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�® 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 <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />