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RPW SERVICES, INC.
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Last modified
6/15/2026 2:41:05 PM
Creation date
2/23/2024 3:12:07 PM
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Contracts
Company Name
RPW SERVICES, INC.
Contract #
A-2024-004
Agency
Public Works
Council Approval Date
1/16/2024
Expiration Date
1/31/2027
Insurance Exp Date
7/10/2026
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A� �® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD YWY) <br />8/4/2025 <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 be endorsed. If SUBROGATION IS WAIVED, 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 />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Valiant Insurance Agency, Inc. <br />Lic. #OM04649 <br />1913 E. 17th Street, Suite 210 <br />Santa Ana CA 92705-3922 <br />NAME: Bertha Guerrero <br />q/_NNo Ext: (714)243-4070 q/c, No: (626)522-8211 <br />E-MAIL bguerrero@valiantins.com <br />ADDRESS: g <br />INSURER(S) AFFORDING COVERAGE <br />NAIL# <br />INSURER A: National Specialty Insurance Co. <br />22608 <br />INSURED <br />R P W Services Inc. <br />P.O. BOX 5217 <br />Orange CA 92863 <br />INSURERB:Clear Spring Property & Casualty Compar <br />15563 <br />INSURER C : <br />INSURER D: <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:24/25 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 OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL 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 />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />MERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />RENTED <br />DAMACLAIMS-MADE <br />4—clom <br />❑ OCCUR <br />(Ea occurrence) <br />PREMISES Ea occurrence <br />PREMISES <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY ❑ PRO JECT ❑ LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANYAUTO <br />BODILY INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X <br />Y <br />GMI043403 <br />7/10/2025 <br />7/10/2026 <br />X <br />PROPERTY DAMAGE <br />Per accident)$ <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />Uninsured motorist combined single <br />$ 50,000 <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />HCLAIMS-MADE <br />AGGREGATE <br />$ <br />EXCESS LAB <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />X PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />�I <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />B <br />OFFICER/MEMBER EXCLUDED? F <br />(Mandatory in NH) <br />NI A <br />CSWC01146203 <br />10/24/2024 <br />10/24/2025 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are named as <br />additional insured when required by written contract per the attached NSIC-GMI-BA001 08/19, Waiver of <br />Subrogation applies per the attached CA0444 1013, <br />Tu Tran Digitally signed by <br />Tu Tran Nguyen <br />8.04 <br />Nguyen <br />14:190200 100' <br />APPROVED <br />By Tu Tran Nguyen at 2:18 pm, Aug 04, 2025 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701-4010 <br />AUTHORIZED REPRESENTATIVE <br />Kevin Markel/KEVIN <br />ACORD 25 (2014/01) <br />INS025 (201401) <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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