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Page 1 of 2 <br />ACORa CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ODIYYYY) <br />`� 07/18/2024 <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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy es) hive ADQITIONA I SUITED provisions or be end sed. <br />If SUBROGATIO WAIVED, subject to the tdOns and conditions of the pol _7 ce ai i e r t on <br />this certificate d s of c hts e ' ica er in lieu of such el i_crse ( ) <br />PRODUCER CONII Nan Ewo <br />Willie Towers W t st, n <br />NAME: <br />c/o 26 Century W INC. NrPHONE _ _877-945- 78 • F No: 1-888-467-2378 <br />P.O. Box 305191 E-MAIL <br />ADDRI A c t ate o <br />Ufa <br />Nashville, TN 372305191 OSA 1 URERS AFFORDI OVERAGE NAIC# <br />INF .ASH A: artford Insurance Company of the Midwest 37478 <br />INSURED IF URERB: - msura = mP 1 2 <br />Elecnor Beico Elec <br />14320 Albers Way ceve-d"WIsuR D m L <br />Gino, CA 917alo sSURE : Sentinel I.s _=e Company Ltd a x san ,: N i ore n n n� <br />COVERAGES CERTIFICATE NUMRFR- fi43'.134 01=11101nM Nnu4mco. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED :..LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR 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 />TYPE OF INSURANCEkil <br />ADOL <br />SUER <br />POLICYNUMBER <br />POLICY EFF <br />MMIDD <br />POLICY UP <br />MMIDD <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE XDAMAGE <br />OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />TO RENTED <br />PREMISES Ea occurrence <br />$ 300,000 <br />MED EXP Any one person) <br />$ 10,000 <br />A <br />y <br />If <br />10 USA HF1471 <br />11/01/2023 <br />11/01/2024 <br />PERSONAL S ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER <br />POLICY JEC LOG <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />y <br />y <br />10 USA HF1037 <br />11/01/2023 <br />11/01/2024 <br />BODILY INJURY (Per bobtail) <br />IS <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />X <br />PROPER GE <br />Per accidententl <br />$ <br />C <br />UMBRELLALIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,000 <br />X <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />LFOdf1EUE100851 <br />11/01/2023 <br />11/01/2024 <br />DEO I I RETENTION$ <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOWPARTNER/EXECUTIVE No <br />OFFICER/MEMBEREXCLUDED7 <br />(Mandatory In NH) <br />I/yes, describe Under <br />NIA <br />Y <br />10 NSA AII9TBV <br />11/Ol/2023 <br />11/01/2024 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 11000,000 <br />DESCRI PTION OF OPERATIONS below <br />E <br />Professional Liability <br />CE0744635506 <br />11/01/2023 <br />11/Ol/2024 <br />Per Claim <br />$2,000,000 <br />Aggregate <br />$2,000,000 <br />SIA Per Claim <br />$250,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may he attached if more space is mgWvd) <br />PROJECT NO.: 23-7539 <br />TRAFFIC SIGNAL MODIFICATION AT WARNER AVENUE AND WRIGHT STREET (CDBG) <br />Certificate Holder is included as an Additional Insured as respects to General Liability and Auto Liability. <br />SEE ATTACHED <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PR( <br />.ey.Cy Rids Mwmgmnml.DMsfan <br />City of Santa Ana AUTHORIZED REPRESENTATNE u I Q REVIEVImSAPPR^OVEDBIY" <br />20 Civic Center Pleas r ���a <br />_ II$A-k.�:4 iluVra(o <br />Santa Ana, CA 92701 PODX4 - Risk Management SpedXist <br />01988-2016 ACORD <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />sB ID: 26189463 saxes: 3546161 <br />