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Samantha DigIlIlly signed by Samantha M. Lambert Data 2021.09.15 ACOR[7� �rc17:05:V-D7'00' C CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDIYVYY) 9/13I2021 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 ICA Insurance Services 130 Vantis Suite 250 Viejo CA 92656 CONTACT NAME: Elizabeth Leach PHOAIGNE 949 297-5962 plc No : 949-297-5960 E-Ii ss: elizabeth.leach@ioausa.com _ADDAliso INSURER(S) AFFORDING COVERAGE NAICIf INSURER A: Travelers Property Casualty Company of America 25674 Licenseit: OE67768 INSURED DUTHELE-01 Duthie Electric Service Corp dba: Duthie Power Services 2335 E. Cherry Industrial Circle INSURER B : Crum & Forster Specialty Insurance Company 44520 INsuRERc: Houston Casualty Company 42374 INSURER D : HSB Specialty Insurance Company 14438 Long Beach CA 90805 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1037767883 REVISION NIIMRFR- 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 POLICY NUMBER POLICY EFF MMIDDII^/YY POLICVEXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR Y Y Y6302A626927TIL21 7/l/2021 7/l/2022 EACH OCCURRENCE IS1,000,DD0 DAMA GETO RENTED PREMISES Ea occurrence $300,000 MED EXP(Any one pemon) $5,000 PERSONAL &ADV INJURY $1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: � PRO - POLICY 11 LOG GENERALAGGREGATE $2.000,000 PRODUCTS-COMPIOP AGG $2,D00,000 I Deductible $0 OTHER: I I A AUTOMOBILE LIABILITY Y Y 1102NI117402114G 7/1/2021 7/l/2022 COMBINED SINGLE LIMIT Es accident $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per (a 7 $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR Y Y CUP3S17641A21NF VI/2021 7/1/2022 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $15,000,000 LED X I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN Y UB7K4755032114G 7/1/2021 7/1/2022 X PER EH - STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETORIPARTNERIEXECUTIVE OFFICE RIMEMBER EXCLUDED 9 NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under EL.DISEASE-POLICYLIMIT $1,000,000 DESCRIPTION OF OPERATIONS below B C D Contractors Pollution Contractors Professional Cyber PKC111856 HCC2168107 660810501 7/1/2021 7/1/2021 3/16/2021 711/2022 7/1/2022 3/15/2022 Occurance/Aggregme, Each Claim/Aggregate Each ClalmlAggrogate $3,000,000 $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The certificate holder(s) is/are included as an additional Insured(s) with respects to General Liability for On -going and Completed Operations as per policy form CG D6 04 02 19 and Auto Liability as per policy form CA T3 53 02 15; General Liability and Auto Liability are Primary and Non -Contributory as per policy forms CG T1 00 02 19 and CA 00 01 10 13; Waiver of Subrogation applies to General Liability as per policy form CG D4 58 02 19, Auto Liability as per policy form CA T3 53 02 15 and Workers Compensation as per policy form WC 99 03 76; Additional Insured and Waiver of Subrogation applies to Umbrella Liability only as required by written contract; Umbrella Liability follows form. Per Project Aggregate Endorsement policy form CG D3 21 01 04 is provided as required by a written contract; All coverage is only applicable as required by written contract. Contractors Pollution See Attached... City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA 92701 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AOT ORIZEO REPRESENTATIVE ©1988-201 The ACORD name and logo are registered marks of ACORD ,e 12kkMmragI1LaxkDtddoa e �€ REVIEWED$ APPROVaDBY: LtN.. I �= RISK Management$Uperehare