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A� & CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(Mlll
<br />2024
<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 />Edgewood Partners Insurance Agency
<br />3780 Mansell Rd. Suite 370
<br />Alpharetta GA 30022
<br />CONTACT
<br />Greylin COI Specialist
<br />PHONE FAx
<br />- 7706705324 tA11, No : 770 670 5324
<br />EAooliEss: uescerts re tin .com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Endurance American Specialty Ins Cc
<br />41718
<br />INSURED UNIVENG
<br />Universal Engineering Sciences, LLC
<br />4205 Vineland Road
<br />INSURER B: Evanston Insurance Company
<br />35378
<br />INSURER c: Landmark American Insurance Company33138
<br />INSURER D: Greenwich Insurance Company
<br />22322
<br />Orlando, FL 32811
<br />INSURER E: AB en Specialty Insurance Company10717
<br />INSURER,: Convex Insurance UK Limited
<br />COVERAGES CERTIFICATE NUMBER: 1682760137 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />BUSH
<br />-MMPOLICYNUMBER
<br />POLICY EFF
<br />MMDD
<br />POUCYEXP
<br />MMIDDIYYYY
<br />LIMITS
<br />D
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />V
<br />Y
<br />RGC3002099
<br />5/1/2024
<br />5/1/2025
<br />EACH OCCURRENCE
<br />$2,000,000
<br />UAMAGE TO RE ED
<br />PREMISES Ea omunence
<br />$300,000
<br />X
<br />MED EXP (Any one peon)
<br />$10,000
<br />Contractual Liab
<br />PERSONAL&ADV INJURY
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY Lfl PECT FX I LOC
<br />GENERAL AGGREGATE
<br />$4.000,000
<br />PRODUCTS -COMPIOP AGG
<br />$4,000,000
<br />Em Ioyee Benefits
<br />$1,000,000
<br />OTHER:
<br />D
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />V
<br />V
<br />RXT3003325
<br />EXT30030240901
<br />5/1/2024
<br />5/1l2024
<br />5/1/2025
<br />5/1/2025
<br />COMBINED SINGLE LIMIT
<br />Ea accident)$2,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Per accident
<br />8001LV INJURY ( )
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />Excess Auto
<br />$2,000,000
<br />B
<br />C
<br />UMBRELLA LIAR
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />1'
<br />Y
<br />MKLV2EUE101855
<br />LHAS00397
<br />5/1/2024
<br />511/2024
<br />5/1/2025
<br />5/l/2025
<br />EACH OCCURRENCE
<br />$7,000,000
<br />X
<br />AGGREGATE
<br />$7,000,000
<br />DED X RETENTION$
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERTLIABILTY YIN
<br />ANYPROPRIETOR/PARTNER/EXECUOVE
<br />OFFICERIMEMBER EXCLUDED?
<br />N/A
<br />Y
<br />RWC3002100
<br />5/1/2024
<br />5/1/2025
<br />1PER
<br />ERH
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000.000
<br />(Mandatory in NH)
<br />It yes, describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below I
<br />I
<br />E
<br />F
<br />Excess GL
<br />Professional Debg9
<br />incl. Pollution Lieb
<br />CXOIONE24
<br />B0146LDUSA2405257
<br />5/1/2024
<br />5/1/2024
<br />5/1/2025
<br />5/1/2025
<br />Per Om./A re ate
<br />9
<br />Per Claim
<br />Aggregate
<br />$,000,000
<br />$1000,000
<br />$1,.000,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACOR0101, Additional Remarks Schedule, maybe attached if more space is required)
<br />APPROVED
<br />By Cynthia Mora at 11:17 am, Dec 05, 2024
<br />City of Santa Ana
<br />Planning and Building Agency
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<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 />AUTHORIZED REPRESENTATIVE
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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