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QUALFEN-02 MAXU
<br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 9/25/2024
<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 policy(ies)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 endorsement(s).
<br /> PRODUCER License#OC36861 CONTACT Melissa Kaiser
<br /> NAME:
<br /> Alliant Insurance Services,Inc. PHONE FAX
<br /> 18100 Von Karman Ave 1 Oth FI (A/C,No,Ext): (A/C,No):
<br /> Irvine,CA 92612 ADpRIE,s:Melissa.Kaiser@alliant.com
<br /> Ana • ie ce e
<br /> Ie Aceve d- o- NSURER t• r I 74
<br /> INSURED INtSJRERB: fn'l Ut fno iI nsu aii e o a =42
<br /> Quality Fence Company Inc INSURER C:Insurance Company Of the West 27847
<br /> 14929 Garfield Avenue INSURER D:
<br /> Paramount,CA 90723
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> DAMACLAIMS-MADE X 71 OCCUR MGL0200745 10/1/2024 10/1/2025 PREMISES Roc ED 50,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY� JECT1:1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> X OTHER:$5,000,000 Per Project Cap EBL AGG $ 1,000,000
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> ANY AUTO BA040000090849 10/1/2024 10/1/2025 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY X AUTOS BODILY INJURY Per accident $
<br /> X HIRED )( NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000
<br /> X EXCESS LIAB CLAIMS-MADE MXL0439400 10/1/2024 10/1/2025 AGGREGATE $ 10,000,000
<br /> DED X RETENTION$ 0 $
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN WSD 5067620 02 10/1/2024 10/1/2025 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A X E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if mores ace is required)
<br /> Job: Operations pertaining to named insured for certholder. The City of Santa Ana,its officers,employees,agents and representative are additional
<br /> insureds,primary and non-contributory,waiver of subrogation applies as respects to general liability per endorsements attached; waiver of subrogation
<br /> applies as respects to workers compensation per endorsement attached.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POILICIFR BE CANCELLED BEFORE
<br /> Cityof Santa Ana-Public Works Agency THE EXPIRATION DATE THEREO
<br /> 9 Y ACCORDANCE WITH THE POLICY PR( Risk Me agernentDivisi m
<br /> Maintenance Services Division
<br /> 220 S.Daisy Avenue o=' REVIEWED&P>PPROVm BY:
<br /> Santa Ana,CA 92703 AUTHORIZED REPRESENTATIVE °I, Aal/44
<br /> / Risk Management Specialist
<br /> ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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