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�1 CALIFORPRO <br />C RL <br />DAT01YYYY1 <br />51181278/2020 <br />CERTIFICATE OF LIABILITY INSURANCE <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 endorsemen s . <br />PRODUCER License # 0252636 <br />VW CT Patty Ebeling <br />United Agg@nCIeS <br />3257 E. GUasti Ave, Suite 100 <br />Ontario, CA 91761 <br />PNONE FAX <br />Arc, xo, EMI: (909 295-3299 Arc. No :(929) 296-7377 <br />E'"I . pa driainC.COm <br />INSURE S AFFORDING COVERAGE NMCC <br />INSURERA: Navl atorsSpecialty Insurance Company <br />36056 <br />INSURED <br />INSURER 8:The Travelers Indemnity Company of Connecticut <br />25682 <br />INSURER C:RSUI Indemnity Company <br />22314 <br />California Professional Engineering Inc. <br />19062 San Jose Avenue <br />La Puente, CA 91748 <br />I INSURER D: Travelers Property Casualty Company of America <br />25674 <br />INSURER E <br />INSURER F <br />COVERAGES CFRTIFICATF NI IMRFG• DcammQM NI I M13ED. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD <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 />WSN <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POUCYEXP <br />La1rfS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY / <br />CLAIMS -MADE OCCUR✓ <br />Owner's & Contractor <br />X <br />CE20CGL2395411C <br />2J2612020 <br />5119/2021 <br />EACHOCCURRENCE <br />E 1,000.000 <br />PREMISEOAMAGETO S(Fa aEj <br />E 50,000 <br />X <br />MEY EXP An one rson <br />E <br />PERSONALS ADV INJURY <br />1,000,000 <br />GENLAGGREGATE <br />LIMIT APPLIES PER, <br />OPOLICY JECT LOC <br />GENERAL AGGREGATE <br />2,000,00 <br />PRODUCTS -COMPUP AGG <br />E 2,000,000 <br />OTHER. <br />B <br />AUTOMOBxE <br />X <br />LIABILITY ✓ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUUTµOpSWryE <br />8104N2618072026G <br />5/19/2020 <br />./ <br />5/191202) <br />COMBINED SINGLE LIMIT <br />E 1,000,000 <br />BODILY INJURY Pw arson <br />E <br />BODILY INJURY Per a¢1den1 <br />X <br />DOPER I AMAGE <br />AUTOS ONLY X AUTOS ONLY <br />Ma" Aseaa X NO °etl <br />X <br />C <br />UNIBRELLALIAB <br />EXCESS LIA9 <br />X <br />OCCUR <br />CLAIMS -MADE <br />NHA248864 <br />212612020 <br />5119/2021 <br />EACH OCCURRENCE <br />S 10,000,000 <br />X <br />AGGREGATE <br />E 10,000,000 <br />LIED I X I RETENTIONS 10,000 <br />D <br />WORKERS COMPENSATION <br />ANDEMPRIETORPARTLITT <br />ANY PROPRIEltr EXCLUDE EXECUTIVE Y I❑N <br />WqpnlIc RIMEMg�p EXCLUOE09 <br />(r.Mntla[ory In NH)/ <br />o Yes, tlescdte Vnder <br />DESCRIPTION OF OPERATIONS Cekw <br />NIA <br />UB3NO999432026G <br />611912020 <br />5119120jt <br />X PER OTM- <br />E.L. EACH ACCIDENT <br />E 1,000,000 <br />EL DISEASE -EA EMPLOYE <br />1'000'000 <br />E.L. DISEASE -POLICY LIMIT <br />E 1,000,000 <br />D <br />Contractor Equipment <br />7P299189600 <br />2126/2020 <br />511912021 <br />LeasedlRented <br />100,000 <br />D <br />Installation Floater <br />7P299189600 <br />2/26/2020 <br />5119/2021 <br />Limit <br />250,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks SCM uk, may EB aaaclwd I more spate Is re4uXe4) <br />RE: Street Light Maintenance. RFP NO.: 19-042. <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insureds as respects to General Liability per form <br />CG20100413 & CG20370413. This insurance is�primary with respect to insurance or self-insurance programs maintained by the City of Santa Ana as respects <br />to General Liability per form CG20010413. ✓ <br />`At least 30 days written notice of cancellation or reduction in coverage or change in any other material aspect, by Contractor, to the City of Santa Ana. <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />207o THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />L ACCORDANCE WITH THE POLICY PROVISIONS. <br />ANgiE ACEVEdO AUTHORIZED REPRESENTATIVE <br />ACUKU ZD (ZU16/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />