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CERTIFICATE, OF LIABILITY INSURANCE
<br />°AT09121/207""'
<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 pollcy(les) must have ADDITIONAL INSURED provlalohs or be endorsed. I
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain Pullcles may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(&).
<br />PRODUCER
<br />AOM Risk Insurance services West, Inc.
<br />LOS Angeles CA Office
<br />707 Wilshire Boulevard
<br />suite 2600
<br />LOS Angeles CA 90017-0460 USA
<br />CONTACT
<br />NAME'
<br />—
<br />Ana. No. e,u: (866) 283-1112 N. (80D) 363 -tilos
<br />E-MAIL
<br />AODR989;
<br />INSURER(S) AFFORDING COVERAGE NAICN
<br />INSURED
<br />ACCO Enaineered systems, Inc.
<br />6265 San PernandO Road
<br />Glendale CA 91201 USA
<br />INSURERA: Indian Harbor Insurance company 3694Q
<br />INSURERS: Arch Insurance Company 11150
<br />•—
<br />wounEg 4: Arch Indemnity Insurance Company -3a8-3T—
<br />83INSURER
<br />INSURER 0: Berkley Assurance Company 39462
<br />INSURERE:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 57008 459588
<br />GRVIRIhM MI IRRFG,
<br />THIS IS TO CERTIFY THAT THE POLICIES OF IN URANOE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORT E POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT CR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY 85 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. Limits shown are as requested
<br />LTR TYPE OF INSURANCE Pou
<br />POLICY NUMBER IDOflMVY LIMITS
<br />iWA
<br />B X CtlMMEftC1Al0ENERALLIABILITY P G EACHOCCURRENCE $110051000
<br />GLAIMS•MADE nX OCCUR ERrE(Y"—"' $300, 6D0
<br />.woos ce
<br />MED "P (Ary ono pare.,) $5,000
<br />PERSONAL& ADV INJURY $1.,000,000
<br />GEN'L AOGR6GA1E LIMIT APPLIES PER! GENERALAGGREOATE $2,000,00
<br />POLICY X PRO'
<br />�JECT X LOC
<br />.PRODUCTS -COMPIOPAGG $2,000,000
<br />OTHER:
<br />a
<br />AUTOMOBILa LIABIWTY
<br />71FKG8949200
<br />1
<br />0'/2018
<br />COMBINED SINGLE LIMIT
<br />Lee a sant $2,000,000
<br />BODILY INJURY( Per per,.n)
<br />X ANYAUTO
<br />-- OWNED 80H€DULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Pot a.nitlen)
<br />PROPERYDAMAGE
<br />HIREDAUine NDN OWNED
<br />ONLY -AUTOS ONLY
<br />P.rawldenl
<br />UMBRELLA LI A9
<br />OCCUR
<br />EACH OCCURRENCC
<br />EXCESSLWa
<br />CLAIM6-MADE
<br />AGGREGATE
<br />OED
<br />RETeNTION
<br />B
<br />WORKERS COMPeNepTIONAND
<br />71WC18949100
<br />/201
<br />O1 2p18
<br />X GIH-
<br />EMPLOYERS'MABILITY YIN
<br />AOS
<br />S A'ruTE
<br />E.L. EACHACCIDBNT $1,000,000
<br />O
<br />ANY PROPRIETCRI MRTNERI NXECUTIVE
<br />ANY ONMEMOOK"CLUDEm El
<br />NIA
<br />74WC18949000
<br />10/01/2017
<br />10/01/2018
<br />(Mandatary 1, Not
<br />If Yyee demob under
<br />CA
<br />E. L. DISEASE-EAEMPLOYEE $1,OD0,000
<br />DEa RIPTION OFOPEnATIONS below
<br />E. L. DISEASE•POLICY LIMIT 1,000,000
<br />0
<br />Env Contr Prof
<br />PCADBS 0 7761 17
<br />10/l51/251
<br />' 018
<br />Aggregate/Each Loss
<br />Claims Made
<br />Prof Ag9 SIR $600,000
<br />SIR applies per policy 'ter
<br />Is & condi
<br />ions
<br />Prof Each Claim SIR $2.00,000
<br />OBBCRIPTION OF OPERATIONS /LOCATIONS ) VEHICLES (ACORD 1H, 7uldltlpna R,m.Iho Schedule, may be attached it MOM open, I. renelrad)
<br />CRE: construction, ACCO Job No. 717624, Job No, 17-056, HVAC Replacement at the SARTC, 1000 E. Santa Ana Blvd., Santa Ana, CA
<br />92701.1
<br />[AI: city of Santa Ana and all other entities as raquired by contract] are included as Additional Insured
<br />with respect to the
<br />General Liability Policyi and General Liability Polity evidenced herein is Primary to other insurance available as required by
<br />written contract but limited to the operations of the insured under the said contract.
<br />REVIEWEC}BY:mm�.V.X� EUNICE HEREDIA(PG[,-OF.1
<br />C7
<br />E
<br />CERTIFICATE HOLDER CANCELLATION EN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIE6 as CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE NTH THE
<br />POLICYPROVI91ON8.
<br />City Of Santa Aria AUTHORIZED REPRESENTATIVE ^�
<br />20 civic Center Plaza
<br />Santa And CA 92701 USA
<br />01988.2015 ACORD CORPORATION. All rights raservod.
<br />ACORD 25 (2016/08) The ACORD name and logo are registered marks of ACORD
<br />
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