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CERTIFICATE OF LIABILITY INSURANCE r <br /> ATE(MMfDDfYYYY) <br /> 2/1012025 <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: Sherry Yburifl <br /> Risk Strategies Company PHONE - FAX <br /> 2040 Main Street, Suite 450 949-242-9237 A!c No: <br /> Irvine, CA 92614 AADDRess: s oun risk-strate ies,com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> www.risk-strategies.com CA DOI License No.OF06675 INSURER A: Citizens Insurance Company of America 31534 <br /> INSURED INSURERB: Allmerica Financial Benefit Insurance Co 41840 <br /> True North Compliance Services, Inc. INSURERC: The Hanover American Insurance Company 36064 <br /> 3939 Atlantic Avenue, Suite 224 <br /> Long Beach CA 90807 INSURER D: Argonaut Insurance Company 19801 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 83904623 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 ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD VfVD POLICY NUMBER MMIODIYYYY MMIDD YYYJ LIMITS <br /> A `/ COMMERCIAL GENERAL LIABILITY OB3J114022 8/27/2024 8/27/2025 EACH OCCURRENCE $2000000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence 51 000,00o <br /> VIED EXP(Any one person) $5,000 <br /> PERSONAL 8.AOV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s4,000,000 <br /> POLICY JEC ❑LOC PRODUCTS-COMPlOPAGG $4 000,000 <br /> OTHER: 3 <br /> B Au OMOBILE LIABILITY AW3J248741 12/9/2024 1219/2025 COMBINED SINGLELIMIT✓ Ea accident 31,000,000 <br /> ✓ ANY AUTO BODILY INJURY(Per person) S <br /> OWNED SCHEDULED Y BODILY INJURY Per accident <br /> AUTOS ONLY AUTOS t 1 S <br /> HIRED NON-OWNED PROPERTY DAMAGE S <br /> ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident <br /> S <br /> A / UMBRELLA LIAR / OCCUR 0B3J114022 8/27/2024 8/27/2025 EACH OCCURRENCE $2 000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $2 000,000 <br /> DEO I ✓I RETENTIONSQ $ <br /> C AND RKERSCOMP NSATIOIN YIN vVZ3J114000 8/27/2024 8/27/2025 ,/ SPER TATUTE ORH _ <br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S 1 000,000 <br /> OFFICERIMEMB ER EXCLUDED? ❑ NIA <br /> (Mandatory 1n NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,descrihe under <br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT 1 $1 00Q 000 <br /> D Professional Liability 121AE0217205-00 7��7 <br /> 25 Per Claim $2,000,000 <br /> Full Prior Acts Aggregate $4,000,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> itatllry.si` <br /> gned <br /> Projects as on file with the insured including but not limited to Building Safety Services. Tu Tran t Dyigm <br /> Ngunn <br /> The City of Santa Ana,its officers,officials,employees,and volunteers are named as additional insureds and Nguyen Dale 202502,i <br /> clause applies to the general liability policy and a waiver of subrogation applies to the 14.4e=15-0900 <br /> primary/non-contributory pR 9 Y R Y 9 pp <br /> auto liability policy-see attached endorsements. <br /> APPROVED <br /> By Tu Tran Nguyen at 2:39 pm,Feb 11, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Planning and Building Agency ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE <br /> RSC Insurance Brokerage <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 83904623 124-25 GL-AL-UR3H WC-PL I Sherry Young 1 2/10/2025 2;09:59 PN {PST1 I Page 1 of 7 <br />