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,a`oRo° CERTIFICATE OF LIABILITY INSURANCE <br />ATE <br />D07/18/2019D/YYYY) <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 />CONTACT <br />NAME: <br />PHONE FAX <br />A/C No Ext : A/C NO): <br />E-MAIL <br />ADDRESS: <br />NEW YORK, NY 10036 <br />Phone:866-966-4664 <br />Emcor.Certrequest@marsh.com / Fax: 203-229-6787 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Continental Casualty Company <br />20443 <br />958870-JWP-KIR-18-19 NT BCDFG <br />INSURED KDC INC <br />INSURER B : American Casualty Company of Reading, PA <br />20427 <br />INSURER C : Trans ortation Insurance Cc <br />20494 <br />D/B/A DYNALECTRIC <br />INSURER D : N/A <br />N/A <br />4462 CORPORATE CENTER DRIVE <br />LOS ALAMITOS, CA 90720 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: NYC-009464145-05 REVISION NUMBER: 3 <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 />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GL 6072246207 <br />10/01/2018 <br />10/01/2019 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE 1XI OCCUR <br />PREM SES Ea occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 25,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 6,000,000 <br />POLICY JJECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 14,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />BUA6072246269 <br />10/01/2018 <br />10/01/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />Auto Physical Damage <br />$ Included <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />B <br />B <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑N <br />(Mandatory in NH) <br />NIA <br />WC6072290921 (AOS) <br />WC 6072336019 CA <br />( ) <br />WC 6072378738 (AZ, OR, WI) <br />10/01/2018 <br />10/01/2018 <br />10/01/2018 <br />10/01/2019 <br />10/01/2019 <br />10/01/2019 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />RE: WATER RESOURCES CONTROL PANELS - BID NO. 17-071, SANTA ANA, CA <br />ADDITIONAL INSURED UNDER ALL POLICIES (EXCEPT WORKERS COMPENSATION & EMPLOYERS LIABILITY) WHERE REQUIRED BY CONTRACT: THE CITY OF SANTA ANA, ITS OFFICERS, <br />EMPLOYEES, AGENTS AND REPRESENTATIVES <br />WHERE REQUIRED BY CONTRACT, COVERAGE PROVIDED TO THE ADDITIONAL INSUREDS IS PRIMARY & NON-CONTRIBUTORY. <br />WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT AND WHERE NOT PROHIBITED BY LAW. <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />RISK MANAGEMENT DIVISION <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />ManashiMukherjee r'� <br />ACORD 25 (2016/03) <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />