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/ <br />A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />07/17/2o2s <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 <br />CONTACT Gino Clemente <br />NAME: <br />Bearstar Insurance Services <br />(888) 601-0088 (888) 601-0087 <br />pHHCNN <br />. Ext : A c, No): <br />2151 Michelson Dr <br />E-MAIL gino@bearstarins.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Suite 150 <br />Irvine CA 92612 <br />INSURERA: Travelers Property Casualty <br />25674 <br />INSURED <br />INSURER B : Travelers Casualty Co <br />19046 <br />Elite Automotive Services, DBA: Elite Automotive Services <br />INSURER C : <br />26801 Vista Ter <br />INSURER D : <br />INSURER E : <br />Lake Forest CA 92630 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: CL234400365 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 <br />LTR <br />TYPE OF INSURANCEAUULbUBK <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MWDD/YYYY <br />POLICY EXP <br />MWDD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO <br />PREM SES Ea 0NcurrDence <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />6802T7612882442 <br />05/11/2025 <br />05/11/2026 <br />LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY ❑PRO❑LOC <br />�GEWLAGGREGATE <br />JECT <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />GarageKeepers <br />$ 225,000 <br />OTHER: Garage Liability -Inc <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BA2T987869 <br />05/11/2025 <br />05/11/2026 <br />BODILY INJURY (Pe r accide nt) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED �/ NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ElN <br />OFFICER/MEMBER EXCLUDED? <br />/A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Building <br />Business Personal Property <br />6802T7612882442 <br />05/11/2025 <br />05/11/2026 <br />Deductible $1,000 <br />Deductible $1,000 <br />$3,833,437.00 <br />$200,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Certificate holder named as Additional Insured. Waiver Applies Tu Tran T�Ta'�YN9 signed <br />Endorsements Attached Date: 2025.07.29 <br />AgreementA-2024-029-04 Nguyen 12:17:01-0700 <br />APPROVED <br />By Tu Tran Nguyen at 12:16 pm, Jul 29, 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 Sant Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attention: PWA- Parks, Fleet <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />