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Client #:1387115 305GFCON ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIPD YYYY) 0212412014 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 SY 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 polioy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the polley, certain policies may require an endorsement. A statement on this certificate does not confer rlghts to the certificate holder In lieu of such endorsement(s). PRODUCER BB &T Insurance Services of Orange County 680 Langsdorf Drive Suite 100 Fullerton, CA 92831 N Leslie Lessley D E 714 578.7252 . .4�cl�le Ext: ac No)! 877-297-9259 AeDRIESS; liessley @bbandt.com INSURER a APPORDINOCOVERAGE NAIC# INSURER A: California Insurance Company 38865 INSURED 0 & F Concrete Cutting Inc PO Box 10215 INSURERS: $ INSURER C: $ PERSONAL &ADV INJURY $ Santa Ana, CA 92711 INSURER O; GENERAL AGGREGATE INSURERS: GEML AGGREGATE POLICY N$VRERPI LIMIT APPLIES PER: jEOT LOD PRODVCTS•COMP /OPAGG COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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, ILTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MM/OID/YYYY MMI�DMYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ PREMISES E occuErrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE POLICY LIMIT APPLIES PER: jEOT LOD PRODVCTS•COMP /OPAGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUf09 HIRED AUTOS AUTOSWNEO CO�Idep SINGL9719 T BODILY INJURY(Perperson) $ BODILY INJURY(Poreccldent) $ Nor ewd1sy2 GE $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ A _ WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOMPARTNERIEXECUTIVE Y/N OFFICENMEMPEREXCL UU DED? (Mandatory In NH) II yes, describe under DESCRIPTION OF OPERATIONS below NIA 468828630101 mm 110112014 01/01/2015 X WC STAN- FORT' E.L. EACH ACCIDENT $1,000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sehodul0, If more apace Is requlred) RE; Purchasing Dept Certificate Holder includes: The City of Santa Ana, its officers, employees, agents, and representatives City of Santa Ana Attn Purchasing Dept 20 Civic Center Plaza M -16 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE n laan.Dnan erxnnn CnaonlxannM Au rinN«e .e�,,.,,e,l ACORD 25 (2010105) 1 of 1 The ACORD name and to ells(ernd, marks of ACORD #S118958651M11 838144 l�rl I4 I 4.� SLSEL a