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<br /> ACoRQ' CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YYYY)
<br /> 06/25/2024
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER Phone: (714)973-1436 Fax: (714)973-0811 COME: r E O.INSUP.A‘CE,I
<br /> ELMCO INSURANCE,I •
<br /> NAME:
<br /> PHONE
<br /> 636 E CHAPMAN AVE (NC,Ne Exlr. ( wk.,' 03 . i ( 1 11
<br /> E-MAIL contac e cotnsuranceim
<br /> ORANGE CA 92866 ADORES •
<br /> INSURER( AFFORDING COVERAGE NAIL
<br /> ncy Lic#:0509747 INSURE! T'DA •
<br /> INSURED • ���.� _ a
<br /> -
<br /> CALIFORNIA BARRICADE RENTALS INC. '. NSUR' .B �N i aL‘ • CAM' r • 6•
<br /> 1550 E.SAINT GERTRUDE PLACE Ns .ER c : . SURA SPECIALTYA CE OMP N 18
<br /> SANTA ANA CA 92705 lb JRER D: 1'.l I ate SAT!
<br /> S�LU F 17cb _
<br /> I
<br /> F : PACIFIC INSURAN^E COMPANY 10046
<br /> COVERAGES IF AT M : 6 k IS N NU R:
<br /> THIS IS TO CERTIF THAT E P IES NSU CE LI BE' .AVE : N ISSUOT Il1l •(JA IED4BOV�`EPOR HE r�7' I�•ERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CC JDIT JN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE ,.-FORDED 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LIR INSR WVD LIMITS IMM/ODNYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY X X BCS2001609 07/01/24 07/01/25 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE I�OCCUR DAMAGE TO PREMISES Ea Doccurence) $ 100,000
<br /> MED.EXP(Any one person) $ EXCLUDED
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE S 2,000,000
<br /> X POLICY I I JP ERGOT- I LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> 1. OTHER: EMPLOYEE BENEFITS $ 1,000,000
<br /> B AUTOMOBILE LIABILITY X X 50011184701 07/01/24 07/01/25 COMBINED SINGLE LIMIT
<br /> (Ea=went) $ 1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED
<br /> AUTOS AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS (per acddent) $
<br /> $
<br /> C UMBRELLA LIAB X OCCUR TXS000255500 07/01/24 07/01/25 EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED ! !RETENTION$ $
<br /> D WORHERS COMPENSATION X 931316424 07/01/24 07/01/25 X PER OTH-
<br /> ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YfN E.L.EACH ACCIDENT $ 1,000,000
<br /> 1 OFFICER/MEMBER EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE $
<br /> )Mandatory in NH) 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> E POLLUTION LIABILITY G73540124004 07/01/24 07/01/25 Each Pollution Condition $1,000,000
<br /> F PROFESSIONAL LIABILITY 010H066384524 07/01/24 07/01/25 Aggregate Limit $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached II more space is required)
<br /> SEE SUPPLEMENTAL CERTIFICATE INFORMATION
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Risk Management Division THE EXPIRATION DATE THEREOF, PN, f
<br /> 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROV ,,,,-_,.c Risk Management Division
<br /> 4th Floor REVIEWED&APPROVED BY:
<br /> AUTHORIZED REPRESENTATIVE a,���•�'.'=
<br /> Santa Ana,CA 92702 A Acwau
<br /> Risk Management Specialist
<br /> Attention:
<br /> ACORD 25(2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved,
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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