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ACC> oY CERTIFICATE OF LIABILITY INSURANCE rATE512mmaty Y)
<br /> 166-�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 /> PRODUCER CONTACT
<br /> Alliant Insurance Services, Inc. PHONE Jordan Lae endecker FAX
<br /> 353 N Clark St11th Fl we No:
<br /> Chicago I L 60654 ADDRESS: Jordan.Laeyondecker@alllant.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> icense#:OC36861 INSURER A:Arch Insurance Company._ 11150
<br /> INSURED WALSCON-04 INSURERB:Arch Indemnity Insurance Coma 30830
<br /> Walsh Construction Company II, LLC
<br /> 1260 Corona Pointe Court Ste 201 INSURER C:Starr Indemnity&Liabl&Co 38318
<br /> Corona, CA 92879 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:508065786 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 /> 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 /> INTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
<br /> POLICY NUMBER fMWDDIYYnL fMM10131YYYY) LIMITS
<br /> A X COMMERCIALGENERAL.LIASILITY Y Y 41PKG8901919 0/1/2025 6/1/2026 FACHOCCURRENCE $2,000,000
<br /> CLAIMS-MA DE OCCUR DAMP RENTED
<br /> PREMISES Ea occurrence $1,000,000
<br /> MED EXP(Any oneperson) $25,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY M PRO-
<br /> JECT LOG
<br /> PRODUCTS-COMPJOPAGG $4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 41PKG8901919 6/1/2025 6/1/2026 COMBINED.uri LE LIMIT $5,000,000
<br /> '° 41CAB89020143 6/1/2025 611/2026 ODILYIent
<br /> X ANY AUTO BODILY INJURY(Per parson) $ -
<br /> OWNED SCHEOULEU ld Peraccan[
<br /> AUTOS ONLY AUTOS BODILY INJURY( ) $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> $
<br /> A UMBRELLA LIAB X OCCUR Y Y 41 UFP1992102 6/1/2025 6/1/2026 EACH OCCURRENCE $5,000,000
<br /> O 1000688415251 6/1/2025 6/1/2026
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED RETENTION$ 2nd Layer Excess $5,000,000
<br /> g WORKERS COMPENSATION 44WC18937512 6/1/2025 6/1/2026 X STATUTE pRH
<br /> AND EMPLOYERS'LIABILITY Y 1 N
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE N NIA E.L.EACH ACCIDENT $1.000,000
<br /> OFFICEftfMEML4EREXCLUDED7
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> Igltallyslgned
<br /> TU Tran: guyen n APPROVED
<br /> Nguyen -2-5-19
<br /> 4no39-mvo' Sy 7'u Tran IVguyen Pf 2:04pm Al g 19 2925
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached If more space is required)
<br /> RE:Lease Agreement between The City of Santa Ana and Walsh Construction Company 11,LLC for use of property located at 1000 East Santa Ana Boulevard
<br /> in the City of Santa Ana-Santa Ana Regional Transportation Center(SARTC),suite 200 and portions of the parking area not presently occupied.Walsh
<br /> Project:OC Streetcar Construction-Project iFB 7-1904,Job No.:218132,
<br /> City of Santa Ana,its officers,employees,agents,volunteers and representatives are named as Additional Insureds with respect to General Liability and
<br /> Umbrella/Excess Liability if required by written contract.General Liability and UmbrellalExcess Liability are primary and any other insurance maintained by the
<br /> Additional Insured is excess and non-contributory.Waiver of Subrogation applies to General Liability,UmbrellalExcess Liability if required by written contract.
<br /> General Liability includes Severability of Interests I Cross Liabilityy.
<br /> Fire Legal Liability is part of the Damage to Rented Premises subllmil under the General Liability policy.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Public Works Agency ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Executive Director of
<br /> Public Works Agency AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza(m-21)
<br /> Santa Ana CA 92701 - `.�.� .{
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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