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CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIN/YY) 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 Lockton Insurance Brokers, LLC CONTACT NAME: 777 S. Figueroa Street, 52nd Fl. PHONE FAx -- CA License #OFI5767 " ac No: �MAn Los Angeles CA 90017 ADDRESS: (213)689-0065 INSURER(S) AFFORDING COVERAGE NAIC It INSURER A: Starr Surplus Lines Insurance Company13604 _ INSURED Patriot Environmental Services, Inc. INSURER B: Starr Indemnity& Liabili Company 38318 1387735 508 East E. Street, Unit A INSURER C : Wilmington CA 90744 INSURER D E: COVERAGES PATENOI CERTIFICATE NUMBER: 161?1114 RFVIRION NUMRFR• XXXXXVv 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. It TYPE OF INSURANCE NSD Wen N POLICY NUMBER POLICY EFF MN0IU�CY EXP LIMITS A X COMMERCIAL GENERAL ]ABILITY L CLAIMS -MADE FxI OCCUR Y N 1000065977181 Il/l/2018 11/1/2019 EACH OCCURRENCE $ 2,000,000 PREMISESTMe occurrence S 100,000 MED EXP (Any me person) $ 5 000 _ PERSONAL&ADVINJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY C OJECT C LOC GENERALAGGREGATE $ 4,000.000 GENL X PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: H AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS HIRED NONLOWNED OMEDXX ONLY SAUTOSCHEDULED AUTOS ONLY AUTOS ONLY Y N SISIPCA08350918 I1/1/2018 11/1/2019 �MBltleotSINGLELIMIT $ 1000000 X BODILY INJURY (Per pemom $ XXXXy BODILY INJURY Par accident) ( ) $ XXXXXXX (Para dent) PROPERTY DAMAGE $ XXXXXXX $XXXXXXX A UMBRELLA LAB 7( OCCUR N N 1000336759181 11/1/2018 11/WOI9 EACHOCCURRENCE $ 10000000 X AGGREGATE $ 10,000,000 EXCESS UAS CLAIMS -MADE DED I X I RETENTION $ $0 aXXXXXXX H WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERJMEMBER EXCLUDED9 � (Mantlatory in NH) N ySCRIPcdbe usher DESCRIPTION OF OPERATIONS below NIA N 1000003039-01 I1/1/2018 II/l/2019 X STATUTE ER $ 1,000,000 __ EA- EACH ACCIDENT E.L.DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY OMIT $ 1.000.000 A Contractor's Pollution Professional Liability N N 1000065977181 11/1/2018 11/1/2019 $1,0Do,000 Per Occ/Per Claim $1,000,000 Agg Limit Ded:$20K Per Claim DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be stashed if mom space Is required) General Aggregate is Policy Aggregate. City of Santa Ana its officers, employees, agents, volunteers and representatives are Additional Insured(s) as per the attached endorsement or policy language. Insurance provided to Additional Insured(s) is primary and non-contributory as per the attached endorsements or policy language. 16321114 City of Santa Ana REVIEWED & APPR YIFd D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division, 4th Floor By RIS ANAGEMENT IVhi()MXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702 30201 AUTHORDED REPRe3ERTAT" HGUKU 20 (2Ut b/03) the ACORD name and logo are registered marks of ACORD All rahts