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Digitally signed by Tod Pierson Tori Pierson ate: 101 04.0509:14:21 oroo ,acoRO® CERTIFICATE OF LIABILITY INSURANCE DaT12112omm) 3/21/2022 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 CONTACT NAME: DAWOOD INSURANCE AGENCY PHONN Eau E 949 417.0204 A/c Not: 714 842-9791 EDDRIESS: kat0 dawoodinsurance.com 18800 Delaware St#304 INSURERS AFFORDING COVERAGE NAICN Huntington Beach, CA 92648 INSURER A: ADMIRAL INSURANCE COMPANY 24856 INSURED INSURER B: INSURER C: Pyramid Group International, Inc. INSURER D: 25771 Rapid Falls Road INSURER E: Laguna Hills, CA 92653 NSURER F COVERAGES CERTIFICATE NUMBER: REVISION NIIMRFR- 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. ILTR TYPE OF INSURANCE ADDL IHM SUER ME POLICY NUMBER POLICY EFF MMIDDi`yYYY POLICY EXP MMIDD LIMITS COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE OCCUR EACH OCCURRENCE $ 1000000 WAMAGE TO -RENTED PREMISES (Ed occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1000000 A X FEI-ECC-28399-01 3/22/2022 3/2212023 GENL AGGREGATE LIMIT APPLIES PER: POLICY0JEa LOG GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGO $ 2000000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)ANY $ BODILY INJURY (Per parson) $ AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accitl n[ $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERTLIABILITY YIN ANY PROPRIETOMPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ Ocurrence 2,000,000 A PROFESSIONAL LIABILITY X FEI-ECC-28399-01 3/22/2022 3/2212023 Agregate 2,000,000 Claim Expense 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This Certificate of Insurance names: City, its City Council, officers, employees, agents and volunteers are named as additional insureds. Primary/Non-Contributory Endorsement farm must be provided in addition to the Certificate of insurance for General Liability included and it will follow upon the issuance of the policy. ADDITIONAL INSURED CITY OF SANTA ANA 20 CIVIC CENTER PLAZA, SANTA ANA ,CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR SENTATIVE�,.,,,, Ithh Mergvnod Dbvlon T`^- IltiaEWID6APlhrwmSa n 79aa_2n15 A - ,Risk Maru,9emmramcil N,Ir ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD v