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_ Page 1 of 2 <br /> aC40 11/11/2025 1 " CERTIFICATE OF LIABILITY INSURANCE DATE(M /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 CONTACT WTW Certificate Center <br /> NAME: <br /> Willis Towers Watson Northeast, Inc. <br /> c/o 26 Century Blvd PHONE 1-877-945-7378 F' 1-888-467-2378 <br /> A/C No Ext: A/C,No: <br /> E-MAIL certificates@wtwco.com <br /> P.O. Box 305191 ADDRESS: <br /> Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: Chubb National Insurance Company 10052 <br /> INSURED INSURER B: Federal Insurance Company 20281 <br /> Fifth Asset, Inc., d/b/a DebtBook <br /> 1930 Camden Road, Ste 200 INSURERC: Beazley Insurance Company Inc 37540 <br /> Charlotte, NC 28203 INSURERD: Fortegra Specialty Insurance Company 16823 <br /> INSURERE: Evanston Insurance Company 35378 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: W41749067 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 POLICYNUMBER MM/DD MM/DD <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> � OCCUR DAMAGERENTED <br /> CLAIMS-MADE <br /> PREMISESl(Ea occurrence) $ 1,000,000 <br /> A MED EXP(Any one person) $ 15,000 <br /> Y Y D02044584 11/01/2025 11/01/2026 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 <br /> X POLICY❑ PRO- <br /> POLICY ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ 1,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED (25)7363-73-01 11/01/2025 11/01/2026 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> X AUTOS ONLY X AUTOS ONLY Per accident <br /> B X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LAB CLAIMS-MADE 5671-92-36 11/01/2025 11/01/2026 AGGREGATE $ 5,000,000 <br /> DED X RETENTION$ 10,000 $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C CRIME V369A3250301 11/01/2025 11/01/2026 Limit Each Loss $1,000,000 <br /> Employee Theft Insured Property Deductible each loss $25,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> This Voids and Replaces Previously Issued Certificate Dated 11/06/2025 WITH ID: W41697941. <br /> SEE ATTACHED <br /> Digitally signed <br /> Tu Tran g,y an Nguyen APPROVED <br /> N <br /> N g u ye n Dete:2025.1113 <br /> 10:04:48-08'00 By Tu Tran Nguyen at 10:04 am,Nov 13,2025 <br /> CERTIFICATE HOLDER CANCELLATION <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 /> City of Santa Ana <br /> AUTHORIZED REPRESENTATIVE <br /> Finance & Management Services Agency, Acctg Division <br /> 20 Civic Center Plaza M-17 <br /> Santa Ana, CA 92701 +` <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> SR ID: 28854873 BATCH: 4202913 <br />