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LEEDELE-01
<br />]LOPEZ
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 1
<br />1114/214I2025
<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
<br />CONTACT Jessica Lopez
<br />Commercial The Brokerage
<br />The Brokerage, an Alera Group Company
<br />20261 SW Acacia St, Suite 200
<br />PHONE FAX
<br />(A/C, No, Eat): (949) 287-5677 ac, No):(949) 335-0621
<br />AEbmpAg'LEss,jlopez@thebrokerageins.com
<br />Newport Beach, CA 92660
<br />INSURERS AFFORDING COVERAGE
<br />NAIC p
<br />INSURER A: Middlesex Insurance Company
<br />23434
<br />INSURED
<br />INSURER B: ZURICH AMERICAN INSURANCE COMPANY
<br />16535
<br />Lead Electric, Inc.
<br />INSURER C : TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
<br />25674
<br />INSURER D :Indian Harbor Insurance Company
<br />36940
<br />13138 Arctic Circle
<br />Santa Fe Springs, CA 90670
<br />INSURER E .
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: RFVLSInN NIIMRFR• 1
<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 CONTRACTOR 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 />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPLTR
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />A0230199003
<br />101112024
<br />10/112025
<br />EACH OCCURRENCE
<br />1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES ccurnenc
<br />500000
<br />MED EXP (Anyoneperson)
<br />10,000
<br />PERSONALS ADV INJURY
<br />1,000.00D
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY JECT LOC
<br />GENERAL AGGREGATE
<br />31000,000
<br />PRODUCTS - COMP/OP AGO
<br />2,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEDSINGLELIMIT
<br />Eaacmdent
<br />7000000
<br />$
<br />X
<br />ANY AUro
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X
<br />X
<br />BAP 4227795 - 01
<br />10/112024
<br />10/112025
<br />BODILY INJURY Perperson)
<br />$
<br />BODILY INJURY Per accident
<br />$
<br />PP 0PEJ ent AMAGE
<br />$
<br />AUTOS ONLY NON -OWNED ON D
<br />C
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />X
<br />X
<br />CUP-3X079407.24-NF
<br />1011/2024
<br />101112025
<br />DEO I X I RETENTION$ D
<br />B
<br />WORKERS COMPENSATION
<br />ANDEMPLOVERS'LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICElo(Manderyln NH) EXCLUDED?
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />WC 5646573. 01
<br />101112024
<br />10/112025
<br />X PER OTH-
<br />TA ER
<br />E.L. EACH ACCIDENT
<br />1�000�000
<br />E.L. DISEASE- EA EMPLOYE
<br />1,D0D,DDD
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />p
<br />Poll/Prof Liab.
<br />PECO064286
<br />1011/2024
<br />1011/2025
<br />Mill Occ/Agg:
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Agreement: A-2022-025-02; Agreement To rovide On -Call Electrical Repair And Rehabilitation Services. glaiwvlauaiwv/wcwv/xsaiwv
<br />City of Santa Ana, its officers, employees, volunteers, agents and representatives and any other entity which contractor is required are included as Additional
<br />Insureds as respects General Liability, Auto Liability, and Umbrella Liability per attached endorsements.
<br />This Insurance shall apply as Primary and Non -Contributory per attached endorsement.
<br />Waiver of Subrogation for Workers' Compensation, General Liability, Auto Liability, and Umbrella Liability: See Attached Endorsements.
<br />'Excess Liability follows form over the General Liability, Auto Liability, and Employers Liability.
<br />J�
<br />Digitally signed APPROVE
<br />TI I Tra n. b Tu Tran Emir UaaNauueD_at t0:23am,Jao_2�,.Z02S
<br />10.23.48-08'00'
<br />City of Santa Ana
<br />Water Resources Division
<br />RFP: 21-122
<br />220 S Daisy Ave.
<br />Santa Ana, CA 92701
<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 />T /`
<br />ACURU 25 (2016/U3) 9)1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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