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Ire CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDNYYY) 7/31/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Patriot Risk & Insurance Services 2415 Campus Drive, Suite #200 Irvine, CA 92612 CONTACT NAME PHONE g4g ass-7soD ac No: 949 488-7950 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICM w isk.com OK07888 INSURER A: Zurich American Insurance Company 16535 INSSUREDURED Mike Prlich &Sons, Inc. INSURERB: Navigators Insurance Company 42307 INSURERC: Ironshore Specialty Insurance Cc 25445 5103 Elton St. Baldwin Park CA 91706 INSURERD: Lloyds ofLondon INSURER E: INSURER F: �+W_Q0 Ccrtnrn:AI t NOmestK: 50284319 REVISION NUMBER• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN3R LTR TYPE OF INSURANCE WW POLICYNUMBER POLICY EFF MMN Y�V LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR J GLO 7945139-00 8/1/2019 8/1/2020 EACH OCCURRENCE $1000000 PREMISES Ea emunence $100,000 ✓ $5 000 Deductible MED EXP (Any one rsdm) $1 U DDD PERSONAL BADV INJURY $1 000,000 GEN'L AGGREGATE LIMIT APPUES PER: POLICY- jECOT [71LOc GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OPAGG $2000000 $ OTHER: A AUTOMOEILEUABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BAP 7945142-00 8/1/2019 8/1/2020 CEOMBINtlED SINGLE LIMIT $1 DDD DDD J BODILY INJURY IF, perean) $ BODILY INJURY (Pan aculden) $ PROPS DAMAGE Per accklent $ $ B UMBRELLAUAB EXCESS LIAB ,/ OCCUR CLAIMS -MADE LA19EXC7820511V 8/1/2019 8/1/2020 EACH OCCURRENCE $10DDD ODD J AGGREGATE $10 00O 000 DIED I I RETENTIONS WORKER$ COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOIYPARTNERIEXECUTNE OFFICE RMIEMBEREXCLUDED'! FN PER OTH- ✓ STATUTE I I ER $ A NIA WC 7988026-00 8/1/2019 8/1/2020 E.L EACH ACCIDENT $1 000 000 EL DISEASE -EA EMPLOYE $1 0 (Mandatory In NH) K yea, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1 000 000 C D Pollution Liability Professional Liabili 004158100 ELOO-98-0088-2018 8/1/2019 5/9/2019 8/1/2020 5/9/2020 $2,000.000 Occur/ $2,000,000 Aggregate $10,000 Deductible. $1 000 000 Occurrenc2/Aggreqete DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addtional Remarks Schedule, maybe attached ifmore space is required) Re: City of Santa Ana's Emergency Sewer and Water System Repair Services RFP 19-032. The City of Santa Ana, it's officers, employees, agents, volunteers and representatives are named as Additional Insured as respects to General Liability as per endorsement attached as required by written contract. Primary/non-contributory endt attached. 30-day notice of cancellation / 10-days for non-payment of premium. City of Santa Ana i e 2O 19 SHOULD ANY IO THE ABOVE DESCRIBED POLICIES WILL CANCELLED BEFORE Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA K102 SA ANl A M. LAMBERT AUTHORQEDREPRESENTATNE f d _ Dave Jacobson ACUKU 25 (2016103) ©1988.2015 ACORn CORPf1RGT1r1M An ri.. H.e reee..,e,1 The ACORD name and logo are registered marks of ACORD 502e9319 119/20 GLIAUJOMB/qC/POLL I Tina Kennedy 17/31/2019 10:06:42 AN (PDT) I Page 1 of 9 This Certificate cancel- and auperaedes ALL Previously issued certificates.