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TBPENIC-02 NI
<br />DATE (M1110DNYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />F� 2111/2025
<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 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 License # OC36861 CONTACT Eric Chi
<br />NAME:
<br />San Diego-Alliant Insurance Services, Inc. PHONE FAX
<br />701 B St 6th FI (AIC, No, Ext): (619) 849-3734 (AIC,No)�
<br />San Diego, CA 92101 EMAILChilli
<br />ADDRESS: Eric.@aant.com
<br />INSURED
<br />TB Penick & Sons, Inc
<br />13280 Evening Creek Drive South, Suite 100
<br />San Diego, CA 92128
<br />INSURER F:
<br />American Guarantee and Liability Insurance
<br />Endurance American Specialty Insurance
<br />COVERAGES CERTIFICATE NUMBER: RIPWRION NIIMRFR:
<br />---- ------ - ---
<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 JA�66LS66-R- POLICY-E—FF —FO—LICY� EXP'
<br />LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIQO YYYI fMMIDDIYYYYI LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE OCCUR
<br />X
<br />X
<br />GL04320150-06
<br />9/1/2024
<br />9/11/2025
<br />DAMAGE TO RENTED
<br />21Wd-00
<br />LA i
<br />PREMtSES(Ea
<br />....... ..... .
<br />_MED_EXPLAny-one p9 suriL
<br />10,000
<br />.............
<br />IN_JURY
<br />y 2,000,000
<br />---4,000,000
<br />GENT
<br />AGGRE - GATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$
<br />POLICY LOC
<br />4,000,000
<br />PRODUCTS,, COMP/OP AGG
<br />OTHER:
<br />EBL AGGREGATE
<br />$ 2,000,000
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />,(Ea taccident)
<br />$ 1,000,000
<br />ANY AUTO
<br />X
<br />X
<br />BAP4328118-06
<br />911/2024
<br />911/2025
<br />BODILY INJURY (Perpqrs
<br />OWNED SCHEDULED
<br />-o�)
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per.8190192-nti
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY
<br />, AMAGE cntl�
<br />$
<br />C
<br />x x OCCUR
<br />UMBRELLA LIAR
<br />OCCURRENCE....''........
<br />$ -1000,000
<br />EXCESS LIAB CLAIMS -MADE
<br />X
<br />X CPLXP-00000236
<br />91112024
<br />9/1/2025
<br />AGGREGATE
<br />5,000,000
<br />DED RETENTION$
<br />A
<br />WORKERS COMPENSATION
<br />X�JPER GTH-
<br />$
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRI ETC R/PARTNE RJEXECUTIVE
<br />X WC4320152-06
<br />9/11/2024
<br />9/1/2025
<br />EACH
<br />1,000,000
<br />Fj
<br />CERfIVEM%E EXCLUDE(
<br />N/A
<br />$
<br />�R
<br />(MandatoryIn )
<br />E.L. DISEASE - EA EMP
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Professional Liabili
<br />x
<br />PNV10015473601
<br />12/312024
<br />9/11/2025
<br />Ea. Claim/Aggregate
<br />10,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, m be attached If more space Is required) Digitally Sig,
<br />2nd Layer EXC Liability: XSL-436371 D-00 9/1/2024 - 9/1/2025 Occ./Agg. limit: $5,000,ad,00 Carrier: Westfield Specialty Insurance Company TLI Tran by Tu Trao
<br />Nguyen
<br />N 9 u y e n Date: 2025.0
<br />RE: Project 4043-5 Santa Ana Zoo Lithomosaic 10:52:25 08'
<br />City of Santa Ana is named as Additional Insured as respects to the General Liability, Automobile Liability and Umbrella Liability. Waiver of Subrogation
<br />applies to the General Liability, Auto Liability, Workers Compensation, Umbrella Liability & Professional Liability. 30 Days' Notice of Cancellation applies.
<br />. ... . ........ . �A�PROVED
<br />City of Santa Ana
<br />Attention: PRCSA - Zoo
<br />Santa Ana Zoo - M-90
<br />1801 E Chestnut Ave.
<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 />ACORD 25 (2016/03)
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved,
<br />The ACORD name and logo are registered marks of ACORD
<br />
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