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ACORO® DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 12/04/2025
<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 w� p y, 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 'a
<br /> NAME:
<br /> Aon Risk Services Central, Inc. PHONE FAX
<br /> St. Louis MO Office (A/C.No.Ezt): (866) 283-7122 (A/C.No.): (800) 363-0105 'a
<br /> 4220 Duncan Avenue E-MAIL 2
<br /> Suite 401 ADDRESS:
<br /> St Louis Mo 63110 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURERA: Pennsylvania Manufacturers' Assoc Ins Co 12262
<br /> shade Structures, Inc. INSURERB: Allied World Assurance Company (US) Inc 19489
<br /> USA SHADE & FABRIC STRUCTURES
<br /> 2580 Esters Blvd., Suite 100 INSURERC: James River Insurance Company 12203
<br /> DFW Airport, TX 75261 USA INSURERD: Columbia Casualty Company 31127
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 570116964701 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 INDICATED.
<br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
<br /> HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> Limits shown are as requested
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDNYYY) LIMITS
<br /> C X COMMERCIAL GENERAL LIABILITY Y Y 000959656 10 01 2025 10 01 2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR P REVISES
<br /> (Eaoccurrence) $300,000
<br /> X XCU not excl MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> P'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY FTPEO �LOC PRODUCTS-COMP/OPAGG $2,000,000CID
<br /> OTHER: o
<br /> r
<br /> A AUTOMOBILE LIABILITY y Y 152500 0652321 10/01/2025 10/01/2026 COMBINED SINGLE LIMIT $1'000,000 uD
<br /> (Ea accident)
<br /> )( ANYAUTO BODILY INJURY(Per person) 0
<br /> O
<br /> OWNED
<br /> SCHEDULED BODILY INJURY(Per accident) Z
<br /> AUTOS ONLY AUTOS N
<br /> HIREDAUTOS NON-OWNED PROPERTY DAMAGE 2
<br /> ONLY AUTOS ONLY (Per accident)
<br /> N
<br /> B X UMBRELLA LAB X OCCUR 03140086 10/01/2025 10/01/2026 EACH OCCURRENCE $5,000,000 U
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED I X RETENTION $10,000
<br /> A WORKERS COMPENSATION AND Y 2025750652321 10/01/2025 10/01/2026 X I PERSTATUTE 0TTH-
<br /> EMPLOYERS'LIABILITY
<br /> Y/N JER
<br /> A PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? ENN/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> UID SCes, un
<br /> der $1,000,000
<br /> RIPTION 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)
<br /> RE: Project Name: Newhope Library, Quote No. CA0623PA06712. The per location aggregate is subject to a policy cap of
<br /> $10,000,000. The General Liability (on oing & Completed Operations) and Automobile Liability include a blanket Additional
<br /> Insured endorsement in favor of City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteer
<br /> are to be covered that provides this feature only when there is a written contract with the named insured that requires such
<br /> status. General Liability insurance is primary and non-contributory. The General Liability, Automobile Liability and Workers'
<br /> Compensation policies include a blanket Waiver of Subrogation endorsement in favor of City of Santa Ana, its City Council, its
<br /> officers, officials, employees, agents, and volunteers are to be covered that provides this feature only when there is a
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 12:14 pm,Dec 10,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br /> DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana AUTHORIZED REPRESENTATIVE all�
<br /> Attn: Library Services, Dylan Dario
<br /> 20 Civic Center Plaza, M-42
<br /> Santa Ana CA 92701 USA
<br /> igitall yned
<br /> Tu Tran byrurranD sigNq
<br /> =_
<br /> Nguyen ■.
<br /> Date:2025.12.10
<br /> 121519-0800'
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<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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