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<br />ZIMINDU-0L AN2
<br />AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(Mn1DDnYYr)
<br />nminnneo
<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 endorsements .
<br />PRODUCER CONTACT Tracy Dolan
<br />NAME:_ _
<br />Alliant Insurance Services, Inc. PHONE Fq7(
<br />2355 Gold Meadow Way Ste 250 (A/C, No, Ezt): (916) 210-0317 _ mac, No):(976) 210-0343
<br />Gold River, CA 95670 E-MAIL raC oan
<br />ADDRESS: tyBlalliant.com @.
<br />INSURED
<br />IN$URER(SI AFFORDING COVERAGE _
<br />Zim Industries, Inc.; Bakersfield Well & Pump Co. INSURE_R_c; Aspen American
<br />4532 E. Jefferson Ave. INSURERD:
<br />Fresno, CA 93725
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF F SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />I
<br />SUER
<br />POLICY NUMBER
<br />POLICY OFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />Employee Benefits Li
<br />X
<br />GLOB311662-15
<br />03/01/2019
<br />03/01/2020
<br />EACH OCCURRENCE
<br />$ 1,000,006
<br />ETORENTED
<br />PREMISETO RE c0urrag4e
<br />PREMISES
<br />E 100000
<br />X
<br />MED EXP (Any one arson
<br />10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />X
<br />_
<br />GENERAL AGGREGATE
<br />_
<br />2'0ON"
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY j �T LOC
<br />PRODUCTS -COMPIOPAGG
<br />$ 2,000,000
<br />OTHER:
<br />A
<br />TILITY
<br />SCHEDULEDAUTOS
<br />03/01/2019
<br />03/01/2020
<br />COMBINED SINGLE LIMIT
<br />(Ea accldenl
<br />1 Ogg000
<br />$BAP8311663-15
<br />BODILY INJURY(Parperson
<br />$
<br />BODILVINJURY (Per acdtlentl
<br />$
<br />_ B30NEY
<br />PeeoDAMAGE
<br />EQAT0
<br />B
<br />UMBRELLA LIAO X OCCUR
<br />EXCESS LIAB CLAIMS -MADE
<br />DED I X RETENTION$ 10,000
<br />TUU 3022945 00
<br />03/01/2019
<br />03/01/2020
<br />EACH OCCURRENCE.
<br />$ 16,000,000
<br />X
<br />AGGREGATE
<br />16,000,000
<br />A
<br />WORKERS COMPENSATION
<br />QER
<br />ANDEMPLOYERTUTABILITY YIN
<br />gRCEWMEMBEER EXCLUDED?ECUTIVE ❑
<br />(Mandatary in NH)
<br />If describe under
<br />yes,
<br />OF OPERATIONS below
<br />NIA
<br />WC8311661-15
<br />03/01/2019
<br />03/01/2020
<br />X PER OTH-
<br />TUTS
<br />1,000,69U
<br />_
<br />$ 1,000�000
<br />1,000,000
<br />E.L. EACH ACCIDENT
<br />E.L. DISEASE- EA EMPLOYEE
<br />E.L. DISEASE -POLICY LIMIT
<br />C
<br />Equipment Floater
<br />IMAC95D519
<br />03/01/2019
<br />03/01/2020
<br />Inst./Builders Risk
<br />1,000,000
<br />C
<br />Equipment Floater
<br />IMAC9513519
<br />03/01/2019
<br />03/01/2020
<br />RBL $100,000 ; Schad
<br />21,755,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional RemarFa Schedule, may be attached if more space is required)
<br />City of Santa Ana, its officers, employees, agen�s, volunteers and representatives are Additional Insured on the General Liability policy per the form attached.
<br />Primary and non-contributory wording applies.
<br />IEWED BY:
<br />z,1(1
<br />City of Santa Ana
<br />PWA, Water Resources
<br />220 S. Daisy Avenue (M-85)
<br />Santa Ana, CA 92703
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />A� *Cltr
<br />I
<br />J
<br />AGOKU 25 (ZU16/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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