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CERTIFICATE OF LIABILITY INSURANCE
<br />DATEgaMn1DYYYII
<br />c212?J2023
<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: 11 the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 />Marsh USA Inc.
<br />333 South 71h Street Sulte 1400
<br />N1hlneapolls, MN 002-24CO
<br />6AE?CT
<br />Marsh I U.S. Operations
<br />Pxa"N ggS,ggg,4B84 No: 212J948.5382
<br />E paa� MDU.CarFA esi®Rersh.wm
<br />INSURERS AFFORDING COVERAGE
<br />NAIC0
<br />CNIO22993094LER-GAWX-23.24
<br />INSURER A: Libarty Mutual Fire Ins Cc
<br />23M
<br />DI§URED
<br />Inlematlonal On, Bulldere, lit,
<br />INSURER B: Associated Electric& Gas Ins Services Ltd
<br />SIMO
<br />INSURER of Ubeq Insurance Corporation
<br />42404
<br />2520 Rubiduux Blvd.
<br />PO Box 3039
<br />Riverside, CA 92509
<br />DISURERD:
<br />INSURER E:
<br />NSURER P:
<br />N:1:ir Id WA"N1h41:Tct:11
<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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
<br />WLTR EIR
<br />TYPE OF INSURANCE.
<br />�
<br />B
<br />POLICYNUMBER
<br />POLICYEFF
<br />MIDD
<br />PO— EXP
<br />MLDIU
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE 1 OCCUR
<br />X
<br />X
<br />TB2-641-0459D"23
<br />011012023
<br />01101@024
<br />EACHOCCURRENCE
<br />$ 2,000,000
<br />EMISES Eao ce
<br />$ 1,00D,000
<br />MED EXP An one ereon
<br />$ 10,000
<br />PERSONAL& ADV INJURY
<br />$ 2,000,000
<br />GEN'LAGGREGATELIMITAPPLIES
<br />PER:
<br />POLICY [K]jE'GOT- F—]LOC
<br />GENERALAGGREGATE
<br />$ 4,000,000
<br />PRODUCTS -COMPIOP AGG
<br />$ 4,0D0,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILEIJABIIm
<br />ANY AUTO
<br />X
<br />X
<br />A@-041-0O.A97-053
<br />0110112023
<br />01Hn2024
<br />ETBIN 0 GLEUM
<br />$ 2000,000
<br />X
<br />BODILY INJURY(Perperson)
<br />$
<br />0HIRE SONLY NON -OW ED
<br />AUTOS ONLY X AUTOS ONLY
<br />BODILY INNn ((Per eodden0
<br />$
<br />X
<br />P UW�KI VAMAGE
<br />$
<br />$
<br />CCCUR
<br />X
<br />XLIiM12P
<br />OIIDIFM23
<br />01/012024
<br />EACH OCCURRENCE
<br />$ 5,000,W0
<br />dXUMBRELLALb1B
<br />AGGREGATE
<br />$ 51000,000
<br />EXCESS UAB
<br />CLAWSWADE
<br />DED I I RETENRON
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETOPIPARTNENEXECUTNE YIN
<br />OFRCER/MEMBEfl EXCLUDED? N
<br />(Mandatory In NH)
<br />II yyBe9s describe under
<br />DE3dflIPTION OF OPERATIONS below
<br />X PER O -
<br />ER
<br />$
<br />C
<br />NIA
<br />X
<br />WA7E40005097-013 (AOS)
<br />9RCIUdBs"Slop-Gap"
<br />U111I
<br />I
<br />01A1112024
<br />E.L.EACH ACCIDENT
<br />§ 1,00D,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,00D
<br />EL DISEASE -POLICY LIMIT
<br />$ 1,000.000
<br />DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more spa" Is required)
<br />Re: Project 22fi017. Saddleback View Neighborhood Street Lighting Project ILB S 231150500, City of Santa Ana, 20 Clylc CeNerPlaze, Santa Ana, CA 92701.
<br />The City Of Santa Ana, Its oRcars, employees, agents, volunteers and representaffm Istare Included as addidcrlal Insured under general Ilablllty, per the attached CO 2010 and CG 2037 acdorsementsand does
<br />not Include professional Debility coverage. Blanket Additional Insured forAutonvAI Liability is Included peralfadled designated Insured 5Wmsemenl CA 2048. Auto Liability. Pdmary and Non-cplUlbutory
<br />applies (a our Insured's owned autos subject to the lerBG & conditions of pollcyfmm CA 2040. Primary and NonContributory applies furGenerel Llablity per CG 20 Of e0ached.
<br />OTy of Santa Ana
<br />RDss Amax M-22
<br />20 Gvic Center Plaza
<br />Salta 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 />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Ina
<br />ACORD 25 (2016/03)
<br />01988-2016
<br />The ACORD name and logo are registered marks of ACORD
<br />All rlGhts manrVRrI.
<br />
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