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ZIMINDU-01
<br />L ER
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDD/YYYY)
<br />2/20j2020
<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 endorsement(s).
<br />PRODUCER
<br />Alliant Insurance Services, Inc.
<br />2355 Gold Meadow Way Ste 250
<br />CAMeCT
<br />Tracy Dolan
<br />PHONE
<br />(A/C,
<br />No, Eat): (916) 210-0317 INC. No:(916) 210-0343
<br />Gold River, CA 95670
<br />pppA'L . tracy.dolan alliant.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Zurich American Insurance Company
<br />16535
<br />INSURED
<br />INSURER a:GreatAmerican Insurance Company
<br />16691
<br />INSURERC,Ae en American Insurance Company
<br />43460
<br />Zim Industries, Inc.; Bakersfield Well & Pump Co.
<br />4532 E. Jefferson Ave.
<br />Fresno, CA 93725
<br />INSURER D:
<br />NSURER E :
<br />INSURER F
<br />CDVFRAr FS rP0TIFICATP MI IMRFD• .. �. n....... .........__
<br />' ,\LvrJr VR r�VI..00R:
<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 />I 7ypE OF INSURANCE .102
<br />ADDLSUBR
<br />O
<br />POLICY NUMBER
<br />POLICYEFF
<br />/DD
<br />POLICYEXP
<br />/DD
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FX] OCCUR
<br />Employee Benefits Li
<br />X
<br />GLOB311662-16
<br />311/2020
<br />3/1/2021
<br />EACH OCCURRENCE
<br />$ 11000,000
<br />DAMIAGE TO REED
<br />PREX
<br />$ 1001000
<br />$ 10,000
<br />P
<br />MED EXP (Any ane arson
<br />PERSONAL B ADV INJURY
<br />$ 11000,000
<br />GEN'L
<br />X
<br />AGGREGATE LIMITAPPLIES PER:
<br />POLICY j�T LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS - COMPIOP AGG
<br />$ 2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SAUTOS CHEDULED
<br />AUTOS ONLY SCHEDULED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />BAP8311663-16
<br />3/1/2020
<br />3/1/2021
<br />Ea accid n SINGLE LIMIT
<br />$ 1,000,000
<br />X
<br />BODILY INJURY Per Person)
<br />$
<br />BODILYINJURV Per accident
<br />$
<br />PerOetlent AMAGE
<br />$
<br />B
<br />UMBRELLA LIAB
<br />EXCESSLUIB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />TUU 3022945 01
<br />3/1/2020
<br />3/1/2021
<br />EACH OCCURRENCE
<br />$ 16,000,000
<br />X
<br />AGGREGATE
<br />$ 16,000,000
<br />DED I X I RETENTION$ 10,000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE Y
<br />OFFICER/"EEMWg�� EXCLUDED?
<br />NH)
<br />(f o.yes,
<br />Dyes, describe OF O
<br />DESCRIPTION OPERATIONS below
<br />N/A
<br />WC8311661-16
<br />3/1/2020
<br />3/1/2021E.L.
<br />X PER OTH-
<br />EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1,000,000
<br />E.L../BuilDISEASE -rs POLICY LIMIT
<br />$ 11000,000
<br />C
<br />Floater
<br />Equipment Floater
<br />IMAC95D520
<br />311I2020
<br />3/1I2027
<br />Inst./Builders Risk
<br />Risk
<br />7,000,000
<br />C
<br />Equipment Floater
<br />IMAC95D520
<br />311/2020
<br />3/1/2021
<br />RBL $100,000 ; Schad
<br />19,166,400
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule, may be attached if mare space is required)
<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 />REVIEWED & APPROVED
<br />By Risk MANAGEMENT DIVISION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, , 4th Floor
<br />Santa Ana, CA 92702
<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 />Q� $TI
<br />w1 URu AD tAu IDIU*) V 19BB-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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