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Francine R. 't os�rary,y�m eyaann,ka. emai Villareal - duExonarn isaoss.mm A� " CERTIFICATE OF LIABILITY INSURANCE DAT MMIDD2n1YY) 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()es) 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 Ed wood Partners Insurance Center P.O. Box San Ramonon,, CA 94583 CONTACT NAME: Certificates Department PNNNo Er : 925-244-7700 we No: 925901-0671 C ADDRESS: EPICcerts@epicbrokem.com INSURERS AFFORDING COVERAGE NAIL ry INSURERA: Arch Specialty Insurance Company 21199 w .epicbrokers.com CA LICENSE #OB29370 INSURED All American Asphalt P.O. Box 2229 INSURER B: Zurich American Insurance Company 16535 INSURER C: Great American Insurance Company 16691 NsuRERD: Corona CA 92878 NSURERE: NSURERF: COVERAGES CERTIFICATE NUMBER: switi KR2 REVISION NUMBER: 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. ILTH TYPE OF INSURANCE ADDLSUBR POLICYNUMBER POLICY EFF MMIDDANYY POLICY EXP MMIDDIYYYY LIMITS A ✓ COMMERCIAL GENERALLIASILITY CLAIMS -MADE OCCUR ✓ DPC1005856-04 8/1/2020 8/1/2021 EACH OCCURRENCE $1,000,000 AMA ET RE E PREMISES Ea occurrence $100,000 MED EXP (Any one person) $ PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPUES PER: POLICY Z JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2000,000 $ B AUTOMOBILELIABIDTY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY BAP6571088-08 8/1/2020 8/1/2021 (Eaaccident)BIKESINGLE LIMIT $2000,000 r/ BODILY INJURY (Per person) $ acident BODILY INJURY (Perc) $ ✓ PROPERTY DAMAGE Peraccident _ $ 8 C UMBRELLA DAB EXCESS UAB OCCUR CLAIMS -MADE TUE347483600 8/1/2020 8/1/2021 EACH OCCURRENCE $5,000,000 ✓ M AGGREGATE $5,000,000 DED ✓ RETENTION$10,000 Following -Form $ B WORKERSCOMPENSATION EMPLOYERS' LIABILITY Y I N ANYPROPRIETORIPARTNERIEXECUIVE OFFICERIMEMBEREXCLUDED7 ❑N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC593205707 8/1/2020 8/112021 ✓ STATUTE I I 'ER'AND E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $10000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AAA Job #1 B-69081 RE: Bristol Street Protected Bike Lanes from Edinger Avenue to First Street CML-5063(183) I Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division, 4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE Ad Risk Marwge nad.Dhision Certificates Department agyp,° REVIEWED& APPROVED SY. ©1988-2015 ACORD C 8, . ., f IMIO�w P_ Vi.:t""t ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Management Analyst 59791982 120 1011 Standard with $5mm XS I Seta Ho 1100120214: 14 08 PM (PST) I P., I of I I