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<br />A�R0® CERTIFICATE OF LIABILITY INSURANCE o05/23/202AM 4Y)
<br />05/23/2029
<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 />PRODUCER
<br />Willie Tower. Watson Northeast, Inc.
<br />c/o 26 Century BlW
<br />P.O. Box 305191
<br />Nashville, TN 372305191 USA
<br />INSURED
<br />Elecnor Belco Electric,
<br />14320 Albers Way
<br />Chino, CA 91710
<br />COVERAGES
<br />Nancy Kong
<br />1-877-945-7378 -Tr-
<br />- u..,. 1-888-467-2378
<br />oil artf xd Insvran omp ny of the Midwest 37478
<br />Of
<br />t r c Company 19682
<br />. M lcp��l Company 38970
<br />RD: a Yfi�'S 0311 Company Ltd 11000
<br />e; rb s e Company 36940
<br />^'R p, o s' s rA a ompany 42307
<br />vi In VISION NUMBER:
<br />THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LI ;TFJ BELOW H BEN S O T NS NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TER A JR 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 />OF INSURANCE
<br />ADDLTYPE
<br />JNM
<br />SUER
<br />POLICYNUMBER
<br />MM/DOV�
<br />MWOOY�
<br />LIMITS
<br />X(
<br />COMMERCIALGENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />❑X OCCUR
<br />DAMAGCLAIMS-MADE
<br />PREMISES Ea RENTED
<br />ES( RENTED
<br />PREMISESnce
<br />$ 300,000
<br />MEDEXP(Anyonapemon)
<br />$ 10,000
<br />p`
<br />y
<br />y
<br />10 UEA HF1471
<br />11/01/2023
<br />11/01/2024
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />HI -
<br />POLICY �X JECTPRO- ❑ LOC
<br />PRODUCTS -COMPIOP AGO
<br />$ 2, 000, Goa
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />We accitlent
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />x
<br />ANY AUTO
<br />B
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />y
<br />y
<br />10 USA RF1037
<br />11/01/2023
<br />11/01/2024
<br />BODILY INJURY (Per accident)
<br />$
<br />x
<br />HIRED NON -OWNED
<br />AUTOS ONLY x AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Per accident)
<br />$
<br />C
<br />dd(
<br />UMBRELIALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />bRLINIEUE100851
<br />11/01/2023
<br />11/01/2024
<br />DEO RETENTION$
<br />$
<br />D
<br />WORKERS COMPENSATION YIN
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETOR/PARTNERIEXECUTIVE
<br />OFFICERIMEMBEREXCLUDEDy NO
<br />(Mandatory In NH)
<br />NIA
<br />y
<br />10 WEA AD9T8V
<br />11/01/2023
<br />11/01/2024
<br />x PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />It yes, descnbe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000, 000
<br />E
<br />Professional Liability
<br />CE0744635506
<br />11/01/2023
<br />11/01/2024
<br />Per Claim
<br />$2,000,000
<br />Aggregate
<br />$2,000,000
<br />SIR Per Claim
<br />$250,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space is required)
<br />Project: City of Santa Ana - 22-1388 ARPA Neighborhood Streetlights - Ph II
<br />Certificate Holder is included as an Additional Insured as respects to General Liability and Auto Liability.
<br />General Liability and Auto Liability shall be Primary and Non-contributory with any other insurance in force for or
<br />SEE ATTACHED
<br />City of Santa Ana
<br />Risk Management Division, 4th Floor
<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 PR(
<br />par. s. o- 0- � ",r
<br />01988.2016 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />as 10: 25911418 eazca: 3474434
<br />Risk C&APPRO BY.'
<br />REVIEWED S APPROVED BV:
<br />e
<br />-
<br />Risk Management Speaalist
<br />
|