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,AcoR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMfD01YYYY) 16-� 1 7/31 /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 lion of such endorsement(s). PRODUCER CONTACT NAME; Certificates Department Edgewood Partners Insurance Center PHONE P.O. Box 5003 IAIC, No _E-MAIL San Ramon, CA �3 �� AODRES www.epicbrokers.com 14 LIG # 0 _ INSURM S AFFORDING CQOERAGE NAIL INSURER. ArcASQ9ci@1ty Insurance Citinpary 21199 INSURED AF 11111111 E a All American Asphalt P.O. Box 2229 Corona CA 92878 A o_mdnk TA ff AM eno INSURER , Z m Ca nC a 535 INSURE I -,reatAmeri Insurance Com an INSUF R D : 16691 INSO <ER E : 1.0or a t e dg-. %0 A— I a W %-f Ip DCVICIY%Pl Alllltll13CD. rr1VFRAf;FS r A II THIS IS TO CLRTIF HAT I INS NC D FN ISS I p A ABOV R P C PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONr.ITIC' J OF ANY CON T �) U E T EC T CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE FF'.?pEp BY THE PO CI RIB ❑ H EI IS SUB C TO A TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN Mr;, HAVE BEEN REDUCED BY PAID CLAIMS. ILFR TYPE OF INSURANCE INSD ADDL WVDSUER POLICY NUMBER MM1��YIYYYY MML��ffYYYY LIMITS A ✓ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �✓ OCCUR DPC 100585608 8/1/2024 8/1/2025 EACH OCCURRENCE $1 000 000 GFN'L DAMAGE TO TED PREMISES (Ea olccu ence 5100,000 MED EXP (Anyone person) 5 PERSONAL & ADV INJURY 51,000,000 AGGREGATE LIMIT APPLIES PER: POLICY E]jEQ 7LOC OTHER: GENERALAGGREGATE 52,000,000 PRODUCTS - COMPIOPAGO $2,000,000 $ B AUTOMOBILE ✓ ✓ LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY BAP557108812 8/1/2024 8/112025 EOa COMBINED $2000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident)) $ PROPERTY DAMAGE Per accident $ C ✓ UMBRELLA LIAB ,/ EXCESS LIAR OCCUR CLAIMS -MADE TUE347483604 8/1/2024 8l112025 EACH OCCURRENCE $5 000 000 AGGREGATE $ 5 000 000 DED ✓ I RETENTION$10,080 Following -Farm $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f NER ANYPROPRIETORIPARTNEMEXEOUTIVE OFFICEWMEMBEREXCLUDEO? ❑N (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA WC593205711 8/1/2024 8/1/2025 ✓ SPER TATUTE OTH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - FA EMPLOYEE $ 000 E.L. DISEASE - POLICY LIMIT 1 $ 1 000 BBB DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) #362371 RE: Campesino Park and Madison Park Parking Lot Rehabilftation Project 1 Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF- NOTICE WILL BE nELIVERED IN Santa Ana CA 92701 ACCORDANCE WITH THE POLICY PRC ItisieMntlxgffmdlDivisiwl AUTHORIZED REPRESENTATIVE i -., REVIEWED & APPROV®SY: Maleah Cantrell Risk Management SpeciMst O 1988-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 81239842 1 24 r01 i Standard with Sdmm XS I Michael ,Yfendoza 1 7,3 L2024 11:19:51 A.M (PDT) l Page I of 11