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,d►co OR CERTIFICATE OF LIABILITY INSURANCE DATE (M/202I'YY)
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER Phone: (714)973-1436 Fax: (714)973-0011 CONTACT ELMCO INSURANCE, INC.
<br /> NAME:
<br /> ELMCO INSURANCE,INC. PHONE-M (714)973-1436 nc No: (714)973-0811
<br /> (AIC636 E CHAPMAN AVENUE No Ex
<br /> E-MAIL contact@Elmcoinsurance.com
<br /> ORANGE CA 92866 ADDRESS:
<br /> INSURER(S) AFFORDING COVERAGE NAIC#
<br /> Agency Lic#:0509747 INSURER AIX Specialty Insurance Company 12833
<br /> INSURED INSURER B INFINITY SELECT INSURANCE COMPANY 20260
<br /> CALIFORNIA BARRICADE RENTALS INC.
<br /> 1550 E.SAINT GERTRUDE PLACE INSURERC TRISURA SPECIALTY INSURANCE COMPANY 16188
<br /> SANTA ANA CA 92705 INSURERD: STATE COMPENSATION INSURANCE FUND 35076
<br /> INSURER WESTCHESTER SURPLUS LINES INSURANCE CC, 10172
<br /> INSURER PACIFIC INSURANCE COMPANY 10046
<br /> COVERAGES CERTIFICATE NUMBER: 79915 REVISION NUMBER:1 SUPERCEDES PREVIOUS REVISIONS
<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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> INSD WVD
<br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDlYYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY X X L13MO7430800 07/01/25 07/01/26 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE IX]OCCUR PREMISES Ea occurence) $ 100,000
<br /> MED.EXP(Any one person) $ EXCLUDED
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> JEC T
<br /> OTHER: EMPLOYEE BENEFITS $ 1,000,000
<br /> AUTOMOBILE LIABILITY 50011184701 07/01/25 07/01/26 COMBINED SINGLE LIMIT $ 1,000000
<br /> B X X (Ea accident)
<br /> X ANY AUTO rs
<br /> BODILY INJURY(Per peon) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $
<br /> X AUTOS (per accident)
<br /> C UMBRELLA LIAB X OCCUR TXS000255501 07/01/25 07/01/26 EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE
<br /> AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION X 931316425 07/01/25 07/01/26 X STATUTE ERH
<br /> D AND EMPLOYERS' LIABILITY Y/N E.L.EACH ACCIDENT $ 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE
<br /> OFFICER/MEMBER EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> (Mandatory in NH)
<br /> If yes,descdbe under E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> DESCRIPTION OF OPERATIONS below
<br /> E POLLUTION LIABILITY G73540124005 07/01/25 07/01/26 Each Pollution Condition $1,000,000
<br /> F PROFESSIONAL LIABILITY 010H077065425 07/01/25 07/01/26 Aggregate Limit $2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Digit111y,ig,,d1 by
<br /> SEE SUPPLEMENTAL CERTIFICATE INFORMATION Tu Tran T.Tr-Nguy-
<br /> d55592507nor Nguyen 112
<br /> [APPROVED
<br /> 'By Tu Tran Nguyen at 12:55 pm,Jul 02,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 4th Floor AUTHORIZED REPRESENTATIVE
<br /> Santa Ana,CA 92702 - -
<br /> Attention:
<br /> ACORD 25(2014/01) Certificate# 79915 Revision# 1 @ 1988-2014 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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