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<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MM os/16/20252ozs
<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 INSURERS), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,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 NAME: WTW Certificate Center
<br /> Willis Towers Watson Insurance Services West, Inc. PHONE FAX
<br /> C/o 26 Century Blvd . 1-077-945-7375 fAIC No: 1-888-467-2375
<br /> P.O. Box 305191 EMAIL ADD E certificates@wtwco.com
<br /> Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIGN
<br /> INSURER A: Liberty Mutual Fire Insurance Company 23035
<br /> INSURED INSURERB• American Fire and Casualty Company 24066
<br /> Bernards Bros, Ina. LM Insurance Corporation 555 First Street INSURER C: rp 33600
<br /> San Fernando, CA 91340 INSURERD: Steadfast Insurance Company 26387
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER.W40306383 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 PER10D
<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 /> INSR ADDL SUER POLICY EFF POLICY EXP
<br /> LTR TYPEOFINSURANCE INSD POLICYNUMSER MWDDIYY MWDDIYYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE X OCCUR D AMAG PREM ISES E9 RENTED $ 300,000
<br /> Ea occurmnce
<br /> A MED EXP Any one person) $ 15,000
<br /> y y TB2-661-067465-025 07/01/2025 07/01/2026
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> X RO-
<br /> POLICY❑JPECT [:]LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> Eaacuidenl $ 1,000,000
<br /> X ANY AUTO BODILY INJURY(Par person) $
<br /> A OWNED SCHEDULED y y
<br /> AUTOS ONLY AUTOS A82-661-067465-035 07/01/2025 07/01/2026 BODILY INJURY(Per accident) $
<br /> HIRED NON-OWNFD PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accldent
<br /> B UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 10,000,000
<br /> X EXCESSLIAB CLAIMS-MADE EUA(26)64965239 07/01/2025 D7/01/2026 AGGREGATE $ 10,000,000
<br /> ❑ED I I RETENTION$ 1 $
<br /> WORKERS COMPENSATION X I
<br /> STATUTE ERH
<br /> AND EMPLOYERS'LIABILITY
<br /> C ANYPROPRIETORIPARTNERIEXECUTIVE YIN N f A y WC5-661-067465-015 07/01/2025 07/01/2026E.L.EACH ACCIDENT $
<br /> 1,000,000
<br /> OFFICERIMEMBEREXCLUDE07(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,O00,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Contractor's Pollution Liab. y EOC 0936665-01 07/Ol/2025 07/01/2026 Each Claim $10,000,000
<br /> Contractors Professional Liab. Each Claim $10,000,000
<br /> Policy Aggregate Per Policy $10,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> This Voids and Replaces PreviouslyIssued Certificate Dated 06/25/2025 WITH ID: W39499273.
<br /> Project: 1B85 State Building Demolition
<br /> As respects to General Liability, Certificate Holder is an Additional Insured when required by written contract with
<br /> SEE ATTACHED
<br /> CERTIFICATE HOLDERisyAPPR I�EQ... CANCELLATION
<br /> Tu Tran Nguyen at 8:27 am,Sep 77,2D25
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> by ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> n.
<br /> City of Santa Ana Tu Tral.',Digr.Tu ,, lyne,
<br /> Date:
<br /> Nguyen
<br /> Attention: Public.Works Agency, oate:3ozs.os.n
<br /> AUTHORIZEDREPRE5ENTATiVE
<br /> CIP/Design Engineering NgUyen oezrst-oruo
<br /> 20 Civic Center Plaza i(97,nh QTM
<br /> Santa Ana, CA 92701, M-36
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br /> sa In: 28461569 RATcS: 4124893
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