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Client#: 238866 <br />ALLAMER31 <br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE <br />FSAI.(MMIDDlYYYY) <br />8/06/2024 <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 any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAMEKathy Lopez <br />Edgewood Partners Ins. Center°,NH <br />, Ext: 909 919 7880 sA Np); 888.789.5971 <br />(AI3633 <br />Inland Empire Blvd <br />E-MAIL <br />kathy.lopez@epicbrokers.com <br />Suite 640 Lic#OB29370 <br />Ontario, CA 91764 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A: Steadfast Insurance Company <br />26387 <br />INSURED <br />All American Asphalt <br />INSURER B ; <br />PO BOX 2229 <br />INSURER C : <br />Corona, CA 92878-2229 <br />INSURER D : <br />. INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDLISUBR'' <br />INSR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM0DfYYYY) <br />POLICY EXP <br />(MMIDDIYYYYJ <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE OCCUR <br />PREMISES Eaooc" ence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />F1 <br />GENERAL AGGREGATE <br />$ <br />GENTL <br />POLICY JECT LOC <br />PRODUCTS - COMPIOP AGG <br />$ <br />3 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />I COMBINED SINGLE LIMIT <br />Ea accident <br />5 <br />BODILY INJURY (Per person) <br />S <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />Bp❑iLY INJURY (Per accident) <br />5 <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTIONS i <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY Y I N <br />E.L. EACH ACCIDENT <br />S <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />N I A <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E_L, DISEASE - POLICY LIMIT I <br />5 <br />A <br />Contractor's <br />CPLO12582103 <br />08/01/2023 <br />08101/2025 <br />$2,000,000 Each Loss <br />Pollution <br />$2,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />#362371 RE: Campesino Park and Madison Park Parking Lot Rehabilitation Project 1 <br />TE <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY 7.77 Risk M gematf; DIMsian <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE ; I o RiEvEwED & APPROVED Sr <br />-ift Risk Management Spedalist <br />©1988-2015 ACORDtumt-umm <br />ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S68273191M6827314 KLO01 <br />