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71T2
<br /> (MMIDDIYYYY)
<br /> ACORO° CERTIFICATE OF LIABILITY INSURANCE
<br /> 1/1/202717/2025
<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 Lockton Companies,LLC CONTACT
<br /> NAME:
<br /> DBA Lockton Insurance Brokers,LLC in CA PHONE FAX
<br /> CA license#OF15767 (A/C,No Ext: A/C,No
<br /> E-MAIL
<br /> 3280 Peachtree Rd.NE,Ste.1000 ADDRESS:
<br /> Atlanta GA 30305 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> (404)460-3600 INSURER A:Continental CasualtyCompany 20443
<br /> INSURED Statewide Traffic Safety and Signs,Inc. INSURER B:The Continental Insurance Company 35289
<br /> 1566486 dbaAWP Safety INSURER C:Navigators Specialty Insurance Company 36056
<br /> 2722 S.Fairview St INSURER D:Landmark American Insurance Company 33138
<br /> Santa Ana CA 92704-5947
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 22674129 REVISION NUMBER: XXXXXXX
<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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DDIYYW W MMIDD/ YY
<br /> A X COMMERCIAL GENERAL LIABILITY y Y 80.35453649 1/l/2026 1/l/2027 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $ 1,000,000
<br /> MED EXP(Any one person) $ XXXXXXX
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X� PE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY y y 8035456924 1/1/2026 1/1/2027 COMBINED SINGLE LIMIT $
<br /> Ea accident 3,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS XXXXXXX
<br /> HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> $ XXXXXXX
<br /> B X UMBRELLA LIAB X OCCUR Y Y 8035344852 1/1/2026 1/1/2027 EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $ XXXXXXX
<br /> WORKERS COMPENSATION PER OTH-
<br /> B AND EMPLOYERS'LIABILITY YIN Y 8035454526 1/1/2026 1/1/2027 X STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ 1000 000
<br /> OFFICER/MEMBER EXCLUDED? N N I A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> C Auto Liab.Buffer 2Mx3M N N GA26EXCZON3QHIC 1/1/2026 1/1/2027 $2M Ea.Ctaim/$2M Agg.
<br /> D Professionat LHC872618 1/l/2026 1/l/2027 $2M Ea.Ctaim/$2M Agg.
<br /> D Pollution LHC872618 1/l/2026 1/l/2027 $1 M Ea.Claim/$2M Agg.
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Workers Comp Policy above is for CO,CT,DC,FL,GA,HI,ID,IN,KY,LA,MD,MI,MO,NV,NJ,NM,NY,NC,OK,PA,SC,TN,TX,UT,VA,WV;AZ,MA,OR,WI
<br /> Policy 48035454705;CA Policy#8035454669;ND,OH,WA,WY Stop Gap Policy#8035453666.
<br /> See Attached.
<br /> APPROVED
<br /> By Tu Tran Nguyen at 4:33 pm,Feb 04,2026
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 22674129 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division,4th Floor
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTAT VE
<br /> Santa Ana CA 92702
<br /> ©1988-201 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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