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A�?�® CERTIFICATE OF LIABILITY INSURANCE DAT12121202n5 Y)
<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 CONTACT NAME; Bonnie Me lOr
<br /> BH1S-Colossus-Alkeme Insurance PHONE 619-908-6351 Fn c No
<br /> 1204 E Yorba Linda Blvd E-MAIL
<br /> Placentia CA 92870 ADDRESS: bmeylor@alkemeins.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:National Fire&Marine Insurance Company 20079
<br /> INSURED BRUCAND-03 INSURER B:State Compensation Insurance Fund of California 35076
<br /> Bruce Anderson Enterprises, Inc. dba A's Construction 1662 West McFadden Ave rNsuRERc:Associated Industries Insurance Company,Inc. 23140
<br /> Santa Ana CA 92704 INSURER D:Ategrity Specialty Insurance Company 16427
<br /> INSURER E:Scottsdale Insurance Company 41297
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1149131948 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 /> INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS
<br /> LTR POLICY NUMBER MM DDlYYYY MMIODNM
<br /> C X COMMERCIAL GENERAL LIABILITY ANS125773501 11/18/2025 11118/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE rx]OCCUR DAPR MA EMISEGE IT RENTED
<br /> S a occurrence $100,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> n
<br /> N'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $2,000,000
<br /> POLICY JECTPRO- LOG PRODUCTS-COMPIOPAGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 72APS123295 1/10/2025 1/10/2026 COEaMBINED ccident SINGLE LIMIT $1,000,000
<br /> a
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED X SCHEDULED BODILY INJURY(Per awidsnt) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> IAUTOS ONLY AUTOS ONLY Per accident
<br /> $
<br /> E UMBRELLA LIAB X OCCUR CXS4067120 10/21/2025 11/18/2026 EACH OCCURRENCE $2,000,000
<br /> X EXCESSLIAB CLAIMS-MADE AGGREGATE $2,OD0,000
<br /> DED I X I RETENTION$ $
<br /> B WORKERS COMPENSATION 9352130 1/10/2025 1/10/2026 X STATUTE I EO
<br /> RH
<br /> AND EMPLOYERS'LIABILITY Y 1 N
<br /> ANYPROPRIETOPJPARTNERlEXECUTIVE � N!A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERWEMBEREXCLUDED?
<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 /> D Pollution Uabilly G48784586 001 10/6/2025 10/6/2026 Each Condition 1,000,000
<br /> Aggregate Z000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,maybe attached if more space is required)
<br /> The City of Santa Ana,its officers,officials,employees and volunteers are named as Additional Insureds applies per CG 2033 0413&CG 2037 0704 on a
<br /> Primary and Non-Contributory basis per attached form NXGL009 0809 and waiver of subrogation applies per attached form CG 2404 0509 as respects to
<br /> General Liability coverage per attached forms and are required by written contract with the named insured prior to an occurrence and subject to policy terms
<br /> and conditions as respects to insureds operations.
<br /> The City of Santa Ana,its officers,officials,employees and volunteers are named as Additional Insureds applies per attached form M58870817 and waiver of
<br /> subrogation applies per attached form M5144a0607as respects to business auto liability coverage and are required by written contract with the named insured
<br /> prior to an occurrence and subject to policy terms and conditions as respects to insureds operations.
<br /> See Attached... �APPROVEDCERTIFICATE HOLDER CANCELLATION yent atV 14 am;Dec-03-2a2
<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 /> Public Works Agency-Parks, Fleet, &Facilities S : Digitally signed
<br /> 20 Civic Centre Plaza M-11 AUTHORIZED REPRESENTATIVE Nguyen
<br /> Santa Ana CA 92701 ,D Ngu\Ien Date:.24-08'00'
<br /> dtl I 09:15:24.OB'QO'
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br /> THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
<br />
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