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CERTIFICATE OF LIABILITY INSURANCE I DATE7/1/20D/YYYY) 7/1/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riohts to the certificate holder in lieu of such endorsement(s). PRODUCER 'NM"E;" Francisco Honzura Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 4201 Westown Parkway, Suite 120 . _Jk glut 515-309-6220 A/c No:515-457-8849 West Des Moines IA 50 • ADD ESS: r I o ¢u c m ` _ Y I! C NAIC# INSUI RA: Sentry nsurance Cornp7any 24988 INSURED Ar 741 MUSCUG-01 INSUF Q B e rsb 4s ` Of 170 MUsco Sports Lighting, LLC INSI ;0 H 0 100 1st Ave W — Oskaloosa, IA 52577 N!rRERL COVERAGES ' v �� a r'N r a U v i REVISION NUMBER: 11lO1_ICY PERIOD CO THIS INDICIFICATE TFRB MAY BE ISSUED OR MAY PERTAIN, THE INSURANC_ AF FORDED BY TCH CERTY HE OLI It E� ST BJEC T ALO THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOW! M'./ HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLTYPE INSD SUBR POLICY NUMBER EFF MM/DDPOLICY/YYYY MODDYEXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 9015877004 7/1/2024 7/1/2025 EACH OCCURRENCE $1.000,000 CLAIMS -MADE � OCCUR TO DAMAGEPREMISESPREMISES RENTrrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY � JEOT � LOG PRODUCTS-COMP/OP AGO $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 9015877003 7/1/2024 7/1/2025 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS e001LY INJURY (Per accident) $ X PROPERTY DAMAGE Peraccident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLALIAB X OCCUR CUP9X03061124NF 7/1/2024 7/1/2025 EACH OCCURRENCE $10,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE OEO I X I RETENTION$ D nnn $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 9015877002 9015877001 7/1/2024 7/1/2024 7/i/2025 7/1/2025 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETOR/PARTNEWEXECUTIVE FT] OFFICEWMEMBEREXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) K yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Architects & Engineers CE0742113904 7/1/2024 7/1/2025 Each Claim 5,000,000 Professional Liability& Pollution Liability Aggregate Retention 5,000,000 250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if mare space is required) RE: Musco project 231687 - Ed Caruthers Park City of Santa Ana along with its City Council, officers, officials, employees, agents and volunteers is shown as Additional Insured solely with respect to General Liability coverage as required by written contract with respect to work performed by the Named Insured. A Waiver of Subrogation in favor of Additional Insured is included under the General Liability as evidenced herein as required by written contract. 30 Days' Notice of Cancellation applies in favor of Certificate Holder as required by written contract. HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PRC Attn: Executive Director of Public Works RIAMartagemardDMitio' 20 Civis Center Plaza M-21 AUTHORIZED REPRESENTATIVE +/ i REVIEIVm&APPROVED Br Santa Ana, CA 92701 � ? Afe A,evA4 I wp Ruk Management Specialist ©1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD