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,a`oRo° CERTIFICATE OF LIABILITY INSURANCE F DATE 9(MM/DD(MMIDD/YYYY) 5 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 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 NAME: Rita Shahbandarian TIB Transportation Insurance Brokers, LLC a/C"No Ext: 818-246-2800 p/C No:818-246-4690 425 W. Broadway E-MAIL Suite 300 ADDRESS: rhahbandarian@tibinsurance.com Glendale CA 91204-1269 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Lancer Insurance Company 26077 INSURED JFKTRAN-01 INSURER B: JFK Transportation Co., Inc. 980 W. 17th Street#B INSURERC: Santa Ana CA 92706 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:352513479 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y GL155905#25 8/25/2025 8/25/2026 EACH OCCURRENCE $5,000,000 CLAIMS-MADE � OCCUR DAMAGETORENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $5,000,000 X OTHER: $ A AUTOMOBILE LIABILITY Y Y BA155835#23 8/25/2025 8/25/2026 COMBINED SINGLE LIMIT $ Ea accident 5 000 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana, its City Council,officers,officials,employees,agents,and volunteers are added as Additional Insured, but only as respects the operations of the named insured and only to the extent the additional insured is held liable for the conduct of the named insured.Waiver of Subrogation applies but only as respects the sole negligence,errors&/or omissions of the named insured. Tu Tran Digitally signed by Tu Tran Nguyen APPROVED Nguyen Date: 4 05502 07 00' By Tu Tran Nguyen at 2:05 pm,Sep 11,2025 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, Attention: Parks, Recreation, and ACCORDANCE WITH THE POLICY PROVISIONS. Community Services Agency 20 Civic Center Plaza, CA 92701, M-23 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD