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U & I GENERAL CONTRACT, INC.
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U & I GENERAL CONTRACT, INC.
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Last modified
10/17/2025 10:17:45 AM
Creation date
10/17/2025 10:15:04 AM
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Contracts
Company Name
U & I GENERAL CONTRACT, INC.
Contract #
N-2025-261
Agency
Public Works
Expiration Date
7/31/2026
Insurance Exp Date
10/17/2025
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&?FH CERTIFICATE OF LIABILITY INSURANCE <br />DATE ) <br />`,� <br />/30/2025 <br />07/3012025 <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 />PRODUCER <br />CONTACT NAME: Held! GOcke <br />Capital Providers Insurance <br />HONE (818) 676-0016 FAx (818) 676-0015 <br />(PA !C No Ext: AIC, No: <br />License#CH52316 <br />E-MAIL held)@cpisgroup.com <br />ADDRESS: <br />20750 Ventura Blvd., Ste 305 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Woodland Hills CA 91364 <br />INSURERA: Endurance Assurance Corporation <br />11551 <br />INSURED <br />INSURER B <br />U & I General Contract, Inc <br />INSURER C : <br />PO BOX 700 <br />INSURER D : <br />INSURER E : <br />Midway CA 92655 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 25 26 WC REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 <br />TYPE OF INSURANCE <br />ADULSUEIR <br />INSD <br />WVD <br />POLICY NUMBER <br />POLCYEFF <br />MMIDCIYI'YY <br />EXP <br />P <br />MMIODIY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />ED <br />PREMISES Ea occurrence <br />$ <br />CLAIMS -MADE 1:1OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL SADV INJURY <br />$ <br />GEN'LAOGREGATE LIMITAPPLIES PER: <br />GENERALAGGREGATE <br />$ <br />POLICY PECOT LOG <br />PRODUCTS - COMP/OPAGG <br />$ <br />$ <br />OTHER: <br />1 <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Par person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />A <br />AUTOS ONLY UTOS <br />H <br />BODILY INJURY (Per accitlenl) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Perawident <br />$ <br />$ <br />UMBRELLALIAB <br />OCCUR <br />- <br />— <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CIAIMS-MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />vl PER OTH- <br />A <br />AND EMPLOYERS' LIABILITY YIN <br />My CUTIVE ❑ <br />OFFICEoq In NH) EXCLUDEDp <br />OFFICE MEMBEREXCL EXCLUDED? <br />Ifyes,doryln NH) <br />NIA <br />Y <br />EAW0000330600 <br />07/01/2025 <br />07/01/2026 <br />STATUTE ER <br />EL. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 11000,000 <br />fyes,RIPTIONescribe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 11000-000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddRlonal Remarks Schedule, maybe attached If more space Is required) <br />Walver of subrogation applies to the workers compensation policy with respect to the operations of the named Insured per attached endorsement. 30 day <br />notice of cancellations applies to workers compensation with respect to the operations of the named Insured per attached endorsement. <br />APPROVED <br />By Tu Tran Nouven-at 8:05 am.-SeD 02.-2 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attention: Isabel Gomez <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza M-36 <br />Santa Ana CA 92701 <br />01988-2015 ACORD CORPORATION. All rights reser <br />025 <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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