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A� �® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MWDDIYYYY) <br />05/07/2025 <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 <br />11 Bravo Insurance Services <br />Vanowen St. #307 <br />West Hills, CA 91307 <br />CONTACT <br />NAME: Daryl Zam <br />PHONE <br />N(818)351.5777 ac <br />818)351577823705 <br />ADDRESS: Daryl@llbravoins.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />License #: OM79887 <br />INSURERA: Gotham Insurance Company <br />INSURED <br />RON S S <br />INSURERB: Progressive West Ins Co <br />INSURERc: Nautilius Insurance Co <br />DBA: B NS CONSTRUCTION <br />INSURER0: Evanston Insurance Company <br />18440 HATTERAS ST 33 <br />INSURER E: <br />Tarzana, CA 91356 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 00001342-250402183763 REVISION NUMBER: 7 <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 CONTRACTOR 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVQ <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />IDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Fx OCCUR <br />Y <br />Y <br />GL202500028129 <br />01/07/2026 <br />01/07/2026 <br />EACH OCCURRENCE <br />$ 1000000 <br />PREMISES Ea occumence <br />$ 300 000 <br />MED EXP (Any one erson) <br />$ 5,000 <br />PERSONAL S ADV INJURY <br />$ 100000g <br />AGGREGATE LIM IT APPLIES PER: <br />POLICY JEC LOC <br />GENERAL AGGREGATE <br />$ 2000000 <br />GEN'L <br />PRODUCTS - COMP/OP AGG <br />$ 2000000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />993140787 <br />02/14/2025 <br />02/14/2026 <br />Ea eccmeDtSINGLE LIMIT <br />$ 1 000 000 <br />BODILY INJURY (Par person) <br />$ <br />X <br />ANY AUTO <br />X <br />OWNED SCHEDULED <br />AUTOS ONLY X AUTOS <br />BODILY INJURY (Par accident ) <br />$ <br />X <br />AUTOS ORED NLY X AUTOS ONLY <br />PROPERTY <br />rOeaRtlenDAMAGE <br />$ <br />3 <br />C <br />X <br />UMBRELLA LIAB <br />OCCUR <br />AN1346546 <br />04/28/2025 <br />01/07/2026 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 10000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />DELI f I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICER)MEMBER EXCLUDED? <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />D <br />Pollution Liability <br />CPLMOL131126 <br />04/28/2025 <br />04128/2026 <br />PerclaiMAggregate <br />$1Ml$21M <br />DESCRIPTION OFOPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached U more space is required) <br />Commercial umbrella for $5,000,000 per occurrence and $10,000,000 aggregate is over the commercial general liability (CGL) <br />and the commercial auto liability (AL) . Making the CGL $6,000,000 per occurrence and $11,000,000 aggregate and making the <br />AL: $6,000,000 combined single limit. City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers <br />are to be covered as additional insureds on Contractor's CGL and AL policies with respect to liability arising out of work <br />operations performed by or on behalf of Contractor including materials, parts, and equipment furnished in connection with <br />such work or operations and automobiles owned, leased, hired, or borrowed by or on behalf of Contractor. Additional insured <br />continued on ACORD 101 Additional Remarks Schedule <br />APPROVED — By Tu Tian Nguyen at 8:22 am, May 12, 2025 <br />City of Santa Ana <br />20 Civic Center Plaza Digitally signed <br />Santa Ana, CA 92701 Tu Train by Tu Tram <br />Nguyen <br />Nguyen0826 AToa= <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 />n 19RR-2016 ACORn OnRPnRATInN ell rinHYa .e�e...ed <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by DSZ on 05/07/2025 at 03:05PM <br />