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'M <br /> ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MM/UDYYYY) <br /> 1 02/19/2026 <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 <br /> endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br /> statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Professional Resource PHONE (888)998-7742 ac,Ne) <br /> Insurance Agy, LLC EaT1AL <br /> 101 W. American Canyon Rd#508 ADDRESS: dhamid@priabrokers.com <br /> American Canyon, CA 94503 INSURERS)AFFORDING COVERAGE NAIC0 <br /> INSURER A: Hiscox Insurance Company Inc 10200 <br /> INSURED INSURERS: CorePOinte 10499 <br /> Bobko Law APC <br /> INSURER C <br /> 23 Corporate Plaza Dr.,Ste. 150 <br /> INSURER O <br /> Newport Beach,CA 92660 <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> TI115 IS TO CERTIFY TI IAT TI IC POLICIES Or INSURANCE LISTED BELOW I AVE BEEN ISSUED TO TI IC INSURED NAMED ADOVC FOR T1IE 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 Or SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ILTR TYPE OF INSURANCE .I=SUER JIM POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 <br /> CLAIMS-MADE �OCCUR PA MI E T O RENTED oQWnren S 100.000 <br /> X CGL is on BOP Form MED EXP(Any one Person) $ 10,000 <br /> A X X P104.053.620.1 10/25/2025 10/25/2026 PERSONAL A ADV INJURY 5 0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 <br /> X POLICY .PIFRr:OT LOC PRODUCTS-COMPIOP AGG S 4,000,000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> to accident <br /> ANY AUTO BODILY INJURY(Per lmr n) S <br /> ALA OWNED SCHEDULED 8031LY INJURY(Per accident) S <br /> AUTOS AUTOS <br /> NON-OWNED I PROPERTY DAMAGE S <br /> HIRED AUTCS AUTOS Pa arr.A4, <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR CLA MS-MADE AGGREGATE S <br /> DED F—FRETENTION 5 S <br /> WORKERS COMPENSATION PER OTH- <br /> ANU EMPLOYLHS LIABILI I Y YIN STATUTE I I ER <br /> ANYPROPRIETOR/PARTNER'EXECUTNE ❑ N/A C.L.CACII ACCIOCNT <br /> EXCLUDED9 S <br /> OFFICERWEMBER <br /> (Mandatory In NN) E.L.DISEASE-EA EMPLOYEE S <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> B Professional Liability CIC 1008190 00 08/23/2025 08/23/2026 Per Claim/ 2,000,000 <br /> Aggregate 4,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule-may be attached If more space Is required) <br /> City of Santa Ana, its City Council,officers, officials, employees,agents, and volunteers are to be covered as <br /> additional insureds with respect to General Liability coverage for liability arising out of work operations performed by <br /> or on behalf of Contractor including materials, parts, and equipment furnished in connection with such work or <br /> operations as provided by the general liability policy form. Cancellation notices will be provided as slated in the <br /> general liability policy form.Coverage is Primary and Non-Contributory.Waiver of subrogation applies. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City Attorney's Office ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE <br /> U 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> APPROVED <br /> By Tu Train Nguyen at 3:40 pm,Apr 27,2026 <br />