2022/09/01 Wilson Utility Construction CoAC<)RI)-CERTIFICATE OF LIABILITY INSURANCE au30t2a22
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHIS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER IHE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER,
IMPORTANT: lf the certificate holder as an ADDITIONAL INSt RED. the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer riqhts to the cenificate holder in lieu of such endorsement(s).
lvlccrifl lnsu.ance Services, lnc
P O Boi 10255
Birmingham. AL 35202
aoo 476 2211
AFFOROING COVERAGE
rrsuRER A Amencan Co.traclors lnsurance Com RRG r2300
INSURED
W son Ut liy Constrlcuon Co
1190 NW Th rd Avenle
Canby. OR 97013
rrsuRER B ACIG lns!ra.ce Co 19964
COVERAGES CERTIFICATE NUMBER : J8z3754H REVISION NUM BER:
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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI]IS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROEO 8Y THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL TNE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SBOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
X
X
X
X
49rc1t2422 06rc1p423(Gt Ercess)(GL Eicess)
nclud ng WA Stop Gap
5 000 000
X
COMMERCIAL GENERAL LIABILITY
GEN'L AGGREGATE L MIIAPPLIES PER
Loc
5,000,000
100.000
5.000
5 000,000
5 000.000
GENERAL AGGREGATE
PERSONAL 8 ADV NJI]RY
122800093
122C00093
.JECT
X
A122000038 09/01 5 000 000
S
SO0 LY INJURY (P6r p66on)
AUTOMOAILE L]AB L TY
SO0 LY lN.ir.JRY (P€. aEdenr)SCHEOULEO
AUTOSNON-OWNEO
OWNEO
AUTOS ONLYHIRED
AUTOS ONLY
DED
OCCUR
CLAiMS MADE
EACH OCCURRENCE
X OTB.WORKERS COIIPEI{SATION
ANO EMPLOYERS' LIABILITY
ANY PROPRIE'TOFYPARTNER/EXECT]T VEqf t'cq8rvIt EtEIxQLuQEp?
OESCR PI ON OF OPERATIONS b€Id
06/01/2023
1.000,000
1000.000
s
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E L EACB ACCIOE'.ITr\,AR, CT, FL, HI, MT, NV. PA, UT,
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DE SCRIPTIOII OF OPERAIIONS / LOCATIONS / VEHICLES (ACORO 101 , Addition.l R.mertr Sch.du l., mry b, att.ch.d i, Dor. !pac. i. r.qu t.d)
6386 SCE - Valley South Subtransmission Projecl
Certrfcate Ho der s Additronal nsured under Genera Liability as requrrcd by wrllen conlract
CERTIFICATE HOLDER CANCELLATION
C ty of Menrfee
29714 Haun Road
Itlenifee. CA 92586
SHOULD ANY OF THE ABO\,/E DESCRIBED POLICIES BE CAIICELLED BEFOREIHE EXPIRATION DAIE IHEREOT, NOTICE WILL AE DELIVERED IN
ACCORDANCE wlTH THE POLICY PROVISIONS.
AUTHORIZED REPRESENIAIIVE
Pase 1 or 1 O1988-2015ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks oI ACORDacoRD 25 (2016/03)
lv,flcent@mcgrr com
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EACH OCCURRENCE iluMAcET[FENrEr t
Le8EM sEs (Es oeurener $
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