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CERTIFICATE OF LIABILITY INSURANCE DATEI104120YYYY}
<br /> D91D4Y2p24 N
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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 2
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED s
<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.If
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of 1he policy,certain policies may require an endorsement,A statement on this w
<br /> certificate does not cantor rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT 61
<br /> Aon Risk Insurance Services West, Inc. NAME: Z7PHONE (866) 283_7122 FAX (800) 361-DlOS
<br /> LOS Angeles CA office (A/C.No.EXI): (AIC.No.):
<br /> 707 Wilshire Boulevard E-MAIL c
<br /> Suite 2600 ADDRESS: _
<br /> Los Angeles CA 90017-0460 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: LM Insurance Corporation 33600
<br /> ACCO Engineered Systems, Inc. INSURER B: Liberty Mutual Fire Ins Co 23035
<br /> 898 East Walnut Street
<br /> Pasadena CA 91101 USA INSURERC: American Fire & Casualty Co 24066
<br /> INSURER.: Ironshore specialty Insurance Company 2544S
<br /> Angie Acevedo Digitally 590 y R� Pall parry 39462
<br /> I I I
<br /> COVERAGE CERTIFICATE NIi;ABER: 570108013570 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HELOW 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. Limits shown are as requested
<br /> INSR POLICY EFF POLICY FXP
<br /> LTp TYPE OF INSURANCE INSD WV❑ POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
<br /> B X COMMERCIAL GENERALLL PDAIVAGIF TO
<br /> REMISES Ea occurrence
<br /> LIABILITY Y TB 7 5 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE J x OCCUR R N ED $1,000,000
<br /> u
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV IIFlY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PERT GENERALAGGREGATE $4,000,000 F6
<br /> POLICY PRO LOG PRODUCTS-COMPICP AGG $4,000,000 O
<br /> JECT
<br /> OTHER:
<br /> d
<br /> n
<br /> B AUTOMOBILE LIABILITY Y Y As2-661-067353-024 10/01/2024 10/01/2025 COMBINED SINGLE LIMIT 'n
<br /> Ea accident) $5,000,000
<br /> X
<br /> BODILY INJURY(Per person) O ANY AUTO Z
<br /> OWNED SCHEDULE❑ BODILY INJURY(Per accident) y
<br /> AUTOS ONLY AUTOS PROPERTY DAMAGE
<br /> HIRED AUTOS NON-OWNED U
<br /> ONLY AUTOS ONLY Par accident
<br /> Q}
<br /> C UMBRELLA LIAB X OCCUR Y V EUA2563708SO2 10/01/2024 10/01/2025 EACH OCCURRENCE $5,000.000 0
<br /> X EXCESS LIAS CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED RETENTION
<br /> A WORKERS COMPENSATION AND Y WA566DO67353014 10/01/2024 10/01 2025 X PER STATUTE OTH-
<br /> EMPLOYERS'LIABILITY YIN ER
<br /> ANY PROPRILTOR 1 PAHTNER I EXECUTIVEE ll E.L.EACH ACCIDENT 11,000,000.
<br /> OFFICER MEMBER EXCLUDED' N N/A
<br /> (Mandatory in NH) L��� E.L.DISEASE-EAEMPLOYEF S1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS belaw E_L.DISEASE-POLICY LIMIT $1,000,000
<br /> E Environmental Contractors and Y PCADB50260631024 10/01/2024 10/01/2025 Aggregate/Each Lass $2,000,000
<br /> Prof Claims Made Prof Agg SIR $600,000
<br /> SIR applies per policy ter 1,,
<br /> s & cordi ions Prof Each Claim SIR $200,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 1111,Add4llonal Remarks Schedule,maybe attached If more space is required)
<br /> [RE: Construction, All Operations.]
<br /> [AI: City of Santa Ana, its officers, employees, agents and representatives] are included as Additional Insured with respect
<br /> to the General Liability and Automobile Liability Policies; granted a Waiver of Subrogation for the General Liability,
<br /> Automobile Liability, Professional Liability and workers' compensation Policies; and General Liability Policy evidenced herein
<br /> is Primary and Non-Contributory to other insurance available as required by written contract but limited to the operations of
<br /> the insured under the said contract. EXcess Liability is Follow Form. el
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> POLICY PROVISIONS.
<br /> cityof Santa Ana
<br /> AUTHORIZED REPRESENTATIVE
<br /> Attn: Risk Management Division
<br /> 20 Civic Center Plaza, 4th Floor A r Y �t
<br /> DWim
<br /> Santa Ana CA 92701 USA e f�1 pt �edcLt�?tgs eC/�6t ire REIAEWEO&APPROVEDft
<br /> Risk Marlagement Specialist
<br /> £01988-2015 ACORD CC
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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