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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE 3/10/2026
<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 /> IMA, Inc. -Pasadena PHONE IMA Certificate Team FAX
<br /> 3475 E. Foothill Boulevard A/c No EXt: .JC,No:
<br /> E-MSuite 100 ADDRESS: certificates@imacorp.com
<br /> Pasadena CA 91107 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:0008309 INSURERA: Fireman's Fund Insurance Company#8932 21873
<br /> INSURED CWFINCA-01 INSURERB: Benchmark Insurance Company 41394
<br /> CWF, Inc. dba Hundred House
<br /> 251 Front Street IlvsuRERc:Arch Insurance Company 11150
<br /> Covina CA 91723 INSURERD:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1638914880 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 POLICY NUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y UST006799260 2/1/2026 2/1/2027 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $1,000,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X El JECT
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y Y 11CABO529300 2/1/2026 2/1/2027 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED FIR ERTYDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> A X UMBRELLALIAB X OCCUR UST004376261 2/1/2026 2/1/2027 EACH OCCURRENCE $5,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$1 n nnn $
<br /> B WORKERS COMPENSATION Y WC0000334401 11/1/2025 11/1/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICE R/M EMBER EXCLUDED?
<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 /> A Equipment Floater UST006806260 2/1/2026 2/1/2027 Limit $5,500,000
<br /> Deductible $10,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Automobile Physical Damage: Policy: 11CAB0529300; Insurer:Arch Insurance Company; Effective Dates:2/1/2026 to 2/1/2027;
<br /> Comprehensive Ded$1,000 and Collision Ded$1,000;ACV.
<br /> Workers Compensation Information: Proprietors/Partners/Executive Officers/Members Excluded:subject to the policy terms and conditions.
<br /> The City of Santa Ana, it's officers,officials,employees,agents,volunteers,and representatives are included as Additional Insured on the General Liability,
<br /> Auto Liability Policy, if required by written contract or agreement,subject to the policy terms and conditions.This Insurance is Primary& Non-Contributory on
<br /> the General Liability Policy,if required by written contract or agreement,subject to the policy terms and conditions.A Waiver of Subrogation is provided in favor
<br /> See Attached...
<br /> CERTIFICATE HOLDER T�APPROVED CANCELLATION
<br /> Tu Tran Nguyen at 11:02 am,Mar 1$2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Parks, Recreation, and
<br /> Community Services Agency AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza, M-23
<br /> Santa Ana, CA 92701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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