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` Dlgltallyslgned by Francine R.
<br />Francine R. Villarea)%`Ylllamat
<br />Date., 202109.0216 51:03 -D700'
<br />ACC>Ro® CERTIFICATE OF LIABILITY INSURANCE
<br />°AT9;1;2o21YYY'
<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 endorsements .
<br />PRODUCER
<br />Lovitt & Touch6 A Marsh and McLennan Agency, LLC
<br />1050 W Washington Street, Suite 233
<br />Tempe AZ 85281
<br />CONTACT
<br />NAME: Jackie Wants
<br />PHONE 602-956-2250 FAX
<br />-tee'-Exrl' ac "°
<br />IL
<br />ADDRESS, wants lovitt-touche.com
<br />INSURERS AFFORDING COVERAGE
<br />HAD If
<br />INSURER A: Pacific Insurance Company,p Limited
<br />10046
<br />INSURED _ WEBER-7
<br />Weber Water Resources CA, LLC
<br />1785 Container Circle
<br />INSURER B: Zurich American Insurance Company
<br />16535
<br />INSURER C: Travelers Property Casualty Co of Amer
<br />25674
<br />-
<br />INSURER D:
<br />Jurupa Valley CA 92509
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 818397192 REVISION NUMBER:
<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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE 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 />R
<br />TYPE OF INSURANCE
<br />AMSUD
<br />POLICY NUMBER
<br />MMDDYEYF
<br />POLICY EYY
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />GLO388901208
<br />6/1/2021
<br />5/1/2022
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE 111 OCCUR
<br />PRE -DAMAGE
<br />SES(E.occurmnca)
<br />$100,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL & ADV INJURY
<br />$1,000,00D
<br />GENT
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,CD0,000
<br />POLICY ❑JE� LOG
<br />PRODUCTS-COMP/OPAGG
<br />$2,000,000
<br />It
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />BAP388901108
<br />511/2021
<br />5/1/2022
<br />COMBINED SINGLE LIMIT
<br />E. g.c 11
<br />$1,000,000
<br />BODILY INJURY (Par person)
<br />$
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accldent)
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />C
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />ZUP15R7391721NF
<br />5/112021
<br />5/1/2022
<br />EACH OCCURRENCE
<br />$10,000,000
<br />AGGREGATE
<br />$10,00Q000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DEO X I RETENTION
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? Fq
<br />NIA
<br />Y
<br />WC388901308
<br />-
<br />511/2021
<br />6/1/2022
<br />X PER
<br />ERH'
<br />E.L, EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE- EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />EL.DISEASE -POLICY LIMIT
<br />$1,000,000
<br />A
<br />Pollution Liability - occurrence
<br />Y
<br />Y
<br />13CPIGA1391
<br />10/27/2020
<br />5/1/2022
<br />Per Occurrence
<br />$3,000,000
<br />PmRsslonel- Claims Made
<br />Aggmgate
<br />Deducllbla
<br />$3,000,000
<br />$25,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD tent Additional Remarks Schedule, maybe attached if more space Is required)
<br />Certificate Holder and owner (If applicable) are additional insureds as respects general liability, automobile liability and excess liability if required in a written
<br />contract. Waiver of Subrogation applies to the general liability, auto liability, excess liability and workers compensation If required In a written contract. The
<br />general liability, automobile and umbrella Is primary and certificate holder's Insurance is non-contributory if required by written contract.
<br />Effective 10/27/20 Pollution limit Increased to $3,000,000 Occurrence form
<br />Effective 10/27/20 Professional Liability added $3,000,000 Claims Made form; Retro Date 10/27/20
<br />City of Santa Ana, its officers, employees, agents and representatives are additional Insureds if agreed to in a written contract or permit as respects any and all
<br />projects.
<br />See Attached... -
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />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 />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
<br />zy WekMuugeprmt4hdeloR.
<br />RVAMD& APPROVED BY..
<br />Risk Management Analyst
<br />
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