ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?
INSR ADDLSUBRLTR INSDWVD
PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext):E-MAILADDRESS:INSURER A :INSURED INSURER B :INSURER C :INSURER D :INSURER E :INSURER F :
POLICY NUMBERPOLICY EFFPOLICY EXPTYPE OF INSURANCELIMITS(MM/DD/YYYY)(MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIABEXCESS LIABWORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE$DAMAGE TO RENTEDCLAIMS-MADEOCCUR $PREMISES (Ea occurrence)MED EXP (Any one person)$PERSONAL & ADV INJURY$GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$PRO-POLICYLOC PRODUCTS - COMP/OP AGGJECT OTHER: $COMBINED SINGLE LIMIT$(Ea accident)ANY AUTO BODILY INJURY (Per person)$OWNEDSCHEDULEDBODILY INJURY (Per accident)$AUTOS ONLYAUTOSHIREDNON-OWNEDPROPERTY DAMAGE$AUTOS ONLYAUTOS ONLY(Per accident)$OCCUR EACH OCCURRENCECLAIMS-MADEAGGREGATE$DEDRETENTION$ PEROTH-STATUTEERE.L. EACH ACCIDENTE.L. DISEASE - EA EMPLOYEE$If yes, describe underE.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGENAIC #
COMMERCIAL GENERAL LIABILITY
Y / NN / A(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDERCANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
$
$$$$
The ACORD name and logo are registered marks of ACORD
11/19/2025
(818) 986-7283(818) 986-494936940Wright Construction Engineering Corp2625 S. Santa Fe AveSan Marcos, CA 920691258824856160452033833138 A 1,000,000XXESG00681913/4/20253/4/2026100,0001,000,0002,000,0002,000,0002,000,000B SC250430274/21/20254/21/20262,000,000C UX000001558013/4/20253/4/20262,000,000D X76000253712513/4/20253/4/20261,000,000Y 1,000,0001,000,000EBuilders RiskCPBRP251240333002/17/2025Any One Loss Occ331,750FExcess LiabilityLHA6055083/4/20253/4/2026Limit2,000,000G) AGCS Marine Insurance Co. Policy No.: MXI930886682280 EFF Date. 3/7/2025 - 3/4/2026 Inland Marine Contractors Equip. Scheduled Equip. - ACV$590,159., $10,000 Unscheduled Equip., $250,000 Equipment Leased, Rented or Borrowed from Others. Deductible: Contractors Equipment $1,000 except$2,500 for Theft, Vandalism, and Malicious Mischief. H) United Specialty Insurance Company Policy No.: WEI-CO-001821-00. Effective 8/15/25-8/15/26 ,Contractors Pollution Liability $2,000,000 Each Pollution Incident Limit, $2,000,000 Aggregate Limit, $10,000 Ded.Project CC-1815, Bluff Top Slope RepairCity of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers are named as additional insured. Waiver ofSEE ATTACHED ACORD 101 City of Huntington Beach2000 Main StreetP.O. Box 190Huntington Beach, CA 92648 WRIGCON-01TVALENCIA
Paramount Exclusive Insurance Services, Inc.15760 Ventura Blvd. Suite 500Encino, CA [email protected] Harbor Insurance Co.PRIME INSURANCE COMPANYAdmiral Insurance CompanyEverest Premier Insurance CompanyPalomar Specialty Insurance CompanyLandmark American Ins. Co.
Annual AggegateX2/17/2026
X XXX XXX X
FORM NUMBER:
EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01)
AGENCY CUSTOMER ID:LOC #:
AGENCY NAMED INSUREDPOLICY NUMBERCARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.
Paramount Exclusive Insurance Services, Inc.
WRIGCON-01
SEE PAGE 1
1 SEE PAGE 1ACORD 25Certificate of Liability Insurance
1 SEE P 1Wright Construction Engineering Corp2625 S. Santa Fe AveSan Marcos, CA 92069SEE PAGE 1 TVALENCIA1
Description of Operations/Locations/Vehicles:subrogation in favor of City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers are named as additional insured. Primary and non-contributory applies.