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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIY" <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CER71FICATE 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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or ba endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 en lorsamardle) <br />Edgewood Partners Insurance Center <br />P.O. Box 5003 <br />San Ramon, CA 94583 <br />INSURED <br />All American Asphalt <br />P.O. Box 2229 <br />Corona CA 92878 <br />CA LICENSE NOB29370 <br />CERTIFICATE NIIIMMC3• ­....._-. <br />- -- - " ��'°a_-, REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW <br />HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION <br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN <br />MSR REDUCED BY PAID CLAIMS. <br />TYPEOFINSIJ CE D SU Y N1A�ER MOLLY EFF MPOLICYExp <br />POLIC <br />A <br />COMMERCIAL GENERAL LIABILITY <br />DPCIO05656-03 <br />8/1/2019 <br />8/112020 <br />LNIRB <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$1 000 <br />p MISE Ea orcurmnca <br />S 100 00,D 00 <br />MED ENP(MyarM <br />S <br />GENIIAGGREGATELIMIT APPLIES PER: <br />PERSIONALSADVINJURY <br />$1000000 <br />GENERALAGGREGATE <br />52,000,000 <br />POLICY E LOC <br />PRODUCTS•COMP,OP AGG <br />f20OD OOO <br />JmT <br />OTHER: <br />6 aIN LE LIMI <br />S <br />B <br />AUTOMOSILEUASILRY <br />BAP5571088-07 <br />8/1/2019 <br />IUi/2020 <br />✓ ANY AULO <br />aelN�D <br />32000000 <br />S <br />OWNED SCHEDULED <br />LIMILYINJURY(Pxpaaonl <br />AUTOS ONLY AUTOS <br />✓ HIRED <br />BODILY INJURY ((PM ecndenll <br />S <br />AUTOS ONLY ✓ AUTO ONLY <br />PROPERTY DAMAGE <br />P r ad I <br />S <br />E <br />C <br />UMBRELLA OCCUR <br />SXS019797003 <br />8/1I2019 <br />8I1l2020 <br />`Y ���D � CLMMSMAOE <br />EACH OCCURRENCE <br />f 5 000 000 <br />DeD ✓ RETErmoNs10,000 <br />AGGREGATE <br />s5000000 <br />Followin -Farm <br />PER orH- <br />S <br />B <br />WORKERSCOMPENSATION <br />ANOMPLOYERS LIABlUTY <br />WC593205706 <br />8/1/2019 <br />811/2020 <br />YIN <br />Di ECG <br />✓ STATUTE ER <br />E.L EACH ACCIDENT <br />E1 QQQ QQQ <br />OFFCEWM MSANYPROPVIE­rERUCTMO O <br />IMarkalory InNH) <br />NIA <br />E.L DISEASE -EA EMPLOYE <br />$ <br />V es, deavlhe uMer <br />DESCRIPTION OF OPERATIONS EBlow <br />EL, DISEASE -POLICY UNLIT <br />S 1 00Q 000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarlu Schedule, maY W eu I,had it mora apace Is r"ulredl <br />By RI MANACfEMENT <br />DIVISION <br />Project # 18-69061 RE: Bristol Street and Edinger Avenue Class II Bike Lanes / <br />N 221010 <br />Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation <br />A THA M, LAMBERT <br />rPRTIFirATG unl <br />City of Santa Ana <br />Risk Management Division, 4th Floor <br />20 Civic Center Plaza <br />Sana Ana CA 92703 <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 />ACORD CORPORATION. All rights reserved. <br />r ne yu.vrau name and Logo are registered marks of ACORD <br />5)7W57 191011 Sundard%i% SSnnn xS Mu Uhely, 1'1 Z N I9.3511 AM I IST) I Page I ar II <br />