SELECT ELECTRIC, INC. (TRAFFIC SIGNAL INSTALLATION AT SEGERSTORM AVENUE AND ROSEWOOD AVENUE)

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A` RO CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDnYYY) 1/14/2025 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 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 The Baldwin Group Specialty Industry, LLC 1250 Route 28, Suite 201 Branchburg, NJ 08876 CONTACT Gabriel Stellar NAME PHONE 908-sss-1010 FAX Na: 908-sss-1020 No Extl- EWC. -MAIL ADDREss: certs constructionrisk artners.com INSURERS AFFORDING COVERAGE NAIC9 www.baldwin.com INSURER A: Starr Indemnity &Liability Company 38318 INSURED Select Electric, Inc. 1700 E. Via Burton INSURER B INSURERL: Anaheim CA 92806 NsuRERD: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: RgsaagDl RFv!-Qinm mi nu1DFD- 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 I TYPE OF INSURANCE KfiasUBR INSD WVDi POLICY NUMBER POLICYEFF MMIDD POLICYEXP MWDO LIMITS A ,/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ,/ r/ 1000025467241 3/1/2024 3/1/2025 EACHOCCURRENCE $2000000 DAMAGE TO RENT-ED PREMISES Ea occurrence $500000 MED EXP Any one person) $1 Q 000 PERSONAL BADV INJURY $2 000 000 AGGREGATE LIMIT APPLIES PER: POLICY [7]jE(°T []LOC GENERAL AGGREGATE $4,000,000 GEN'L PRODUCTS - COMP/OP AGO $4000000 $ OTHER: A AUTOMOBILE LIABILITY ✓ ✓ 1000198716241 3/1/2024 3/1/2025 OMBINEeD SINGLE LIMIT $2000,000 r/ ANY AUTO BODILY INJURY (Per parson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURV (Per accident) $ ✓ HIRED NON-0WNED AUTOS ONLY ✓ AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLALIAB OCCUR ✓ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEOTI RETENTIONS Is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOWPARTNERIEXECUTIVE OFFICER/MEMBEREXCWDED9 NIA 1000001270 3/1/2024 3/1/2025 PER OTH- ✓ STATUTE ER E.L. EACH ACCIDENT $t 000000 E.L. DISEASE - EA EMPLOYE $1000000 (Mandatory In NH) under Ifyes,DESC E.L. DISEASE - POLICY LIMIT $1000000 IPHOeantler DESCRIPTION OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) RE: PROJECT NO.25-6030; TRAFFIC SIGNAL INSTALLATION AT SEGERSTROM AVE AND ROSEWOOD AVE City of Santa Ana, Its Officers, Officials, Employees and Volunteers are an additional insured, primary noncontributory as required by written contract. A waiver of subrogation applies as required by written Contract and permissible by law. 30 Days Cancellation applies as per the policy provisions Tu Tran a uTatally nI90ed APPROVED Nguyen NguyenDalu,.=025.0' u5 ta:a>a025ByTu Tran Nguyen at 2.,46 pm, Feb 25, 2025 City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Peter Forenza ACORD 25 (2016103) 5 ACORD CORPORATION. All riohts reserved. The ACORD name and logo are registered marks of ACORD 83546391 MERWRO-01 124/25 GL AD ORB 5M WC L/R SCHED EQ POPROF EXc1: X5 OT1 OT2 OT3 Ora I Darlene Best 1 1/14/2025 7:19:04 AM (EST) I Page 1 of a This certificate caPOLL PROF and supersedes ALL previously issued certificates.