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DATE(MM/DD/YYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE 4/17/2026 <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 /> NAME: Certificate Team <br /> Inszone Insurance Services, LLC PHONE FAX <br /> 2721 Citrus Road, Suite A A/C No Ext: 877-308-9663 A/c,No):916-400-2625 <br /> E-MRancho Cordova, CA 95742 ADDRESS: certs@inszoneins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#:OF82764 INSURERA: Colony Insurance Company 39993 <br /> INSURED GOLDMET-05 INSURERB: California Automobile Insurance Co 38342 <br /> Golden Meters Service, Inc. <br /> 14812 Hunter Ln. INsuRERc:AmTrust Insurance Company 15954 <br /> Midway City, CA 92655 INSURERD: <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:352599966 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 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 Y Y 600 GL 0217377-01 9/9/2025 9/9/2026 EACH OCCURRENCE $1,000,000 <br /> DAMAGES( RENTED <br /> CLAIMS-MADE OCCUR <br /> PREMISES Ea occurrence) <br /> ccurrence) $100,000 <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> PRO- <br /> POLICY� ECT1:1 LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY Y Y BA040000088824 4/15/2026 4/15/2027 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED X SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> A UMBRELLA LAB X OCCUR XS4289250 9/9/2025 9/9/2026 EACH OCCURRENCE $4,000,000 <br /> X EXCESS LAB CLAIMS-MADE AGGREGATE $4,000,000 <br /> DED RETENTION$ $ <br /> C WORKERS COMPENSATION Y KVVP1433228 3/7/2026 3/7/2027 X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Additional Insured on the General Liability and Auto Liability. Primary and Non-Contributory on the General Liability and Auto Liability.Waiver of Subrogation on <br /> the General Liability,Auto Liability and Workers Compensation. Excess follows form,subject to the terms and conditions of the policy. <br /> The aforementioned coverage is provided to the extent in the attached forms for:City of Santa Ana <br /> APPROVED <br /> By Tu Tran Nguyen at 9:12 am,Apr 27,2026 <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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Santa Ana <br /> 215 S. Center Street(M-85) AUTHORIZED REPRESENTATIVE <br /> Santa Ana, CA 92703 <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />