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A- Z01-7.302. k6 Lt-15`110 Pr, `52—lsg10 Pt, 5115
<br />A`OO R® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE1YYYY)
<br />06/292018
<br />zole
<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 />PRODUCER
<br />MARSH USA INC
<br />1166 AVENUE OF THE AMERICAS
<br />NEW YORK, NY 10036
<br />Phone: 866-966-4664
<br />CONTACT
<br />NAME:
<br />AI NE.,
<br />o t aC No
<br />E-MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAICA
<br />Emcof.Cerlfequest@marsh.com/Fax: 203-229-6787
<br />INSURER A: Continental Casualty Company
<br />20443
<br />958870-JWP-KIR-18-19 OJT
<br />INSURED KDC INC
<br />INSURER B: Amencan Casualty Company Of Reading, Pa
<br />20427
<br />INSURER C: Trans ottabon Insurance Co
<br />20494
<br />D/B/A DYNALECTRIC
<br />4462 CORPORATE CENTER DRIVE
<br />LOS ALAMITOS, CA 90720
<br />INSURER D : NIA
<br />N/A
<br />INSURER E:
<br />_
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: NYC-010158655-04 REVISION Nt1MRFR• 1
<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 />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUER
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD YY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE IT] OCCUR
<br />GL 6072246207
<br />10101/2018
<br />10/0112019
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMAGE TO RENTED1,000,000
<br />PREMISES Ea occurrence
<br />$
<br />MED EXP (Any one person)
<br />$ 25,000
<br />PERSONAL&ADV INJURY
<br />$ 2,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />POLICY JEa LOG
<br />GENERAL AGGREGATE
<br />$ 6,000,000
<br />PRODUCTS-COMPIOP AGG
<br />$ 14,000.000
<br />$
<br />OTHER
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />BUA 6072246269
<br />10101/2018
<br />10/01/2019
<br />COMBINED MNGLF LIMIT
<br />Ea accident
<br />S 2,000,000
<br />X
<br />BODILY INJURY(,., person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />_
<br />Auto Physical Damage
<br />$ Included
<br />UMBRELLA UAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DELI I I RETENTION$
<br />$
<br />B
<br />B
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICERIMEMBEREXCLUDED?
<br />(Mandatory in NH)
<br />N/A
<br />WC 6072290921 (ADS)
<br />WC 6072336019 (CA)
<br />WC 6072378738 (AZ, OR, WI)
<br />10/01I2018
<br />1010112018
<br />10/01/2019
<br />10/0112019
<br />10101I2019
<br />X I PER oTH-
<br />STATUTE ER
<br />EL EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />_ _ _
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 7,OOQ000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />ADDITIONAL INSURED UNDER ALL POLICIES (EXCEPT WORKERS COMPENSATION & EMPLOYERS LIABILITY) WHERE REQUIRED BY CONTRACT: THE CITY OF SANTA ANA, IT'S OFFICERS,
<br />EMPLOYEES, AGENTS, AND REPRESENTATIVES
<br />WHERE REQUIRED BY CONTRACT, COVERAGE PROVIDED TO THE ADDITIONAL INSUREDS IS PRIMARY & NON-CONTRIBUTORY.
<br />10�IS ��ID'f�
<br />CITY OF SANTA ANA- PUBLIC WORKS AGENCY
<br />- WATER RESOURCES DIVISION
<br />ATTN: BRIAN LGE
<br />220 S. DAISY AVE. M-85
<br />SANTA ANA, CA 92703
<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 />of Marsh USA Inc.
<br />Manashi Mukherjee -.jwt,g�e.:
<br />(a)1988-2018 ACORD CORPORATION. All rici
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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