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A <br />Digitally signed <br />AcoR10` CERTIFICATE OF LIABILITY INf1��e by A <br />6J2y2o2 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER NO RIGHTS UPON TFF,,E OLDER. THIS <br />CERTIFIBELOWCTH S CERTIFICATEATE DOES NOT FOFnATIVELY OR INSURANCE DOESATIVELY AMEND, NOT CONSTITUTEEA CONTRAEND hM 1 111r�BiS�J��Ii S), A�UYHOORRIZET <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 1 1 :32:35-071001 <br />_ <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATIuN IS WANED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />cedI icate holder in Ileu of such endorsement(&). <br />PRODUCER Phone: (714) 973-1436 Fax: (714) 973 0311 <br />ELMCO INSURANCE, INC. <br />1906 N. MAIN STREET <br />SANTA ANA CA 92706-2779 <br />coNEAcr ELMCO INSURANCE, INC. <br />PXONE 714 9T3-1436 FAX T14 973-0811 <br />No Fxl : ( No : ( } <br />E-"'tA'E contact@Elmcoinsurance.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Agency Lid#:0509747 <br />INSURER : SCOTTSDALE INSURANCE COMPANY <br />41297 <br />INSUREDINSURER <br />CALIFORNIA BARRICADE RENTALS INC. <br />e : INFINITY SELECT INSURANCE COMPANY <br />20260 <br />INSURER : TRISURA SPECIALTY INSURANCE COMPANY <br />16188 <br />1550 E. SAINT GERTRUDE PLACE <br />SANTA ANA CA 92706 <br />INSURER D: STATE COMPENSATION INSURANCE FUND <br />35076 <br />INSURER E : WESTCHESTER SURPLUS LINES INSURANCE CC, <br />10172 <br />INSURER : HISCOX INSURANCE COMPANY INC <br />10200 <br />COVERAGES CERTIFICATE NUMBER: 71107 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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY ExP <br />wym <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I� OCCUR <br />Y <br />X <br />BCS0039983 <br />07101/22 <br />07/01/23 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE100,000 <br />IS <br />PREMISES a eceuranoa <br />$ <br />MED. EXP (Any one person) <br />$ EXCLUDED <br />PERSONAL & ADV INJURY <br />S 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY ❑ PRO- ❑ LOC <br />JECT <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMPIOP AGO <br />$ 2,000,000 <br />EMPLOYEE BENEFITS <br />$ 1,000,000 <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS AUTOS SCHEDULED <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />Y <br />X <br />604-61015-8309-001 <br />07101/22 <br />07/01/23 <br />(Eaacd errt) SINGLE <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Par ecd 7 <br />$ <br />$ <br />C <br />UMBRELLA LIAB <br />EXCESS LWe <br />X <br />OCCUR <br />CLAIMS -MADE <br />TXS0001452-03 <br />07/01122 <br />07101/23 <br />EACH OCCURRENCE <br />$ 6,000,000 <br />X <br />AGGREGATE <br />$ 5,000,000 <br />DED I IRETENTION $ <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPR[ETORlPARTNERfpCECUTIVE YIN <br />'MandaOFFICtoryIn N ER EXCLUDED? <br />(Mandatory In NH) <br />II yes, desafbo under <br />RIPTION OF OPERATION <br />DESCS below <br />N # A <br />931316422 <br />07/01/22 <br />07/01123 <br />X TA UTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1 000 000 <br />� � <br />E.L. DISEASE -POLICY LIMIT <br />$ 1� 000� 000 <br />E <br />F <br />POLLUTION LIABILITY <br />PROFESSIONAL LIABILITY <br />G73540124002 <br />MPL1863490.22 <br />07/01/22 <br />07101/22 <br />07101/23 <br />07/01/23 <br />Each Pollution Condition $1,000,000 <br />Each Claim $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />4th Floor AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 1' <br />Risk Mwwgelncr& DMsicn <br />Attention: REVIEWED & APPRQVm BY: <br />ACORD 25 (2014101) <br />c 1988-2014 ACORD t A+ju,` <br />The ACORD name and logo are registered marks of ACORD Risk Management Specialist <br />