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Ac"R" CERTIFICATE OF LIABILITY INSURANCE 1111 DATE(MMIDDNYYY) 10/29/2014 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 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 Edgewood Partners Insurance Center (EPIC) 19000 MacArthur Blvd. PH Floor Irvine, CA 92612 CONTACT Cristin Nolette PHONE FAX E t: 949- 417 -9178 AIC No: 949- 263 -0906 ADDRESS: cnoletteaed ewoodins.com INSURERS AFFORDING COVERAGE NAIC4 INSURERA: Starr Indemnity & Liability Com any 38318 www.edgewoodins.com INSURED Herman Weissker, Inc. 1645 Brown Avenue INSURER B: Hanover Insurance Company 22292 NsuRERC: CLAIMS -MADE 121 OCCUR INSURER D: Riverside CA 92509 INSURER E: INSURER F: $ 100,000 ✓ COVERAGES CERTIFICATE NUMBER: 22144711 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. LTR TYPE OF INSURANCE JN LS BR POLICY NUMBER MMIDIDYYYFY POLICY EXP MMIDDIVYVY LIMITS A V COMMERCIAL GENERAL LIABILITY 1000025225141 10/31/2014 10/31/2015 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 121 OCCUR DAMAGE T11E1 PREMSES Ea oo.'ance $ 100,000 ✓ MED EXP(Any one person) $ 5,000 Contractual Liab ✓ X D U PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 2,000,000 POLICY 171 PRO- IECT LOG PRODUCTS - COMPIOP AGO $ 2,000,000 _ $ OTHER: A AUTOMOBILE LIABILITY SISIPCA08277414 10/31/2014 10/31/2015 COMBINED SINGLE LIMIT Ea accident 1,000-000 ✓ BODILY INJURY (Per person) _ -_,_ $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ ✓ PROPERTY DAMAGE (Per $ NON -OWNED HIRED AUTOS ✓ AUTOS 1 000 Comp Ded. $ $1,000 Coll Ded. UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE YIN OFFICER /MEMBER EXCLUDED? �N (Mandatory in NH) NIA 1000001270 10/31/2014 10/31/2015 I a/ STATUTE E.L. EACH ACCT DENT $ 1,000,000 E DIDISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.LDISEASE-POLICY LIMIT '— $ 1,000,000 B Inland Marine RH3A14277601 10/31/2014 10/31/2015 Equipment Floater: $ 9,549,292 - Leased /Rented Equipment $600,000 Per Item /Per Occurrence $10,000 Deductible - Bus. Pars. Prop. - Special Form Re lacement Cost $500,000 Limitt 5 000 Deductible DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarks Schedule, maybe attached If more space Is required) RE: All operations; City of Santa Ana is named as Additional Insured. Primary wording applies. NJ a CUI a LAC \r ai LV III III ail City of Santa Ana Public Works Agency 20 Civic Center Plaza, Ross Annex, M -93 Santa Ana CA 92701 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 © 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 'ENT NO.: 22144'111 Cristin Nolette 10/29/2014 11:48:03 HM (POT) Page 1 of 6