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<br />YJEANA
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<br />AC4�RO
<br />�� CERTIFICATE OF LIABILITY INSURANCE
<br />zM7rzoza
<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 poliey(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />if SUBROGATION IS WAIVED, subject to the torms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />Ibis certificate does not comer ri hta to the certlficato holder in lien of such endorsemen o ,
<br />PRODUCER
<br />CT
<br />The Wooditch Company Insurance Services, Inc.
<br />1 Park Plaza Suite 400
<br />Irvine, CA U614
<br />Aic° No Ft): 949 553.9800 n/c, %o (949 553-0670
<br />Mahal
<br />INMI AFFORDINGRAGE
<br />NAIC
<br />INSURERA,Allied World Ins. Co. Inc.
<br />22730
<br />INSURED
<br />INSURER a,Allied World Assurance Company
<br />19489
<br />INSURE C:Starstone National Insurance Company
<br />25406
<br />Palp, Inc. DBA Excel Paving Company; GAP Equipment, LLC
<br />2230 Lemon Avenue
<br />Long Beach, CA 90806
<br />INISVBER D:
<br />INSURERS,
<br />INSURERPI
<br />\II
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHEINSURED NAMEDA13OVE FORTHE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIME 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 />INBR
<br />Typg OF INSURANCE
<br />Abb4
<br />BURR
<br />pCLICY NUMBER
<br />6/112022
<br />61M112023
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIM&MADE ❑X OCCUR
<br />X
<br />X
<br />0004.1245
<br />EACH
<br />OCCURRENCE
<br />1,000,000
<br />D
<br />ET RENTED
<br />100,000
<br />MED An one
<br />6,000
<br />PERSONAL&ADVINJURY
<br />1,000,000
<br />Nt AGGREGATE UMITAPPUES PER:
<br />POLICY ❑X YAW Lac
<br />OTHER:
<br />GENERAL AGGREGATE
<br />2,000,000
<br />0
<br />D CTS-COM GG
<br />2,000.000
<br />EMPLOYEE BENEFI
<br />1,000,000
<br />B
<br />AUTOMOBILE
<br />X
<br />X
<br />LIABILITY
<br />pApNYAUTO
<br />AYOAOONLVOU,HrOEDSULED
<br />REDD Wyy op
<br />Ail'fl7M^ONLY H AIOfrNO80NNEN
<br />X
<br />X
<br />6000.1394
<br />6/1/2022
<br />61112023
<br />en LIMIT
<br />E MBEOSINGLE
<br />eso
<br />1,000,000
<br />90DILYINJURY Por erect
<br />BOqOILYaI�NJURY Parwadenl
<br />A
<br />Pe�earatlen MADE
<br />UMBRELLA UAa
<br />E%CESS LIAE
<br />OCCUR
<br />CIAIMS•MADC-
<br />EACHOCCURRENCE
<br />$
<br />AGGREGATE
<br />DED RETENTION$ _
<br />C
<br />M ATON
<br />AWNRKKMEppSOY
<br />YIN
<br />ANY PROPRETORIPARTNCNIFXECUrNE
<br />W�aFnICCaEJ.U,MEXCLUDED?
<br />DtrypnN
<br />SPTIO"N OF OPERATIONS bBIOW
<br />MIA
<br />X
<br />61112022
<br />W1/2023
<br />ETHERSILIABILITY X SR
<br />E.L. C ACCIDENT
<br />1,000,00
<br />00
<br />E.L.DIE -A EMP YE
<br />$ 1,000,00
<br />E.L. d3 C � POLICY IT
<br />7 000,000
<br />r
<br />DESCRIPTION OF OPERATIONS/ LOCATIONSI VUHICL S (ACORDIet AddMI Rem Nsachodula, may Wounded RMem epaesla rsgWmd)
<br />RE: Projoct #19-6940; Federal Project#ATPS1-5063(195); West Willits Street Protected Bicycle Lanes, glaipwv/aualpwvlwcwv
<br />The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are included as Additional Insureds as respects General Liability and
<br />Auto Liability per attached endorsements.
<br />This Insurance shall apply as Primary and Non -Contributory per attached endorsements.
<br />Waiver of Subrogallon for General Liability, Auto Liability and Workers' Compensation: Sea Attached Endorsements.
<br />City of Santa Ana
<br />Risk Management Division, 4th Floor
<br />20 Civic Canter Plaza
<br />Santa Ana, CA 92701
<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 />REPRESENTATIVE
<br />^��^� ^., i.,. •,.,,..., 01VIR •LU10 ACURU CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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