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<br />ZIMINDU-01 CHANSEN
<br />ACORO' CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 2/20/ 01IYYY)
<br />2/2o/zo1 s
<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(kids) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Alliant Insurance Services, Inc.
<br />2355 Gold Meadow Way Ste 250
<br />Gold River, CA 95670
<br />NAME: CT Tracy Dolan
<br />PHONE g16 210-0317 FAX
<br />c No Bad. uc Not: 916) 210-0343
<br />E-MAIL ADDRS: tracy.dolan@alliant.com
<br />ESdolan/�,,rAalliant.com
<br />INSURII AFFORDING COVERAGE
<br />NAIL#
<br />INSURERA: Zurich American Insurance Company
<br />16535
<br />INSURED
<br />INSURER B: Fireman's Fund Insurance Company
<br />21873
<br />INSURER c: Aspen American Insurance Company
<br />43460
<br />Zim Industries, Inc.; Bakersfield Well 8 Pump Co.
<br />INSURER D:
<br />4532 E. Jefferson Ave.
<br />Fresno, CA 93725
<br />INSURER E:
<br />NSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTft
<br />rypE OF INSURANCE
<br />ADDL
<br />INSD
<br />SV
<br />VA
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMADfuYYYY
<br />POLICY EXP
<br />MMMDIYYYY
<br />LIMITS
<br />A
<br />X
<br />cOMMERCIALGENERALLIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />X
<br />GL08311662-14
<br />0310112018
<br />0310112019
<br />DA A ET R
<br />PREMISES Ea occunence
<br />$ 100,000
<br />X
<br />MOD EXP (Any one person)
<br />$ 10,000
<br />Employee Benefits Li
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />X
<br />POLICY PRO- LOG
<br />PRODUCTS-COMPIOP AGO
<br />5 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accdent
<br />$ 1,000,000
<br />A
<br />X ANY AUTO
<br />BAP8311663-14
<br />03101/2018
<br />03/01/2019
<br />BODILY INJURY (Per person)
<br />5
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Peraccident
<br />$
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 9,000,000
<br />AGGREGATE
<br />$ 9,000,000
<br />B
<br />EXCESS UI B
<br />CLAIMS -MADE
<br />SSE 00049022601
<br />03101/2018
<br />0310112019
<br />CEO RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNER/EXECUUVE YIN
<br />OFFICERVEMBER EXCLUOED? Y�
<br />(Mandatory in NH)
<br />NIA
<br />WC8311661-14
<br />03101/2018
<br />0310112019
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />S 11000,000
<br />EL DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />Ifyes, depends under
<br />DESCRIPTION OF OPERATIONS below
<br />EL.DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />Equipment Floater
<br />IMAC95D518
<br />0310112018
<br />03101120191nst./Builders
<br />Risk 1,000,000
<br />C
<br />Equipment Floater
<br />IMAC95D518
<br />0310112018
<br />0310112019
<br />RBL $100,000 ; Schad 21,765,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,rear, be attached if more space is required)
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured on the General Liability policy per the form attached.
<br />Primary and non-contributory wording applies.
<br />g Lll f PA Itf
<br />City of Santa Ana
<br />PWA, Water Resources
<br />220 S. Daisy Avenue (M-85)
<br />Santa Ana, CA 92703
<br />LeacLea��_�uacl
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AAUUTTHHORIMD REPRESENTATIVE
<br />(D 1988-2014 ACORD CORPORATION_ All rinhfs
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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