP (Any one person) <br />PERSONAL ii ADV INJURY $ .— <br />I5 <br />COMBINED SINGLE LIMIT <br />S <br />j6e acoidenl _J- <br />-- -- <br />BODILY INJURY (Per person) <br />S <br />BODILY INJURY {Per accident)' S <br />PROPERTY DAMAGE <br />5 <br />.Per acctdenL) ,.,_ �.. <br />----- <br />S <br />EACH OCCURRENCE <br />AGGREGATE _........ <br />15 .._-- .....---...._ <br />E.L. EACH ACGIDENT S _-- __..— <br />E.L. DISEASE - EA EMPLOYEE S <br />E-L- DISEASE - POLICY LIMIT S <br />811 12225 $2,000,000 Each Loss 1 T.000,000 A99 <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 1at, Additional Remarks Schedule, may be attached It more space is required) <br />#36282 / Job #23-67021 RE: Grand Avenue Roadway Rehabilitation from McFadden Avenue to First Street 1 <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />APPROVED <br />By Tu Tran Nguyen at 10:54 am, Mar 05, <br />ANCELLATION <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 REPRESENTATIVE <br />Maleah Cantrell <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />S21k196341241(M1I'0lh+tion(FU1 P"Cific Pettey) (iabncla B,rnagan 242O2412,1650P1.1IPDT)IPagc IofI <br />