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W.A. RASIC CONSTRUCTION COMPANY, INC. (3)
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W.A. RASIC CONSTRUCTION COMPANY, INC. (3)
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Last modified
7/29/2024 11:11:08 AM
Creation date
7/29/2024 11:10:05 AM
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Contracts
Company Name
W.A. RASIC CONSTRUCTION COMPANY, INC.
Contract #
A-2021-132-01A
Agency
Public Works
Council Approval Date
7/20/2021
Expiration Date
7/19/2026
Insurance Exp Date
5/1/2025
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ACoizoCERTIFICATE OF LIABILITY INSURANCE <br />DATE4/2029 <br />6/14/2024® <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(% AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION I5 WAIVED, subjectto <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 />Commercial Associates Insurance <br />1594 N. Batavia Street <br />Orange, CA 92867 <br />NTACT <br />NAME: <br />PHOCo <br />C o [ qlc, No: .J..,-u+o <br />NE (7MAFFORMNG�GE <br />EMAIL <br />ADDRESS: <br />NAIL N <br />INSURERA:TraAmerica <br />25674 <br />INSURED <br />INSURERS: <br />W.A. Raeic ConstrOction CO., Inc. <br />INSURERC: <br />4150 Long Beach Blvd. <br />INSURERD: <br />Long Beach, CA 90807 <br />INSURER E: <br />INSURER F: <br />RPVI.SION NUMBER: <br />COVERAGES CInKIm16Aln INUIVIscn: --- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEOABOVE FORTHE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ADOL MeR POLICYEFF POLICY EXP LIMITS <br />INSR TYpEOFINSURANCE mm wk POUCYNUMBE11 yuseemYYYY MMIDd1' Y <br />LT0. <br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 8 <br />CLAIMS -MADE ❑OCCUR PREMISES Ea bccurtence S <br />MED EXP (Any one perami) $ <br />PERSONAL 4ADV INJURY S <br />GENERALAGGREGATE S <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PR, O LOG <br />JECTa <br />PRODUCTS-COMPIOP AGG b <br />OTHER <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />e <br />Ea cM,wel <br />S <br />BODILY INJURY (Par pereoN <br />S <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTO6 NON�OWMEO <br />BODILY INJURY (Per acdden0 <br />S <br />PROPERTY DAMAGE <br />accManlS <br />y <br />AUTOSP <br />tHIREDAWOS <br />LA LIAu <br />AS <br />OCCUR <br />CLAIMS-MADEAGGREGATE <br />EACH OCCURRENCE <br />S <br />S <br />RETENTIONS <br />WORKERS COMPENSATION <br />X p TU E <br />E.L. EACH ACCIDENT <br />$ <br />1,000,000 <br />AND EMPLOYERS' LIABILITY YIN <br />A <br />ANY PROPRIETORIPARTNEWEXECUTNE <br />OFFICERIMEMBER EXCLUDED) N <br />(Mendatmyin NH) <br />11 yes, describe Under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />Ua-0K52e795-T4-25-G <br />7/1/2024 <br />7/1/2025 <br />EL DISEASE -EA EMPLOYEE <br />S <br />1.000 000 <br />EL DISEASE-FOUCY LIMIT S <br />1 000 010 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 10t, Additional Remarks Schedule, maybe attached It mare Space b mquired) <br />Re: Operations usual to the named insured - REP No. 21-036 <br />30 days notice of cancellation except 10 days for non-payment. <br />,.Aura I ATInld <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 PROVI <br />REVIEWED 6 APPRown By: <br />A-ft Aaiwda <br />Risk Management SpeOMISt <br />ACORD 25 (2014101) The ACORD name and logo are <br />INS025 podac0 <br />
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