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2019/09/01 Wilson Utility Construction Co Certificate of Liability InsuranceCaRI]911 CERTIFICATE OF LIABILITY INSURANCE � DATE 08/26/26/2019 Y) 019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MCGRIFF, SEIBELS & WILLIAMS, INC. P.O. Box 10265 Birmingham, AL 35202 CONTACT NAME: _ PNDNE . 800-476-2211 Fi4IC Ha . EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A :Arch Insurance Company 11150 INSURED Wilson Utility Construction Co INSURER B: INSURER C: 1190 N.W. Third Avenue Canby, OR 97013 INSURER D: INSURER E INSURER F GUVt:KAGt5 CERTIFICATE NUMBER:BLAS9A56 17FVISCInas N"MRr_a- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE VJVn POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 1PKG8959900 09/01/2019 09/0112020 EACH OCCURRENCE $ 2,000,000 PREMISES(ES 0= enop $ 300,000 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 X GEN'L AGGREGATE LIMIT APPLIES PER: POLICY RO- LOC El JEC$ GENERAL AGGREGATE $ 4,000,000 PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: A AUTOMOBILE LIABILITY 31PKG8959900 09101/2019 09101/2020 COMBINED SINGLE LIMIT Ea acc den 2,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULEDBODILY AUTOS ONLY AUTOS Ix INJURY Per accident ( )HIRED $ NON -OWNED AUTOS ONLY AUTOS ONLY rX PROPERTY DAMAGE Per accident $ Com . $10,000 deductible $ Coll. $10,000 ded UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? El N / A CI 959700 09/01/2019 31 WCI8959800 CA, NY, OR, PA Including Stop Gap -ND, OH, WA & Wy 09/01/2020 PER OTH• X T E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 in NH) If yca, dcscriLn .—I., E.L DISEASE - POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS below J $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) 6386 SCE — Valley South Subtransmission Project, Certificate Holder is Additional Insured under General Liability as required by written contract. V CR11r-IIiMI C "w1_iJCR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Menifee AUTHORIZED REPRESENTATIVE 29714 Haun Road Menif Menifee, CA 92586 Page 1 of 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD