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AC o® CERTIFICATE OF LIABILITY INSURANCE DATE {MMlPDlYYYY} 09/0612024 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 1NSURER(Sj, 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 endorsoment(s). PRODUCER CONTACT r NAME: illl0 �• rite Bearstar Insurance Services PHONE AIC No Ext (88 j 0 r 8 687 2151 Michelson Dr E-DDRESS: MAIL t'no@bearst ns.com A Suite 150 AngieDI NAIC # Irvine CA 92612 INSURERA: C,,af BIb8,9pWaky1fms LID 37745 INSURED INSURER F . Star. mpe atlOn In a e nd Premo ConstruAv, Inc. INSUREF J : UnItUd1tNual • • 17192 Murphy V eve o INSURE rR D Irvine CA 92623".SURER F COVERAGES CERTIFICATE NUMBER- CL2372800432 RFVISIr)M MIIMRCR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH I POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYyy POLICY EXP MMIDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR FACHOCCURRENCE $ 1,000,000 JAUGF PREMISES EaoTTu once $ 100,000 MED EXP (Any one perscn) $ 3,000 PERSONAL & ADV INJ URY $ 1,000,000 A Y CKOICAK001820-01 07/2712024 07/27/2025 GEN'LAGGREGATELIMIT APPLIES PER: PRO- X POLICY ❑ PRG ❑ LOG JECT GENERAL AGGREGATE $ 2,000,000 PRODUCTS S 2,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S 1,000,000 BODILY I NJURY(Per person) $ ANYAUTO C OWNED SCHEOULED AUTOS ONLY AUTOS CA110611610 09/06/2024 03106/2025 BODILY INJURY (Per accident) $ X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY H PROPERTY DAMAGE Per accident $ $ UMBRELLA LAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DFD I I RETENTION $ $ 8 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? {Mandatory in NH} If yes, describe under DESCRIPTION OF OPERATIONS below NIA 9343425-2024 08I0112024 08/01/2025 /� SPER TATUTE ERH E-L.EACHACCIDENT 5 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS ! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) City of Santa Ana Project 4 24-6985 Bus slop Improvement Project City of Santa Ana, its City Council, its officers, officlals,employeos, agents, and volunteers are named as additional insureds CAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PRO' 20 Civic Center Plaza 4 "`c o Risk MaugetnentDivisirnt AUTHORIZED REPRESENTA;r �' r REVIEWED & APPROVED BY. Santa Ana CA 92701E A f"tavda Risk Management Specialut @ 1988.2015 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD