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,aCiI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 11/15/2024 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(les) 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 endorsement(s). PRODUCER Orr & Associates Insurance Services 28780 Single Oak Dr Ste 255 Temecula CA 92590 CONTACT NAME: Certificates PNONE • 951506-5859 aC Nc:800-474-3003 ADo IEss• certs orrandassoclates.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Associated Industries Ins. CO. 23140 Uoonse#: OE63493 INSURED 3MCONST-02 3M Construction Corporation 211 S State College Blvd #329 INSURER B: California Auto Insurance CO. 38342 INSURER C: State Compensation Ins Fund 35076 INSURER D: Scottsdale Insurance Company 41297 Anaheim CA 92806 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 1042299635 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 ADDLSUBR 1N= Me POLICYNUMBER POLICYEFF IMMIDEItYYYY1 POUCYEXP fNINIsDDPf`YY)DLIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE MOCCUR Y Y AES123406301 4/1/2024 4/112025 EACH OCCURRENCE $11000.000 DAMAGE TO RENT D PREMISES Ea occurrence $1D0,000 MED EXP(Anyone person) $5,000 PERSONAL &ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY�JECT LOC GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,OOQ000 $ OTHER: B AUTOMOBILE LIABILITY Y Y BA040000080900 6/8/2024 6/8/2025 COMBINED SINGLE LIMIT En accident) $ 1,000,000 X BODILY INJURY (Per parson) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per occident ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Par accident $ D UMSRELLALIAB X OCCUR CX84037699 11/15/2024 4/1/2025 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 X EXCESS LIAB CLAIMS -MADE DEO I I RETENTION $ C AND EMPLOYERS' LIABILITY WORKERS COMPENSATION y/N ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBEREXCLUDED9 N/A Y 9336263-2024 4/1/2024 4/i/2025 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate Is subject to policy limits, conditions and exclusions. City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are named as Additional Insured as per attached endorsement form(s). Insurance is Primary and Non Contributory. Excess Liability follows form. RE: Project No: 24-5005 Santa Ana Ross Annex Building & Code First Floor Renovations SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza- Ross Annex Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE �(1Y1 lln.S ©1988-2015 ACORD GQRPQRATION. All rigbts resery ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD APPROM) -