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CITY OF SANTA ANA <br />Planning and Building Agency <br />® DATE(MM/DD/YYYY) <br />oRU CERTIFICATE OF LIABILITY INSURANCE NMM/AAI{IA.J <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON Ti <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSL <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSL <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require a <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER NAME: CONTACT Irvine Office <br />SullivanCurtisMonroe Insurance Services (IRV) PHONE g49.250.7172 <br />2010 Main Street E-MAIL <br />Suite 700 ADDRESS: <br />Irvine, CA 92614 INSURERS AFFORDING COVE <br />Afww.SullivanCurtisMonroe.com License # OE83670 ,ucrraco e • Traualare Inrlannnitu r-n of r nni <br />INSURED <br />Coastline Development, Inc. <br />13911 Enterprise Drive <br />Garden Grove CA 92843 <br />,F Iht=b $Y ;M_rpkkiW� I C E <br />G INSURER(S), AUTHORIZED <br />�Q1l 02! A statement <br />endorser <br />�w o�i�e t. A statement or, <br />Date: <br />Fac. Nei: 949.852.9762 <br />of Amer <br />COVFRAGFS CFRTIFICATF NIIMRFR- uar717az Qr-VISInN NUMRGe• <br />NAIC # <br />25682 <br />25674 <br />22292 <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 />INSR <br />LT R <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />WyD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY) <br />POLICY EXP <br />(MMIDDNYYYI <br />LIMITS <br />A <br />�/ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE M OCCUR <br />CO-B4668891 <br />7/1/2025 <br />7/1/2026 <br />EACH OCCURRENCE <br />$1000000 <br />DAMAGE TO <br />PREMISES EaEoccurrence) <br />$ 300 000 <br />MED EXP (Any one person) <br />$ 5 000 <br />PERSONAL & ADV INJURY <br />$1 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECOT- LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 2 000 000 <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED F SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />BA-B4668669 <br />7/1/2025 <br />7/1/2026 <br />COMBINED <br />$1 OO0000 <br />/ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A <br />�/ <br />UMBRELLALIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />CUP-B4681993 <br />7/1/2025 <br />7/1/2026 <br />EACH OCCURRENCE <br />$5000000 <br />H <br />AGGREGATE <br />$ 5 00O 000 <br />DED I ✓ RETENTION$0 <br />$ <br />B <br />W IRKERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBEREXCLUDED? a <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />UB-C2318577 <br />1/1/2026 <br />1/1/2027 <br />PER OTH- <br />✓ STATUTE ER <br />E.L. EACH ACCIDENT <br />$1 000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 OOO O00 <br />C <br />Rented & Leased Equipment <br />RH3J7505-00 <br />3/27/2025 <br />3/27/2026 <br />Limit: $50,000 / $1,000 Deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />licm I Irm m I c nULUCK GANGtLLA I IUN <br />Evidence of Insurance <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 />Michael Punt <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />88571763 1 COASTDEV 1 25-26 GL, Auto, XLS, Poll I Carmen Vacio 1 12/26/2025 10:30:45 AM (PST) I Page 1 of 2 <br />