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<br />A� " CERTIFICATE OF LIABILITY INSURANCE
<br />FDAIDDNYYY)(MM
<br />11/6/2024
<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
<br />SullivanCurtisMonroe Insurance Services (IRV)
<br />2010 Main Street
<br />Suite 700
<br />CONTACT
<br />NAME: Jennifer Bernal
<br />PHONE FAX
<br />A/C No Ext : 951 493 3315 A/C No : 951 493 3399
<br />E-MAIL
<br />ADDRESS: jbernal@sullicurt.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />Irvine, CA 92614
<br />INSURERA: Middlesex Insurance Company
<br />23434
<br />www.SullivanCurtisMonroe.com License # OE83670
<br />INSURED
<br />Allison Mechanical, Inc.
<br />1968 Essex Court
<br />INSURER B
<br />INSURERC:
<br />INSURERD:
<br />Redlands, CA 92373
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 82630159 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 />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />/
<br />COMMERCIAL GENERAL LIABILITY
<br />/
<br />/
<br />A0114876-004
<br />11/1/2024
<br />11/1/2025
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS-MADE 11/1 OCCUR
<br />A AGE To
<br />PREMIS ES (E. occurrDence)$1,000,000
<br />V
<br />MED EXP (Any one person)
<br />$ 5,000
<br />Deductible: $5,000
<br />PERSONAL & ADV INJURY
<br />$1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$3,000,000
<br />POLICY ✓� JE� LOC
<br />PRODUCTS - COMP/OPAGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />AO114876-001
<br />11/1/2024
<br />11/1/2025
<br />COMBINED
<br />(EaMBINEDtSINGLELIMIT
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />Comp / Coll Deductibles
<br />$$2,000
<br />A
<br />�/
<br />UMBRELLA LAB
<br />�/
<br />OCCUR
<br />A0114876-006
<br />11/1/2024
<br />11/1/2025
<br />EACH OCCURRENCE
<br />$5,000,000
<br />v/
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED RETENTION $0
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICE R/M EMBER EXCLUDED? FN]
<br />N/A
<br />A0114876-008
<br />11/1/2024
<br />11/1/2025
<br />�/ STATUTE OERH
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />RE: All Operations
<br />City of Santa Ana, its officers, employees, agents and representatives are Additional Insureds with respect to General and Auto Liability
<br />per the attached endorsements as required by written contract. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to General and
<br />Auto Liability and Workers' Compensation per the attached endorsement. 30 day notice of cancellation per the attached endorsement.
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Risk Management Division, 4th Floor
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<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 PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Jennifer Bernal
<br />�Jntu*&S6_fllla'Q
<br />ACORD 25 (2016/03) The ACORD name and logo are registered APPROVED
<br />This 59 ALicate cancels
<br />and
<br />uApe ed A [primary] Jennifer Bernal I icat s. 7:49:3 By Cynthia Mora at 9:20 am, Nov 13, 2024
<br />This certificate cancels and supersedes ALL previously issued certificates.
<br />
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