CALIFORNIA BARRICADE RENTALS, INC.

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�,a by T111 A`oRo CERTIFICATE OF LIABILITY INSURANCE °°'"°a°° DATE (MMIDDM YY) 02/17I2022 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 pollcy(les) 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 endoreemen s . PRODUCER ELMCO INSURANCE, INC. 1905 N. Main Street CONTACT ELMCO INSURANCE, INC. PAC, No. Ext : (714) 973-1436 FAX NC. No): (714) 9730811 E-M1VUL wmact@Elmcolnsumnoe.com ADDRESS Santa Ana CA 92706-2779 INSURER(S) AFFORDING COVERAGE NAIC # Agency LiC: 05OS747 INSURER A: SCOTTSDALE INSURANCE COMPANY 41297 INSURED INSURER B: INFINITY SELECT INSURANCE COMPANY 20260 BARRICADE RENTALS INC. CALIF1550 E. SAINT 155D E. SAINT GERTRUDE PLACE INSURER C: TRISURA SPECIALTY INSURANCE COMPANY 16188 INSURER D: STATE COMPENSATION INSURANCE FUND 35076 SANTA ANA CA 92705 INSURER E: WESTCHESTER SURPLUS LINES INSURANCE CO 10172 INSURER F: HISCOX INSURANCE COMPANY INC 10200 COVERAGES CERTIFICATE NUMBER: 70212 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. INSR LTR TYPE OF INSURANCE ADDL INSRE 911R wvu POLICY NUMBER POUCY EFF DAm(m=oNy) POLICY UP DAm(MMa,orM LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X X BCS0039359 07101121 07/01/22 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED PREMISES Eaaavrance $ 100000 MEDEXP(Anyoneperson) $ PERSONAL BADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: RO ❑ X POLICY ❑ PRO- JECT LOC OTHER: GENERAL AGGREGATE g 2000000 PRODUCTS-COMPIOPAGG $ 2000000 EMPLOYEE BENEFITS $ 1000000 B AUTOMOBILE UMBILTTY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HX NON -OWNED AUTOS ONLY AUTOS ONLY X X 604-61016-8309-001 07/01/21 07/01/22 COMBINED SINGLE LIMIT Ea accide m $ 1,000,000 X BODILY INJURY(Perpown) $ I(RED BODILY INJURY (Per acddent) $ X PROPERTYDAMAGE (Per amderd) $ $ C UMBRELLA UA EXCESS LIAR X OCCUR CLAIMS -MADE TXS0001452-02 07/01/21 07101/22 EACH OCCURRENCE $ 5,000.000 X AGGREGATE $ 5,000,000 IDED1 IRETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PRDPRIETOPIPARTr1EWE%ECUTNE YIN OFFICERMEMBFA EXCLUDEDT (Nenaelary In NXl Il yea. aearnbo weer DESCRIPTION OF OPERATIONS babes NIAE.L. X S063608-21 07/01/21 07101122 X FER oTw EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 E F POLLUTION LIABILITY PROFESSIONAL LIABILITY G73640124001 M131-1863490.21 07/01/21 07/01/21 07101/22 07101/22 Each Pollution Conclitic Each Claim n $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space Is required) See Attached Supplement CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana, CA 92702 Attention: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The ACORD name and logo are registered marks of ACORD by Pula Man$e,vnl DiuidaA nI EVEWED R6 APPROJO) By: ` 'I l ___-"aaun7r�agenmru�r.,Iane