CABIFORNIA INC. (SARTC FOUNTAIN REPLACEMENT)

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ACcoRD® DATE(MM/DD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 08/01/2024 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(ies)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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Elliott Gould EZ Insurance Services, Inc NAME: 2960 Harbor d Suite D PHONE Ext): 44754-90 • FAX No: (714)75 -9035 COSTA MES ngie E-MAIL ADDRE S: UT D O License#: ikt INS '(S)AFFORDING OVERAGE NAIC# INSURER ,: otham suranceff111� Comp�y/- 255 9 INSURED INSURE L N In ltae ae vE l 0 CABIFORNIA INC. INSUR 2 C: Na ilus Insura Company 17370 26611 NACCOME DR INSL' ERD: - CioMarine Q 42374 MISSION VALçQAvO A92691 IN' ,RERE: a e• 2024.08. 1 5 COVERAGES t a I •N N• NDCATD. NOTWITHSTANDNGANT,TERM OR ND'i I•r OF ANY ONTR�• ' 0 IP-3 G .• , . ITHV ' .P•T CT-4 T ' H THIS RHOS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AF•OP',ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN./I^:. HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRINSD WVD POLICY NUMBER IMM/DD/YYYY) (MM/DD/YYYYt — A X COMMERCIAL GENERAL LIABILITY Y GL202400023595 07/30/2024 07/30/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y MOO 0077809 00 07/30/2024 07/30/2025 COM(Eaaccc accident)SINGLE LIMIT $ 1,000,000_ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ C UMBRELLA LIAB X OCCUR AN1320849 07/30/2024 07/30/2025 EACH OCCURRENCE $ 1,000,000 X 1 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ - S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ - D BOND 100784209 08/03/2023 08/03/2025 California Contract 25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) GENERAL LIABILITY POLICY HAS BLANKET AI, BLANKET WOS &BLANKET PNC ENDORSEMENTS.See Attached. City of Santa, its officers,empolyees,agents and representative are Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by written contract. Insurance is Primary and Non-Contributory.30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of premium in accordance with policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI\ CITY OF SANTA ANA THE EXPIRATION DATE THEREOF,NO RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PRC r" =<_ Risk Ma>mgentenEUitiisiort 1. 20 CIVIC CENTER PLAZA &{nPPRavmsr. AUTHORIZED REPRESENTATIVE °I+`°I�� rl S^ A,;u'44 SANTA ANA, CA 92702 Risk Management Specitdist/ ` II—....r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by EGG on 08/01/2024 at 09:38AM