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A60MY CERTIFICATE OF LIABILITY INSURANCE
<br />14 �
<br />F DATE(MMIDDIYYYY)
<br />11/30/2017
<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 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 />ISU Insurance Services - Centinel Agency, LLC
<br />250 Executive Park Blvd
<br />Suite 4800
<br />San Francisco CA 94134
<br />CONTACT Fernando Rivas
<br />NAME:
<br />pI10NN Ea)_ (415)657-2000 FAX
<br />No; (415)659-2002
<br />EMAIL fernando@isuca.com
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE NAIC9
<br />INSURER A:Scottsdale Insurance Company 41297
<br />INSURED
<br />California Barricade Rentals Inc
<br />1550 E Saint Gertrude Place
<br />Santa Ana CA 92705
<br />INSURERs:American Fire and Casualty Company 24066
<br />INSURER C:National Union Fire Ins Cc of 19445
<br />INSURERD:State Compensation Ins. Fund 35076
<br />INSURERE:HieCOX Insurance Company Inc 10200
<br />INSURER F:Xlnsale Insurance Company 38920
<br />COVERAGES CERTIFICATE NUMBER: 17-18 GL,WC,BA,XS,E&O,PL 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 />INSRAODL
<br />LTR
<br />TYPE OF INSURANCE
<br />BUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />A
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TOR ED 100,000
<br />Ee NTED nce $
<br />-PREMISES
<br />MED EXP (Any one person) $ Excluded
<br />HCS0036349
<br />7/1/2017
<br />7/1/2018
<br />PERSONAL &ADV INJURY $ 11000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'L
<br />X
<br />POLICY PRO- ❑ LOC
<br />JECT
<br />PRODUCTS - COMP/OP AGE $ 2,000,000
<br />Employee Benefits $ 1,000,000
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBIEeNED SINGLE LIMIT $
<br />accldsnl 1,000,000
<br />BODILY INJURY (Per person) $
<br />B
<br />ANY AUTO
<br />AOSCHEDULED
<br />AUUTOSS AUTOS
<br />HAA (18) 58 05 63 03
<br />7/1/2017
<br />7/1/2018
<br />BODILY INJURY (Per accident) $
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTYDAMAGE $
<br />Per accident
<br />$
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 5,000,000
<br />AGGREGATE $ 5,000,000
<br />L,
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DEO RETENTION$
<br />$
<br />HE 065409561
<br />7/1/2017
<br />7/1/2018
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNERIEXECUTIVE
<br />(MandaOFFICERItory EXCLUDED?
<br />( ry )
<br />NIA
<br />9063608-17
<br />7/1/2017
<br />7/1/2018
<br />PER OTH-
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - FA EMPLOYEE $ 1,000,000
<br />If yes, be under
<br />DESRIPTIRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />E
<br />Professional Liability
<br />MPL1863490.17
<br />12/1/2017
<br />12/1/2018
<br />Each Claim $1,000,000
<br />F
<br />Pollution Liability
<br />01D0052798-0
<br />7/1/2017
<br />7/1/2018
<br />Each Pollutlon Condition $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />Those usual to the insured's operations.
<br />\pd
<br />Qat CJ
<br />Parks, Recreation & Community
<br />Services Agency - M23
<br />20 Civic Center Plaza
<br />P.O. BOX 1988
<br />Santa Ana, CA 92702
<br />ACORD 25 (2014101)
<br />INS025 (201401)
<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 />AUTHORIZED REPRESENTATIVE
<br />Ferenc/FR
<br />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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