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Last modified
9/3/2024 9:01:57 AM
Creation date
5/23/2024 2:52:57 PM
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Contracts
Company Name
DUDEK
Contract #
A-2023-194-19
Agency
Public Works
Council Approval Date
11/7/2023
Expiration Date
11/7/2028
Insurance Exp Date
8/28/2025
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ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />llo� 8/28/2024 <br />CATS (MMIDDNYYY) <br />4/30/2024 <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 INSU EL nthe oli Iles) (Oust have D ITION L INSURED provisions or be endorsed. <br />SUBROGATION IS WAIVED, subject to the terms and cc ndittoo G_I'f pr, S4 i s I li r�INlgll Rindorsement. A statement on <br />'s e f a t confer rights to the certificate hold„' in lieu such enborse nt s . 1 <br />Ro 1 anies <br />Ace <br />AM <br />. 47th Street, Suite 900 <br />Kansas C�yityp MO 641 2-1906 Dat <br />FAX <br />o Ez[: A/G No: <br />A° ' <br />INSURERS AFFORDING COVERAGE <br />NAIL$ <br />C ❑1 O <br />`-V _ I <br />N URER A: Zurich AIDCT1Can Insurance Company <br />16535 <br />INSURED DUDEK <br />1474583 605 THIRD STREET <br />INSURER B: The Continental Casualty Company <br />20443 <br />INSURER C: <br />ENCINITAS CA 92024 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 9OS'47d15 RFVI.SInM NIIMRFP- vv Vvvv <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 <br />ADDLSUBR <br />WVD <br />POUCYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EKE <br />MMMD <br />LIMITS <br />A <br />X <br />COMMERCIALGENERAL LIABILITY <br />A CLAIMS -MADE X OCCUR <br />Y <br />Y <br />GLOO146311 <br />8/282023 <br />8/28/2024 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGETo <br />PREMISES EaENTEDo¢uommce <br />S 100,000 <br />MED EXP (Any one parson) <br />$ 10,000 <br />PERSONAL S ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY F JEC Fx_1 LOC <br />GENERAL AGGREGATE <br />$ 2000000 <br />PRODUCTS -COMPIOPAGG <br />$ 2 000 000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />BAP0146329 <br />8/282023 <br />8/28/2024 <br />COMBINED SINGLE LIMIT <br />4 Ea acddent <br />$ 1 000 000 <br />x <br />BODILY INJURY (Per person) <br />$ XXXXxXX <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident)$' <br />( <br />��XXX <br />HIRED I NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERGE <br />Peraccitldntent) <br />$ xXxx)CCX <br />$XXxxxxx <br />UMBRELLA LIAB <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ xx)L xx { <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ J{xJ(x)m <br />DED RETENTION$ <br />I <br />$ 'D' ' <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNENEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? FN <br />NIA <br />Y <br />WC0146330 <br />8282023 <br />8/28/2024 <br />X SPER TATUTE ORTH- <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandate, in NH) <br />If yes, describe under <br />E.L. DISEASE- POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS be. <br />B <br />PROFESSIONAL <br />N <br />N <br />EEH591932835INCL POLL <br />8/28/202378/28/2024�7 <br />PER CLAIM$1,000,000 <br />LIABILITY <br />INCLUDES POLLUTION <br />AGGREGATE $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />RE: THE CITY, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS ARE ADDITIONAL INSURED ON THE —,-GENERAL LIABELITY AS REQUIRED <br />BY WRITTEN CONTRACT. GENERAL LIABILITY AND AUTO LIABILITY IS/ARE PRIMARY INSURANCE AND ANY OTHER INSURANCE MAINTAINED BY <br />THE ADDITIONAL INSURED SHALL BE EXCESS ONLY AND NON-CONTRIBUTING WITH TIES INSURANCE. A WAIVER OF SUBROGATION APPLIES TO <br />THE GENERAL LIABILITY, AUTO LIABILITY, AND WORKERS COMPENSATION POLICIES IN FAVOR OF THE ADDITIONAL INSURED. <br />20537415 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER 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 PRC <br />@ 198BL2015 ACORD <br />c <br />Risk TmugnnmtDlvtelon <br />REVIEWED&Apmovm BY: <br />��' <br />Rnk Management Spedalist <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br />
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