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DATE(MMIDD/YYYY) <br /> AC"" CERTIFICATE OF LIABILITY INSURANCE <br /> 08/07/2025 <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 Lisa Greenberg <br /> NAME: <br /> Cornerstone Specialty Insurance Services,Inc. pAH/cNE. Ext: (714)731-7700 a/c,No: (714)731-7750 <br /> 14252 Culver Drive,A299 E-MAIL lisa@cornerstonespecialty.com <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Irvine CA 92604 INSURERA: RLI Insurance Company 13056 <br /> INSURED <br /> INSURER B <br /> SMAART POWER INSURER C: <br /> 24301 Rhona Drive INSURER D: <br /> INSURER E: <br /> Laguna Niguel CA 92677 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 25/26 COVERAGES REVISION NUMBER: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 TYPE OF INSURANCEAUULbUBK POLICY EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 1,000,000 <br /> X ADDT'L INSURED/P&NC MED EXP(Any one person) $ 10,000 <br /> A X BLNKT WVR OF SUBRO Y Y PSB0009703 08/31/2025 08/31/2026 PERSONAL&ADV INJURY $ INCLUDED <br /> MOTHER <br /> LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 4'000'000 <br /> JECT: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 <br /> Ea accident <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED Y Y PSB0009703 08/31/2025 08/31/2026 BODI LY I NJ U RY(Pe r accide nt) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED �/ NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY /� AUTOS ONLY Per accident <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 <br /> A X EXCESS LAB CLAIMS-MADE PSE0004848 08/31/2025 08/31/2026 AGGREGATE $ 3,000,000 <br /> DED I I RETENTION $ $ <br /> WORKERS COMPENSATION ER/� STATUTE EORH <br /> AND EMPLOYERS'LIABI LI TY Y/N 1'000'000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> AOFFICER/MEMBER EXCLUDED? N/A PSW0006200 08/31/2025 08/31/2026 <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 /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Digitallysi ined <br /> Re:A-2022-205-02 TU Tran byTuTran <br /> Cityof Santa Ana is Additional Insured for General Liability on a primary and non-contributor basis,but only If required b written contract with the Named Nguyen <br /> Y p Y Y Y q Y Ngu\/en Date:2o2 08.08 <br /> Insured prior to an occurrence and as per attached endorsement.Coverage is subject to all policy terms and conditions.*30 days notice of cancellation, J l 08:44:53- 'oo' <br /> except for 10 days notice for non-payment of premium. <br /> APPROVED <br /> By Tu Tran Nguyen at 8:44 am,Aug 08,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana Att:Heidi Chou ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 215 S Center St.M-85 <br /> Santa Ana CA 92703 <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />