�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDp/yyyy)
<br /> 01J07/2025
<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 INK-RED,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 CONTACT
<br /> MARSH USA,LLC, NA MP
<br /> 20 CHURCH STREET,M FLOOR PHONE
<br /> HARTFORD,CT 06103 EMAIL EC No
<br /> AooRess: OIIs.CertRo ueat@mersh,com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> CN103059650-OtlsSTAND-24-25 INSURERA: National Union F m Insurance Co Of PitIsbumh.PA 19445
<br /> INSURED
<br /> AMTECH ELEVATOR SERVICES INSURER a: AIU Inauiance Co 19399
<br /> 12921 166TH STREET INSURER C:
<br /> CERRITOS,CA 90703 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: NYC-010931781-15 REVISION NUMBER: 28
<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 /> ILTR TYPE OF INSURANCE ADDL S B POLICY NUMBER PMIDOM/1N MMIDUmXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 016916832 1210112024 12101IZ25 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE FX—I OCCUR "%Z000,000 General Aggregate DAMAGE T NTED
<br /> Ea occurrence $ 300.000
<br /> "For Project/Locatlen° PREMISES MEDEXP(Arty one person) $ 10,000
<br /> PERSONAL a ADV INJURY $ 1,000,000
<br /> GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00D
<br /> POLICY El JECT LOC
<br /> PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> OTHER: I I I $
<br /> A AUTOMOBILE LIABILITY 016916830(ADS) 12W/2024 12101/2025 CO BINED SINGLE LIMIT $
<br /> Ea ecoldent 11000,000
<br /> B X ANY AUTO 016916831(MA) 1210112024 121Di/2025 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY par accident $
<br /> S
<br /> A X UMBRELEXCESSLAune X OCCUR 015933392 12101/2024 12101/2025 EACHCCCURRENCE S 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S 10,DODp00
<br /> DED RETENTION$
<br /> $
<br /> B WORKERSCOMPENSATION 016933391(AOS) 12101/2024 12JO112025 PER OTH-
<br /> B AND EMPLOYERS'LIABILITY YIN X STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE 016933394(CA) 12/0112024 12101/2025 E.L.EACH ACCIDENT S 1,000,000
<br /> B OFFICERIMEMBEREXCLUDED7 N NIA
<br /> (Mandatory In NH) M6933393(WI) 12101/2024 12101/2026 E.L.DISEASE-EA EMPLOYEE 6 1.000,000
<br /> If yyes describeunder
<br /> DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT S 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(ACORD 101,Addleonal Remarks Schedula,may be attached Irmore space Is required)
<br /> CONTRACT NO:DVB-06111,Contract Effective Data:July 1,2020-Contract Expiration Date:June 30,2025
<br /> City of Santa Ana,City of Santa Ana,Its officers,employees,agents,volunteers and representatives islare Included Is additional Insured(except workers compensation)when required by written contract and/or
<br /> agreement. Policies provide for waiver of subroga9on to the exlent agreed under written contract.Regarding Notloe Of Cancellation To Certificate Holder(S),Endorsement Ih 0313 0611(Copies Attached)Applies
<br /> To Auto And General Liability Policies,Insurance,when applicable to an additional Insured and when specified Ina written agreement among the parties,applies on a primary basis with no contribution by the
<br /> add illonal inswed.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELL By Cynthia Mora at 4:52 pm, Jan 13, 2025
<br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Risk Management Dlvlslon THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 20 Civic Center Plaza,41h Floor ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana,CA 92701
<br /> AUTHORIZED REPRESENTATIVE
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<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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