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sec R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY) `� 05/13/2025 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 Me certificate holder Is an ADDITIONAL iN5 ED,the po Cy(€es)must 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 UUNIAUI NAME: Brandon Dempster JVRC Insurance Services PHONE 8187357600 Arc No Ext; {AIC,No€; 818-698-6401 5707 Corso Ave ADDRESS: serv€ces@jvrc€nsurance.com Ste 105 INSURERS)AFFORDING COVERAGE NAIC N Westlake Village CA 91362 INSURERA: Ategrlty Specialty Insurance Company 16427 INSURED INSURER B: Omaha National Insurance Company 16219 Angu€ano Lawn Care Inc INSURER C: PO Box 2849 INSURER D: INSURER E: Seal Beach CA 90740 INSURERF: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMlDDIWYY MMlDDIYYYY] LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE NOCCUR PREMISES Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y 0I-C-AK-P20084995-1 08/25/2024 08/25/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY�X JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accfdeM) $ HiREDAUTOS NON-OWNED AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY Y!N ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000 000 B OFFICERIMEMBER EXCLUDED? NIA Y ONCC11838 04 09/29/2024 09/29/2025 (Mandatory InNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE---POLICY UM IT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more spats Is requlred) City of Santa Ana,Its City Council,officers,officials,employees,agents,and volunteers are named as additional insureds with respect to Tu Tra n t,Digitally signed nb guy the general I€abil€ty policy.Waiver of subrogation applies with respect to the general liability and workers'compensation policies, '041e:.2025.05.21 Nguyen` 14A6:53-07'00' APPROVED By Tv Tran Nguyen at 2;46 pm,May 2i,202 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: CIP Engineering AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza,M-36 Santa Ana CA 92701 Jwela,W, ��..�ell O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD