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1l11I ?� CERTIFICATE OF LIABILITY INSURANCE DATE11512025 Y) \a..i� 01/16/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME?CT AP Inlego Insurance Group, LLC AP INTEGO INSURANCE GROUP, LLC PHONE Ext). 888-289-2939 FAxC me)- A: E-MAIL AooREss: ceds@apintego.com 375 Woodcliff Dr. Suite 103 INSURERS) AFFORDING COVERAGE NAIC H Fairport NY 14450 INSURER A: Hartford Fire &Its P&C Affiliates 00914 INSURED Kalzen Laboratories Inc. INSURERS: INSURER C : 56 Sean Ave INSURER D : INSURER E : Tracy CA 95391-1053 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE AODLSUSR INSR POLICY NUMBER POLICY EFF flMMIDDvYYYYI POUCYEXP (MMIDDMWILIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR I DAMAGE TO RENTED PREMISES Ea occurrence $ MET EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ POLICY PRO El LOC $ LIABILITY(E...id.rt) I I COMBINEDLE LIMITAUTOMOBILE BODILY INJURY (Par parson) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS H AUTOS PROPERTY DAMAGE Per eccldent $ $ UMBRELLA LIAB OCCUR r� EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION OTH- X A ANDEMPLOYERS'LIABILITY YIN ANVPROPRIBER EXCLUDED? OFFICEIMEMBEREXOLUDEW NIA err-��--''' I y 76WEGAT5TV9 08/01/2024 08/01/2025 TORV LTATUS E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE EA EMPLOYEE $ 1,000,000 (Mandatory In HH) f yes, describe under DESCRIPTION OF OPERATIONS bdoer E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Waiver of Subrogation is granted in favor of City of Santa Ana in regard to the Workers' Compensation. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Timothy Pagano, Recreation Deputy Director SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic center Plaza M-23 Sena Ana CA 92702 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Clear All i