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A� 1 o/22/v2025® CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) <br /> 2o25 <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 USA,LLC. NAME` <br /> HONE 445 SOUTH STREET A/CC No Ext: FAX <br /> No): <br /> MORRISTOWN,NJ 07960-6454 E-MAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> CN102147003-RAM-PROF-25/26 4433 WHITE NOC60 INSURERA: Zurich American Insurance Company 16535 <br /> INSURED INSURER B: Travelers Property Casualty Co.of America 25674 <br /> SIEMENS INDUSTRY,INC. <br /> 1000 DEERFIELD PARKWAY INSURER C: American Guarantee&Liability Insurance Company 26247 <br /> BUFFALO GROVE,IL 60089-4513 INSURER D: Travelers Casualty&Surety Company 19038 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: NYC-010974624-13 REVISION NUMBER: 12 <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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD <br /> A X COMMERCIAL GENERAL LIABILITY GL00444023-00 10/01/2025 10/01/2026 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X� OCCUR DAPREMISESMAGE TOEa RENTEo D <br /> ccurrence $ 1,000,000 <br /> MED EXP(Any one person) $ 100,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 10,000,000 <br /> X POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ INCL <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY TC2J-CAP-7440L34A-TIL-25 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT <br /> Ea accident $ 2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ N/A <br /> X OWNED SCHEDULED BODILY INJURY(Per accident) $ N/A <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> X AUTOS ONLY X AUTOS ONLY Per accident $ N/A <br /> C X UMBRELLA LAB X OCCUR AUC0444024-00 10/01/2025 10/01/2026 EACH OCCURRENCE $ 1,000,000 <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ 1,000,000 <br /> DED RETENTION$ $ <br /> B WORKERS COMPENSATION UB-8P83929A-25-51-K(AOS) 10/01/2025 10/01/2026 X PER oTH- <br /> AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $STATUTE ER <br /> D ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N N/A UB-8P79233A-25-51-R(AZ,MA,WI) 10/01/2025 10/01/2026 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? 51 <br /> B (Mandatory in NH) TWXJ-UB-7440L338-TIL-25(OH) 10/01/2025 10/01/2026 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under """"""'$500K LIMIT/$500K SIR"""""" <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A PROFESSIONAL LIABILITY EOC3245701-00 10/01/2025 10/01/2026 Limit 2,000,000 <br /> SIR 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> RE:ALL OPERATIONS <br /> SEE ATTACHED APPROVED <br /> By Tu Tran Nguyen at 3:34 pm, Oct 22,2025 <br /> Tu Tran Digitally signed by Tu <br /> Tran Nguyen <br /> CERTIFICATE HOLDER CANCELLATION Nguyen <br /> 15:35:18-oroo <br /> CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> ATTN:RISK MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20 CIVIC CENTER PLAZA,4TH FLOOR ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SANTA ANA,CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> of Marsh USA LLC <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />