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DIgI[allysigned by Francine R. Francine R. Villareal oil areal wre:2020.a0.2611:2s:40 07.00' ACORO� CERTIFICATE OF LIABILITY INSURANCE 111 DATE(MWDD/YYYY) 1 8/13/2020 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 Patriot Risk & Insurance Services 2415 Campus Drive, Suite #200 Irvine, CA 92612 CONTANAME: CT PHONE EXII gqg 486-7900 AIC No: E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICa INSURERA: Scottsdale Insurance Company A+ 41297 www.patrisk.com OK07568 INSURED Pacific Plumbing Company Of Santa Ana 615 E. Washington Avenue INSURER B: First Libedy Insurance Corporation A 33588 INsuRERc: Tokio Marine Specialty Insurance Company A++ 23850 INSURER o: Liberty Mutual Fire Insurance Company A 23035 Santa Ana CA 92701 INSURER E: Arch Specialty Insurance Company A+ 21199 INSURER F : CUVtNAUI=5 CERTIFICATE NIIMRFR- 97nnniai OFVIc UIM MIrMRFO• 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYW POLICY EXP MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR �/ BCS0038527 3/1/2020 3/1/2021 EACH OCCURRENCE $1000000 DAMATE TO PREMISES Eaoccurrence)$100,000 N ED EXP (Any one person) $10 000 PERSONAL &ADV INJURY $1,000 000 AGGREGATE LIMIT APPLIES PER: POLICY ✓� JE� 11 LOG GENERALAGGREGATE $2,000,000 GERL PRODUCTS - COMPIOP AGG $2000000 I Em 10 ee Benfits $1 000 000 OTHER: B AUTOMOBILE LIABILITY ✓ AS6Z91471456010 3/1/2020 3/1/2021 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS (Par accident BODILY INJURY P( ) $ ✓ HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY PROPERTY DAMAGE Per accadenl $ C ✓ UMBRELLALIAS OCCUR PUB712755 3/1/2020 3/1/2021 EACH OCCURRENCE $5000000 AGGREGATE $5000000 EXCESS LIAS CLAIMS -MADE DEO I RETENTION$ $ D WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOWPARTNER/EXECUTIVE OFFICERIMEMBERE%CLUDED? NIA ✓ WC2Z91471456020 3/1/2020 3/1/2021 PER OrH- ✓ STATUTE ER E.L. EACH ACCIDENT $1,000000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE-POLICYLIMIr $1000000 DESCRIPTION OF OPERATIONS below E Pollution Liability PDCPPOO19903 3/1/2020 3/1/2021 Limit: $2,000,000 Deductible/Ea Poll Condition:$10,000 DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLE$ (ACORD 101, Additional Remarks Schedule, maybe aaached ifmore space is requiredl City of Santa Ana, its officers, agents, and employees are named as additional insured as respects to Operations Usual to the Named Insured includes Primary and Non-contributory as respects to General Liability and Auto Liability per endorsement attached where required by Written contract. Waiver of Subrogation applies to WC and in favor of the additional insured per attached endorsement. '30-day notice of cancellation / 10-days for non-payment of premium. City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE �,—'7 �✓ RhkMnMgemmf.DlWdlnt Dave Jacobson a; REvIEwED6MPRov®Br. ©1988-2015 ACORD C R, V:�cn6t� ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Managen,em Analyst 57000381 1 20/21 GL/AU/nMe/WC/PPLL I Annette Romero 1 e/13/2020 7:30:57 AM (PGT) I Page 1 of 14