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71MINDU-01
<br />JTALCtZ
<br />� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDfYYY)
<br />101912019
<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, ANDITHE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder ie 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 />A2365 Gold Meadow Way Ste 260 lliant Insurance Services, Inc.
<br />Gold River, CA 95670
<br />NRATACT Tracy Dolan
<br />a/CCO t%, Ext: (916) 210.0317 (AID No):(916) 210.0343
<br />E- IL .tracy.dolan@alliant.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC a
<br />INSURERA:Zurich American Insurance Company
<br />16535
<br />INSURED
<br />INSURER B: Great American Insurance Company
<br />16691
<br />INSURERC:As en American Insurance Company
<br />43460
<br />Zim Industries, Inc.; Bakersfield Well & Pump Co.
<br />INSURERD:
<br />4532 E. Jefferson Ave.
<br />Fresno, CA 93725
<br />INSURER E
<br />INSURER F:
<br />COVERAGES CFRTIFICATP NIIMRFR- RFVICInM NI IMRFR-
<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 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 />INSR
<br />TYPE OF INSURANCE
<br />A Dp
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY UPLTR DfYYYYI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OOCCUR
<br />Employee Benefits Li
<br />GLO8311662.16
<br />311/2019
<br />3/112020
<br />EACHOCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />10-010g0
<br />X
<br />MED EXP An one rson
<br />10,000
<br />PERSONAL B ADV INJURY
<br />1,000,000
<br />EN'L AGGREGATE LIMIT
<br />I- APPLIES PER
<br />X POLICY El JEC'QT LOC
<br />GENERAL AGGREGATE
<br />2,000,000
<br />PRODUCTS - COMP/OP AGG
<br />2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />MABILITY
<br />COMBINED SINGLE LIMIT
<br />acads"t)
<br />1,000,000
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUUpTNNO{S�WµNNEEDp
<br />)(
<br />BAPS311663-16
<br />311/2019
<br />31112020
<br />X
<br />BODILY INJURY Per Pmon)
<br />$
<br />BOqDILY INJURY Per eccMenl
<br />$
<br />PPe�aiu�nt AMAGE
<br />$
<br />ARTOS ONLY AUTOSONLY
<br />E
<br />B
<br />UMBRELUI LIAR
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />TUU 302294500
<br />3/1/2019
<br />311/2020
<br />EACH OCCURRENCE
<br />g 16,000,000
<br />X
<br />AGGREGATE
<br />$ 16,000,000
<br />DED I X I RETENTION$ 10,000
<br />8
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY p5p5�tRNI IETOR/EXCLUDR/EXECUTIVE ❑
<br />(manda�Ory in NN�EXCLUDEDi
<br />Dyes, describe antler
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />C8311661-15
<br />3/1/2019
<br />311/2020
<br />X PER OTH-
<br />R
<br />E. .EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE- EMPLOYE
<br />1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />Equipment Floater
<br />IMAC95D519
<br />3/112019
<br />3/1112020
<br />Inst./Builders Risk
<br />1,000,000
<br />C
<br />Equipment Floater
<br />IMAC96D519
<br />3/112019
<br />3/112020
<br />RBL $1003000 ; Schad
<br />21,380,150
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD101,Additienel Remark$Scbedule,mayWaMcbedffmOMSPaceismquimdI
<br />Re: A-2016.311
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers, and representatives are named as
<br />additional Insureds on the General Liability and Auto Liability per the attached forms. Coverage is primary and non-contributory and 30 days notice of
<br />cancellation applies, 10 days notice for nonpayment of premium in accordance with the policy provisions.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, , 4th
<br />Santa Ana, CA 92702
<br />ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />11 201I 9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />IL ♦ r� ACCORDANCE WITH THE POLICY PROVISIONS.
<br />L M. LAMBERT BERT AUTHORIZED REPRESENTATIVE
<br />^� �. t.. ra,vul (01988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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