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MM/DDfYYY AC"ROP CERTIFICATE OF LIABILITY INSURANCE DATa,lalzo25 Y> 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAMEAlliant Insurance Services, Inc. PHONE Pdullna Lipinski FAX 125 High St. Ste. 2205 c N Arc No: Boston MA 02110 E-MAIL Paulina.Lipinski@aIliant.com INSURERjS)AFFORDING COVERAGE NAIL# License#:OC36661 INSURERA:Homeland insurance Company of 34452 INSURED INSURER B: 120 Water, Inc, P.O. Box 604 INSURER C Zionsville IN 46077-0664 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:695074136 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 793-C1-34-30-CD00 7/7/2024 6f712025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO 1 E❑ PREMISES Ea o RENccurrence $100,000 MED EXP(Any one person) $10,000 PERSONAL&AOV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE $2,000,000 POLICY PR� LOC PRODUCTS-GOMPIOP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) 5 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accidentl S H I 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR El CLAIMS-MADE AGGREGATE S DED I I RETENTION 3 $ WORKERS COMPENSATION PER R OTH- E AND EMPLOYERS'LIABILITY Y I N STATUTE ANYPROPRIETORIPARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICERIM EMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under ❑ESCRf PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:END-TO-END LEAD AND COPPER COMPLIANCE PROGRAM SOLUTION RENFWAL SERVICES See the attached endorsements/policy forms for applicable requirements.Refer to page 30-31 for Separation of Insureds provision on the General Liability Tu TranDig.Tran9"w uy"Y" APPROVE© Nguyen ea�z.2—A6.26 07:2a1ew•oo' By Tu Tran Nguyen at 7:27 am,Jun 26,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: (Heidi Chou, Water Resources Division) 220 S. Daisy Avenue M-85 AUTHORIZED REPRESENTATIVE Santa Ana CA 92703 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD