A� �® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(18/20MMMD�
<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 certificlde Ider.i li of such endo s men s .
<br />PRODUCER
<br />Arthur J. Gallagher Risk Management Service LL. ,,1
<br />0 VoazAr..i5baAC2V2CI0
<br />a
<br />ve O Date. LOG
<br />ie
<br />A r I
<br />PHONE FAX
<br />312.803.6338 aC No:
<br />EMAIL
<br />A s amber c3.633 a' .com
<br />N U FORDING COVERAGE
<br />NAIC#
<br />INSURER A: Starr Surplus Lines Insurance Company
<br />13604
<br />I I
<br />0700MLENVWI
<br />_
<br />INSURED
<br />All Environmental, Inc.
<br />2500 Camino Diablo
<br />INSURER B: Starr Indemnity & Liability Company
<br />38318
<br />INSURER C:
<br />INSURER D:
<br />Walnut Creek, CA 94597-3998
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 272291806 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 />ADDLSUBR
<br />1111111
<br />Wi
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DDM
<br />POLICY EXP
<br />MWDD/YYYY
<br />LIMBS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />1000065986231
<br />9/14/2023
<br />9/14/2024
<br />EACH OCCURRENCE
<br />$2,000,000
<br />CLAIMS-MADErx] OCCUR
<br />TO
<br />PREMI ES(RENTED
<br />PREMISES Ea occurrence)
<br />$300,000
<br />X
<br />MED EXP (My one person)
<br />$ 25.000
<br />Contractors Poll
<br />$2M/$4M Limits
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />X
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY � jEC LOG
<br />GENERALAGGREGATE
<br />$4,000,000
<br />GEN'L
<br />PRODUCTS -COMPIOPAGG
<br />$4,000,000
<br />GL Ded: $5,000
<br />$
<br />X
<br />OTHER: CPL Ded $50,000
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />1000638062231
<br />9/14/2023
<br />9/14,2024
<br />COMBINED SINGLE LIMIT
<br />Ea accident)
<br />$1,000,000
<br />BODILY INJURY (Par person)
<br />$
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLYHXAUTOS
<br />BODILY INJURY (Per accitlent)
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLYAUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />X
<br />Canso: $1.000 Coll:$1.000
<br />1
<br />A
<br />UMBRELLALIAS
<br />X OCCUR
<br />1000336767231
<br />9/14/2023
<br />9/14/2024
<br />EACH OCCURRENCE
<br />$5,000,000
<br />X
<br />EXCESS LUIB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$5,000,000
<br />LED RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />100000385506
<br />9/14/2023
<br />9/14/2024
<br />X PER
<br />�RH
<br />E.L. EACH ACCIDENT
<br />$1.000,000
<br />ANWROPRIETOR/PARTNERIEXECUTIVE F—N]
<br />OFFICER/MEMBER EXC W DEL?
<br />MIA
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />A
<br />Professional Liability
<br />1011065186231
<br />9/14/2023
<br />9l14/2024
<br />Each Claim
<br />$2.000,000
<br />Claims Made
<br />PL Ded: $10.00D
<br />grega
<br />Agte
<br />$4.000.000
<br />DESCRIPTION OFOPERATIONS/LOCATIONS[VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana and City of Santa Ana Public Works Agency is included as Additional Insured, per written contract or agreement, with regards to General
<br />Liability per form number CG 20 10 04 13, subject to policy terms, conditions and exclusions. The insurance provided in the General Liability policy is primary
<br />and any other insurance shall be excess only and not contributing, per form number SL 023 (6/11) (General Liability) A Waiver of Subrogation in favor of the
<br />Additional Insureds applies, per written contract or agreement, with respect to General Liability per form number SL 023 (06111). A 30 Day Notice of
<br />Cancellation applies in favor of the Certificate Holder as required by written contract.
<br />City of Santa Ana and City of Santa Ana Public Works
<br />Agency
<br />20 Civic Center Plaza M-83
<br />Santa Ana CA 92701
<br />CANCELLATION
<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 PRC
<br />ZED REPRESENTATIVE
<br />©1988.2015 ACORD
<br />Risk EDManagement Dmilion
<br />I APPROVED BY.'
<br />Al", 4 Ad444
<br />Risk Management Specialist
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
|