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AGOR D. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°°YYYV)
<br /> _ 05/26/2026
<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 /> CON
<br /> PRODUCER NAMEACT Maricela Aguirre
<br /> McRae Associates Insurance Services ONE
<br /> (A/C.No.Exn: (714)779.6999 (AAIXc,No): (714)779-6903
<br /> 1265 N. Manassero St Suite 303 ADDRESS: maricela@mcraeinsurance.insure
<br /> Anaheim, CA 92807 INSURER(S)AFFORDING COVERAGE NAIL#
<br /> INSURER A: Travelers Property Casually Company of America 25674
<br /> INSURED INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 25674
<br /> CROSSTOWN ELECTRICAL&DATA, INC. INSURER C: GREAT AMERICAN INSURANCE COMPANY 16691
<br /> 5454 DIAZ ST. INSURER D: St Paul Surplus Lines Insurance Company 30481
<br /> Irwindale, CA 91706 INSURERE:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 00001315-0 REVISION NUMBER: 1083
<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 /> NOTWITHSTANDING 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 CONDITIONS OF
<br /> SUCH POLICIES.*LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.LIMITS SHOWN ARE INCLUSIVE OF AMOUNTS REQUESTED BY THE CERTIFICATE
<br /> HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED,*Not Applicable in WY
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y DT22-CO-7W503833-TCT-26 06/03/2026 06/03/2027 EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE TRENED
<br /> CLAIMS-MADE X OCCUR PREMISESO(Ea occurrrence) , $ 300,000
<br /> X Deductible$10,000 MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GENII.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> _H POLICY X JECOT LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y Y 810-7W449049-26-26-G 06/03/2026 06/03/2027 Ea acccidentsINGLE LIMIT $ 1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY (Per accident)
<br /> $
<br /> C )( UMBRELLA LIAB X OCCUR Y Y TUE257205208 06/03/2026 06/03/2027 EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED RETENTION$ 0 $
<br /> A WORKERS COMPENSATION Y UB-7W504031-26-26-G 06/03/2026 06/03/2027 X MUTE EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N NIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> Il yyes,describe under -
<br /> DESCRIPTIONOFOPERATIONSbelaw E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> A 2nd Tier Umb. Policy Y Y EX-B4831416-26-NF 06/03/2026 06/03/2027 Each Occ/Gene Agg $5,000,000
<br /> D Prof. & Poll. Liab. Y Y ZCE-16P95095 10/10/2025 10/10/2026 Each Occ/Gen Agg $10 mill/$10 mill
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: PROJECT NAME: CONDUIT VERIFICATION AT EDINGER/GRAND-PROJECT#211280-000-SAN-CROSSTOWN-01 I
<br /> PROJECT LOCATION: EDINGER/GRAND IN SANTA ANA, CA/JOB#4781-22
<br /> THE CITY OF SANTA ANA AND DKS,ALONG WITH THEIR OFFICERS,OFFICIALS,AGENTS, EMPLOYEES AND VOLUNTEERS ARE
<br /> NAMED AS ADDITIONAL INSURED WITH RESPECTS TO THE ABOVE-MENTIONED POLICIES PER ATTACHED
<br /> (continued on ACORD 101 Additional Remarks Schedule)
<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 /> 305 4TH STREET
<br /> SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE
<br /> APPROVED (MAG)
<br /> By Tu Tran Nguyen at 10:22 am,Jun 01,2026
<br /> ACORD 25( , ©1988-2025 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD Printed by MAG on 05/26/2026 at 11:25AM
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