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7 ® DATE(MMlDD1YYYY) <br /> ACC R" CERTIFICATE OF LIABILITY INSURANCE 91lO/2025 <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($),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the pollcy(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 NAME: Ajay Gupta <br /> P s1s 99z.6000 arC,No <br /> Gupta Insurance and Financial Services A/C No Ext: ( ) { )' <br /> 11145 Tampa Ave ADDRESS: ajay®guptairrS.Com <br /> INSURER(S)AFFORDING COVERAGE NAIC A• <br /> Northridge CA 91326 INSURER A: EVEREST PREMIER INS CO 16045 <br /> INSURED INSURER B: <br /> S&H CivilWorks INSURER C: <br /> 1801 HILLTOP DR INSURER D <br /> INSURER E: <br /> COLTON CA 92324-4958 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MWDINYYYY) (MMIDDIYYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE F OCCUR PREMISES Ea occurrenC9 $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJUHY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY ❑PRO ❑LOC PRODUCTS-COMPIOP AGO $ <br /> JECT <br /> OTH ER: <br /> AUTOMOBILE LIABILITY (Ea accident $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED (Peraccldant) $ <br /> AUTOS ONLY AUTOS ONLY <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> ORKERS COMPENSATION 'C STATUTE ER <br /> NO EMPLOYERS'LIABILITY Y I N <br /> NY PROP.RIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> A FFICENMEMBER EXCLUDE ] NIA 7600026668251 02/15/2025 02/15/2026 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> Mandatory in NH) <br /> f yea,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) <br /> Project:City Parks ADA Sidewalk Improvements Project(CDSG) <br /> fATPRO EVD <br /> uye n aNg t 8 SCrani Ocf t78;24(JI , <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br /> Aft�tu'pfra: <br /> Santa Ana CA 92701 <br /> 01988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />