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,acoRE) CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY)
<br /> 4/.....---- 4/26/2024
<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(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> Lovitt&Touché A Marsh and McLennan Agency, LLC PHONE Michelle Dickason FAX
<br /> 8605 E. Raintree Drive, Suite 2 E-M No.Extl:60:-95 50 A/C o
<br /> Scottsdale AZ 85260 E-MAIL •
<br /> I e ADDRESS: Mid.T n .IN R
<br /> INSURERS AFFORDING COVERAGE NAIL#
<br /> INSURER A:Zurlr A AJL, m. - !.r ip a 16535
<br /> INSURED WEBER-7 INSURER B:Be'.le, ,ssuran - ompany 39462
<br /> Weber Water Resources CA, LLC INSURER V� sstch�°'� In c C 10172
<br /> 1785 Container Circle ^L.G t t, t0 (�
<br /> Jurupa Valley CA 92509AcevedSURER D:"+aviaat_ . ' I as fl 36056
<br /> URER F
<br /> '8t�2E�F: OBRILII/TIIEIVAIII
<br /> COVERAGES CERTIFICATE NUMBER:866467529 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 ADDL SUER POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y GL0388901211 5/1/2024 5/1/2025 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $100,000
<br /> X Contractual Liab MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY X JECT LOC
<br /> PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY Y Y BAP388901111 5/1/2024 5/1/2025 COMBINED SINGLE LIMIT $1,000,000
<br /> (Ea accident)
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY (Per accident) $
<br /> $
<br /> C UMBRELLALIAB OCCUR Y Y G74307693001 5/1/2024 5/1/2025
<br /> D LA24EXCZOGVJGIC 5/1/2024 5/1/2025 EACH OCCURRENCE $5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE
<br /> AGGREGATE $5,000,000
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION Y WC388901311 5/1/2024 5/1/2025 X SPER
<br /> TATUTE OTH-
<br /> ER AND EMPLOYERS'LIABILITY Y/N -
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> B Pollution Liability-Occurrence Y Y PCADB50247850524 5/1/2024 5/1/2025 Poll Each/Agg $1,000,000
<br /> Professional-Claims Made Prof Each/Agg $2,000,000
<br /> Deductible $25,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Certificate Holder and owner(if applicable)are additional insureds as respects general liability,automobile liability and excess liability if required in a written
<br /> contract.Waiver of Subrogation applies to the general liability,auto liability,excess liability and workers compensation if required in a written contract.The
<br /> general liability,automobile and umbrella is primary and certificate holder's insurance is non-contributory if required by written contract.
<br /> Pollution Occurrence form
<br /> Professional Liability Claims Made form;Retro Date 10/27/20
<br /> City of Santa Ana,its officers,employees,agents and representatives are additional insureds if agreed to in a written contract or permit as respects any and all
<br /> projects. Includes 30 notice of cancellation to certificate holder,with an exception for 10 days non payment of premium.Umbrella/Excess policy follows form to
<br /> the GL policy which is listed as an Underlying policy to the Umbrella!Excess
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PRC\ /
<br /> Risk Management Division Risk M„nagementDivistan
<br /> 20 Civic Center Plaza o woa,^`s
<br /> 4th floor AUTHORIZED REPRESENTATIVE i! REVIEWED&APPROVED BY:
<br /> Santa Ana CA 92702 al �I►.�+e AcevrcLa
<br /> '®I Risk Management Specialist
<br /> ©1988-2015 ACORD /
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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