SULLY-MILLER CONTRACTING COMPANY (2)

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Page 1 of 2 ACC.,R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMt03/11/2025 DDNYYY) 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($), 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 IS 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 CONTACT Wits Certificate Center NAME: Willis Towers Watson Northeast, Inc. PHONE 1-877-995-7378 FAX 1-688-467-2378 e/o 26 Century Blvd atC No): P.O. Box 305191 MAIL ADDRESS: certificates@wtwco.com Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC# INSURERA: Liberty mutual Piro insurance Company 23035 INSURED INSURERB• Berkshire Hathaway Specialty Insurance Com 22276 Bully-Miller Contracting Company 135 S. State College Blvd., suite 400 INSURERC: Brea, CA 92821 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:W38104652 REVISION NUMBER: 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. ILTR TYPE OF INSURANCE ADDLSUBR pOLICYNUMBER POLICY F POLICY EXP YYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _MMACLAIMS-MADE OCCUR G (RENTED PREMISESS Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENFRAI,AGGREGATE $ POLICY E jEO LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Me accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident $ AUTOS ONLY AUTOS ) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per axident $ p UMBRELLALI'46 X OCCUR EACH OCCURRENCE $ 3,000,000 X =XCESgLIAB CLAIMS-MADE Y y TL2-631-510040-825 04/01/2025 04/01/2026 AGGREGATE $ 3,000,000 X DED RETENTION$0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN E.L.EACH ACCIDENT $ OFFICE IMEMB RlPARTNERIEXECUTIVE ❑ NIA OFFICERIMEMBEREXCLUDE07 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E,L,DISEASE-POLICY LIMIT $ H 1st Excess Liability y Y 47-XSF-302408-10 04/01/2025 04/O1/2026 Each Occurrence $5,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) APPROVED For Division Branch: 10340704 ByTu Tran Nguyan at9:24am,Apr07,2025 Excess policy is follow form over the General Liability, Automobile, and Employers Liability. Project No. 11-6741 Bristol Street Improvements from Warner Aire to St. Andrew Place and Project 16-6499 Bristol Street (Phase 4) Water Main. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana - City Hall - Ross Annex AUTHORIZED REPRESENTATIVE Attn: City Clerk 20 Civic Center Plaza Santa Ana, CA 92701 ©1988-2016ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD SR In: 274113627 —cx: 3EI70056