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Aco O® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
<br /> ill....----- 12/31/2025 12/19/2024
<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 endorsement(s).
<br /> PRODUCER Lockton Companies,LLC NAME CONTACT
<br /> 444 W.47th St.,Ste.900 PHONE FAX
<br /> Kansas City MO 64112-1906 E-MA Lo,Extl: (NC,No):
<br /> (816)960-9000 ADDRESS:
<br /> kcasu@lockton.com INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Safety National Casualty Corporation 15105
<br /> INSURED UNITED SITE SERVICES OF CALIFORNIA,INC. INSURER B:XL Specialty Insurance Company 37885
<br /> 1507679 118 FLANDERS ROAD,SUITE 1000 INSURER C:Allied World Assurance Company(U.S.)Inc. 19489
<br /> WESTBOROUGH MA 01581 INSURER D:National Union Fire Ins Co Pitts. PA 19445
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 18427412 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
<br /> LTR INSD WVD POLICY NUMBER •(MM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y GL4057787 12/31/2024 12/31/2025 EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE LJ OCCUR DAMAGE TO RENTED
<br /> PREMISES(Ea occurrence) $ 1,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> X POLICY JECT LOC
<br /> PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> -
<br /> A AUTOMOBILE LIABILITY N Y CA6675838 12/31/2024 12/31/2025 COMBED SINGLE LIMIT $
<br /> (Ea acciINdent) 3,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ XXX0O0(X
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY (Per accident) $ XXXXXXX
<br /> I $ XXXXXXX
<br /> B X UMBRELLA LIAB X OCCUR N N US00076933L124A 12/31/2024 12/31/2025 EACH OCCURRENCE $ 10,000,000
<br /> D EXCESS LIAB CLAIMS-MADE 20597768 12/31/2024 12/31/2025 AGGREGATE $ 10,00Q QQQ
<br /> DED X RETENTION$ 10,000 $ XXXXXXX
<br /> A WORKERS COMPENSATION Y X PER H AND EMPLOYERS'LIABILITY Y/N LDS4047370 12/31/2024 12/31/2025 STATUTE ER _
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N!A E.L.EACH ACCIDENT $ 1,000,000
<br /> /M OFFICEREMBER EXCLUDED? N
<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 ENVIRON.SITE LIAB& N N 0311-5276 9/19/2024 9/19/2027 $3,000,000 EACH INCIDENT;
<br /> CONTRACTORS S6,000,000 AGGREGATE
<br /> POLLUTION LIAB
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> CITY OF SANTA ANA,ITS OFFICERS,OFFICIALS,EMPLOYEES,AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED,AS RESPECTS TO LIABILITY
<br /> IF REQUIRED BY WRITTEN CONTRACT,WHERE COVERAGE SHALL BE PRIMARY AND NON-CONTRIBUTORY TO ANY POLICY HELD BY THE
<br /> ADDITIONAL INSURED,AND INCLUDES A WAIVER OF SUBROGATION WHERE ALLOWED BY STATE LAW AS REQUIRED BY WRITTEN AGREEMENT,
<br /> AND SUBJECT TO POLICY TERMS,CONDITIONS,AND EXCLUSIONS.
<br /> Digitallysigned APPROVED
<br /> Tu Tran by TuuTran
<br /> Nguyen
<br /> Nguyen os:Date:ceaa-0�oo 2,302.0 a
<br /> By Tu Tran Nguyen at 8:06 am,Mar 10, 2025
<br /> L
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 18427412 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ATTENTION:PUBLIC WORKS AGENCY
<br /> 20 CIVIC CENTER PLAZA,M-93 AUTHORIZED REPRESENTATN.
<br /> SANTA ANA CA 92701 �I /J
<br /> ©19881 01�5 ACORD CORPORATION.T ION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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