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ACORO` CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDNYYY) <br />`� 4n/2025 <br />5/20/2024 <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 endorsements . <br />PRODUCER Lockton Companies <br />1185 Avenue of the Americas, Suite 2010 <br />New York NY 10036 <br />646-572-7300 . Dig <br />b <br />CONTACT <br />PHONE FAX <br />A/c Exit: ac No: <br />INSURERS AFFORDING COVERAGE NAILIf <br />ke:LM Insurance Corporation 33600 <br />INSURED Rail Works Track Services LLC rt <br />1538750 12740 Lakeland Road Suit B F1 <br />Santa Fe Springs CA 906� e e v e d o Dat� <br />I : Libert Mutual Fire Insurance Company 23035 <br />: Westchester Fire Insurance Company 10030 <br />D a rican Insurance Company 28932 <br />. <br />NSURER E: <br />F� <br />M. <br />COVERAGES CERTIFICATF NI.iwRPR• 9Mg4:014 es <br />AAM 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 />IN$D <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICYE%P <br />MWDD <br />LIMITS <br />4 <br />X COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />TB5-621-095327-034 <br />4/1/2024 <br />4/l/2025 <br />EACH OCCURRENCE <br />$ $j 000 000 <br />CLAIM&MADEOCCUR <br />ED <br />PREMISES Ea occurrence) <br />$ $1 QQQQQQ <br />X Incl. Cont. L1ab <br />MED EXP (Any one person) <br />$ $1 Q 000 <br />X ' 50' RR Exl. Del <br />PERSONAL SADV INJURY <br />$ $5 QQQ QQQ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ $10000000 <br />POLICY [EJECT WLOC <br />PRODUCTS-COMPIOP AGO <br />$ $10000000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />AS5-621-095327-044 <br />4/1/2024 <br />4/1/2025 <br />E°acLd.Ot$INGLEOMIT <br />$ $2,000,000 <br />ANY AUTO <br />X <br />BODILY INJURY (Perperson) <br />$ NotA licable <br />OWNED SCHEDULED <br />AUTOSOWNS ONLY AUTOS <br />BODILY INJURY Per accident) <br />( ) <br />$ NOtA licable <br />PROPERTY DAMAGE <br />Per accident <br />$ Not Applicable <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$ Not Applicable <br />C <br />UMBRELLA LIAR <br />X <br />OCCUR <br />Y <br />Y <br />G71120983007 <br />4/1/2024 <br />4/l/2025 <br />EACH OCCURRENCE <br />$ $IQ QQQ QQQ <br />D <br />X EXCESS LRB <br />CLAIMS -MADE <br />MKLMIEUL102325 <br />4/1/2024 <br />4/l/2025 <br />AGGREGATE <br />g $10QQQ QQQ <br />DEO F I RETENTION$ <br />$ NOtA licable <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />Y <br />WA2-62D-095327-014 <br />4/1/2024 <br />4/1/2025 <br />_ <br />X STATUTE ER <br />YIN <br />ANY PROPRIETOR/PARTNEWEXECUTIVE <br />NIA <br />WC2-621-095327-024(WI) <br />4/1/2024 <br />4/1/2025 <br />E.L. EACH ACCIDENT <br />$ $1000000 <br />OFFICER/MEMBER EXCLUDED? N <br />(Mandatory In NH) <br />If yes, describe under <br />E.L.DISEASE-EA EMPLOYEE <br />$ $1000000 <br />E.L. DISEASE -POLICY LIMIT <br />$ $1,000,000 <br />DESCRIPTION OF OPERATIONS be. <br />1-7 <br />- <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) <br />THIS CERTIFICATE SUPERSEDESALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER APPLICABLE TO THE CARRIERS LISTED AND TLC POLICY TERM(S) REFERENCED. <br />Re: Suite 106, 1000 East Santa Ana Boulevard (SARTC). The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional locu red(s) on a primary/non- <br />contributory basis with respect to General Liability where required by written contract. Waiver of subrogation in in favor of Additional Insured(s) with respect to General Liability where required by <br />writtencontract. Cross Liability/Severabdity of Interest is included under the General Liability policy where required by written contact Excess follows form as per policy terms, conditions, <br />definitions, exclusions. Excess follows form as per policy terms, conditions, definitions, exclusions. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20455916 <br />The City of Santa Ana <br />Attention: Executive Director of Public Works <br />Agcy 20 Civic Center Plaza (M-21) <br />Santa Ana CA 92701 <br />THE EXPIRATION DATE THEREOF, <br />ACCORDANCE WITH THE POLICY PRC <br />AUTHORIZED REPR rA NEREVIEWED <br />P\g\��(,, <br />`U � <br />4- <br />NOTICE WILL BE DELIVERED IN <br />eea..r Rhk MnMgatmttthvieipn <br />& APPROVED By. <br />1L r1 <br />i11�K IK+V4io <br />X-11wo <br />q4 t <br />Risk Managemen[SpedzGst <br />©1988,2015 ACORD <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br />