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A`oRo° CERTIFICATE OF LIABILITY INSURANCE DATE 08/08/2025/2025IYYYY)
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> MARSH RISK&INSURANCE SERVICES NAME:
<br /> PHONE FAX
<br /> FOUR EMBARCADERO CENTER,SUITE 1100 (A/C,No Ext: A/C,No):
<br /> CALIFORNIA LICENSE NO.0437153 E-MAIL
<br /> SAN FRANCISCO,CA 94111 ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> CN10246455-CMTA-GAUWP-25-26 INSURERA: Zurich American Insurance Company 16535
<br /> INSURED INSURER B: American Guarantee and Liability Insurance Company 26247
<br /> P2S,LP
<br /> 5000 E.Spring St. INSURER C: Allied World Surplus Lines Insurance Company 24319
<br /> Suite 800 INSURER D
<br /> Long Beach,CA90815-5247
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: SEA-004067519-04 REVISION NUMBER: 1
<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 ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER
<br /> POLICY EFF POLICY EXP
<br /> LTR MM/DDIYYYYI iMMIDDIYYYYI LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY X X GLO 8650384-02 06/20/2025 06/20/2026 EACH OCCURRENCE $ 2,000,000
<br /> RENTEDDAMAGE TO
<br /> CLAIMS-MADE X� OCCUR FIR SES(Ea.";
<br /> Ea occrre... $ 300,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY PE� LOC PRODUCTS-COMP/OPAGG $ 4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY X X BAP 4340750—04 06/20/2025 06/20/2026 COMBINED SINGLE LIMIT $ 5,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTYDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> L $
<br /> B X UMBRELLA LIAB X OCCUR X X AUC 4340745-04 06/20/2025 06/20/2026 EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION X WC 8650385-02 06/20/2025 06/20/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> Y/N
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N❑ NIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Professional Liability 0313-2020 06/20/2025 06/20/2026 Limit: 10,000,000
<br /> SIR: 250,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana is included as additional insured where required by written contract with respect to General Liability and Auto Liability.This insurance is TU Trd n Digitally signed by
<br /> primary and non-contributor over an existing Insurance and limited to liability arising out of the operations of the named insured subject to policy terms Da Tran Nguyen
<br /> p ry y y g y g p 1 p y Date:2025.08.08
<br /> and conditions.Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions.Umbrella is followform of Nguyen 11:00:48-07'00'
<br /> primary subject to policy terms,conditions and exclusions.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 11:00 am,Aug os,2025
<br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 215 S.Center St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Santa Ana,CA 92703 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh Risk&Insurance Services
<br /> MW41 Red &lwwia w scw4w
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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