SOUTHERN CALIFORNIA PRECISION CONCRETE INC.

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AC R" CERTIFICATE OF LIABILITY INSURANCE r ATE(MMI DIY YY) 026 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(S), 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 CONTACF The Baldwin Group West, LLC PHONE Barbara Shepherd Fax 15901 Red Hill Ave, Ste 100 • 714 505-7000 Arc No): 714 573-1770 Tustin CA 92780 ADDRESS: barbara.shepherd@wgbib.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: Middlesex Insurance Company 23434 INSURED SOUTH47 INSURERB:Clear Spring Property and Casu 15563 Southern California Precision Concrete, Inc. Dba Precision Concrete Cutting INSURERC: 320 State Place INSURERD: Escondido CA 92029 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:162534234 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. IPOLICY EFF LTR TYPE OF INSURANCE ADOL SUBR YYY POLICY NUMBER MMlDDIYYYY MOLIC YEXP LIMITS A X COMMERCIAL GENFRALLIABILITY Y Y A0253953002 61212025 6/2/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE I X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $500,000 X S,000 MED EXP(Any one perscn) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $3,000,000 POLICY F PEO ❑ LOD PRODUCTS-COMPIOP AGG $2,000,000 OTHER: Deductible $5,000 A AUTOMOBILE LIABILITY Y Y A0253953001 612/2D25 6/2/2026 COMEDSINGLELIMIT $1,()00,000 Ea accBINident X ANY AUTO EODILY INJURY(Per person) $er accident OWNED SCHEDULED BODILY INJURY{P $ AUTOS ONLY AUTOS I ) X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per aCCiden4 $ A X UMBRELLALIAB X OCCUR A0253953003 6/2/2025 612/2026 EACH OCCURRENCE $2,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $2,000,000 DEC RETENTION$ $ B WORKERS COMPENSATION CSWC03008802 612/2025 6/212026 X STATUTE �RH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETORfPARTNERIEXECDTIVE I I E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101 Additional Remarks Schedule,may be attached if more space is required) Umbrella is Excess over the General Liability,Auto Liability and Employers Liability. Certificate holder(s)is/are named as Additional Insured per the attached endorsements as required by written contract subject to the terms&conditions of the policy per attached endorsements: GL At CG 2010 1219 GL AIANOSIPNC Blanket CG 71 25 0622 WC WOS Blanket WC 04 03 06 See Attached... APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen of 3A9 gm,Jan 22,2026 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,Attn: Jose Santana 220 S. Daisy Ave M-85 AUTHORIZED REPRESENTATIVE Santa Ana CA 90703 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD