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CERTIFICATE OF LIABILITY INSURANCE <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 />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not <br />certificate holder in lieu of such endorsementlsL <br />Commercial Associate nsurance • <br />Batavia <br />1599 N. Bata9tre n a i e <br />Orange, CA via <br />INSURED <br />W.A. Rasic ConstruAceve <br />o., Inc. <br />4150 Long Heath Blvd <br />Long Beach, CA 908 <br />r1D: r tea. %�. 4aaaV 4f_ a . V I . <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 TO ALLTHE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPEOFINSURANCE <br />ADDL <br />INS. <br />SUBR <br />M. <br />POLICY NUMBER <br />POLICYEFF <br />MMIDD <br />POLICY EXP <br />MMIDO""P <br />LIMITS <br />X <br />COMMERCIALGENERALLIABILITY <br />EACH OCCURRENCE <br />S 2,000,000 <br />OAfMGETO RE TIED <br />PREMISES Ea occunence <br />S 300,000 <br />A <br />CIAIMS-MADE � OCCUR <br />MED EXP (Any ale person) <br />$ 10,000 <br />X <br />OT22-03-867=47-TCT-24 <br />5/1/2024 <br />5/1/2025 <br />PERSONAL S ADV INJURY <br />$ 2,000,000 <br />LIMITAPPUES PER: <br />GENERALAGGREGATE <br />S 4,000,000 <br />GEN'LAGGREGATE <br />PRODUCTS -COMPIOPAGG <br />$ 4,000,000 <br />POLICY JEST LOC <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED BINDLE LIMIT <br />aacall$ <br />ltl <br />2,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANYAUTO <br />AUTOSCHEDULED <br />BODILYINJURY(Paraccldenl) <br />S <br />AUTOSS UTOS, <br />A <br />DT-B1O-667OX247-TCT-24 <br />5/1/2024 <br />5/1/2025 <br />HIREDAUTOS NON-0WNEO <br />ADD" <br />PROPERtt DAMAGE <br />PereCcIdecal$ <br />S <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS MADE <br />DEB I I RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />pER OTM, <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />It <br />ANY PROPRIETORIPARTNERIEXECUTNE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />NIA <br />E.L.DISEASE-EAEMPLOYEE <br />$ <br />(ManIfys. Itoryln NH) <br />Ifyes,atoa, InH) <br />EL DISEASE -POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONSWI. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES, (ACORD 101, Additional Remarks Schedule, maybe aHached I, more.pace la required) <br />Re: Operations usual to the named insured - RFP No. 21-036 <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are added as <br />additional insured including primary wording where required by written contract as respects general <br />liability per attached CGD604 2/19 6 CGT100 2/19. 30 days notice of cancellation except 10 days for <br />non-payment. <br />UAPI .CLEW IVN <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2014/01) The ACORD name and logo are <br />INS025 (201401) <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 PROVISIONS. <br />Rick Mrmagemm�t Diuiei0n <br />�REVIEWED&APPROVEDBY <br />l 111111L' A+.kc6 Adw4�fD <br />® Risk Management Specialist <br />