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WATERLINE TECHNOLOGIES, INC.
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WATERLINE TECHNOLOGIES, INC.
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Last modified
2/6/2026 2:57:35 PM
Creation date
2/6/2026 2:57:16 PM
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Contracts
Company Name
WATERLINE TECHNOLOGIES, INC.
Contract #
26-2604
Agency
Public Works
Expiration Date
1/1/1900
Insurance Exp Date
8/15/2026
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'`��& CERTIFICATE OF LIABILITY INSURANCE FDATE{MMID0IYYYV) <br /> 01I2812028 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE <br /> DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF <br /> INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE <br /> CERTIFICATE HOLDER. <br /> IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER NAME: CLIENT CONTACT CENTER <br /> FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES <br /> INCLUDING PRIMARY SOURCE INSURANCE AGENCY iAIC,No.Ext);880-333-4949 (AlC,xol;507-146.4604 <br /> 121 E,PARK SQUARE AooREss:CLIENTCONTACTCENTER@FEDINS.COM <br /> OWATONNA,MN 55080 <br /> INSURERS AFFORDING COVERAGE NAIL N <br /> INSURER mFFDERATED MUTUAL INSURANCE COMPANY 13935 <br /> INSURED INSURER B;CERTAIN UNDERWRITERS AT LLOYDS LONDON 15792 <br /> WATERLINE TECHNOLOGIES INC INSURER C: <br /> 620 N SANTIAGO ST <br /> SANTA ANA,CA 9 2 701394 2 INSURER 0; <br /> INSURER E: <br /> INSURER P. <br /> COVERAGES CERTIFICATE NUMBER:131 REVISION NUMBER:15 <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> NCTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND COND17IONS OF <br /> SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS, pp yy�p <br /> 1CTa TYPE OF INSURANCE R W POLICY NUMBER MgtLR10 YYyF MM7�oIYYYV LIMITS <br /> X COMMERCIAL GENERAL UA6ILITY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X OCCUR AMAOE TO ENrED PREMISES <br /> PEe ceeurrenoe $100,000 <br /> MED EXP(Airy one person) EXCLUDED <br /> A Y Y 06234BS 08/15/2025 08115/2026 PERSONALS ADV INJURY $1,1300 000 <br /> GENt.A009EGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 00O 000 <br /> X POLICY CT ❑LOG PRODUCTS G COMPIOP ACC $2,000,D00 <br /> OTNPR: <br /> AUTOMOBILE LIABILITY COMBINED SIxDLE OMIT $1,000,000 <br /> tEe accNED <br /> JANYAUTO eODILY INJURY(Per Person) <br /> AOWNEDAUiOSONLY ACTHGESULEO Y Y 0623485 08JI512025 08/1512026 BODILY INJURY(Per Acddenq <br /> HIRED AUTOS ONLY AIOITCS ONEY PBOPRRid'DAMAGE <br /> 4X UMBRELLA LUIB X OCCUR EACH OCCURRENCE $10,000,000 <br /> A EXCESSLIA. CLAIMS-MADE N N 0623486 03/1612025 Dail512026 AGGREGATE $10,000,000 <br /> DLD RLTENTiCIN <br /> WORKERS COMPENSATION PER STATUTE THEN <br /> AND EMPLOYERS'LL4BILITY YIN <br /> ANY PROPRIETORIPARTNERI EXECUTIVE E.L EACH ACCIDENT <br /> OFFICERIMEMBER EXCLUDED? NIA <br /> {Megdatnry in NH) ILL DISEASE EA EMPLOYEE <br /> If yes,describe under <br /> DESCRIPTION OFOPERATION5 below E.L DISEASE-POLICY LIMIT <br /> ONTRACTORS POLLUTION LIABILITY Y Y CPLI02076001 01/13/2026 01113/2027 EACH LIMB $5,000,000 <br /> AGGREGATE $5,000,000 <br /> B <br /> DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES tACORD 101,AddlAenal Remarks Schedule,may be atlached If more space Is required) <br /> SEE ATTACHED PACE /y <br /> APPROVED <br /> By Tu Tran Nguyen at 3:05 pm,.Jan 29,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY OF SANTA ANA PUBLIC WORKS DEPT 131 15 <br /> 20 CIVIC CENTER PLZ 9 M-11 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> SANTA ANA,CA 92701-4058 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE 1f1 yJ�- <br /> a 1958.2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2018103) The ACORD name and logo are registered marks of ACORD <br />
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