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Samantha M. Digitally signed by Samantha M.Lambert 1 L....+ Date: 2021.09.0915:46:14 r ® eau woa .07100' A` ) CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDNYYY) 9/2/2021 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 SullivanCurtisMonroe Insurance Services (IRV) 1920 Main Street Suite 600 Irvine, CA 92614 CONTACT NAME: (AID No. Extl PHONE 949.250.7172 ac No: 949.652.9762 E-MAIL ADDRESS INSURERS AFFORDING COVERAGE NAICN INSURER A: Middlesex Insurance Company 23434 www.SullivanCurtisMonme.com License # OE83670 INSURED Allison Mechanical, Inc. 1968 Essex Court INSURER B: Middlesex Insurance Company 23434 INSURER C: INSURER D: Redlands, CA 92373 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 63724429 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. LTR TYPE OF INSURANCE JHMADDL wyn SUER POLICYNUMBEft POLICY MWDDNYY POLICY EXPM1111RRE11E LIMITS A s/ COMMERCIAL GENERAL [ABILITY A0114876-004 11/1/2020 11/1/2021 RENCE $1 OOOOOO CLAIMS -MADE ❑✓ OCCUR DAMAGE TO ED ocoune.. $1 000 000 one person) $$000 ADV INJURY $1 000 000 AGGREGATE LIMIT APPLI ES PER: REGATE $3,000,000 GEN'L POLICY JECT � LOC OMPIOP AGO $2000000 $ OTHER: A AUTOMOBILE LIABILITY A0114876-001 11/1/2020 11/1/2021 EOa BIKEDcadanSINGLE LIMIT $1000000 BODILY INJURY (Par person) $ s/ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Perawidenl) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ Comp / Coll Deductibles $ 1 000 A s/ UMBRELLA LIAB a/ OCCUR A0114876-006 11/1/2020 11/1/2021 EACH OCCURRENCE $10000000 ✓ EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000 DED I I RETENTION$none I $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN A0114876-005 11/1/2020 11/1/2021 a/ STATUTE ERH E.L. EACH ACCIDENT $1.000000 ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED'! ❑Y NIA E.L. DISEASE - EA EMPLOYEE $1 ,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be altachad if more space is required) RE: All Operations City of Santa Ana, its officers, employees, agents and representatives are Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written Contract. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to Workers' Compensation per the attached endorsement. 30 day notice of cancellation per the attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City t Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk OManagement Division, 4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92702 AUTHORRED REPRESENTATIVE Destiny Vassell '� BEvlEwEo&APPR1v®B1 ©1988-2015 ACORD C "I i' <A#K,tiVA JA#*W ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD i''l Risk Management Supervise 63124429 ALLIEMEC 2020-21 GL1, CAD, WCQ OMC [primary master) I Monique NyaYen 9/2/2021 9;44:12 AM (PDT) I Page 1 This cer ificate cancels and supersedes ALL previously issued certi icates.