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<br />A� " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />12/09/2025
<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
<br />CONTACT Pamela Sancho
<br />NAME:
<br />Insurance One Agency, L.C.
<br />(210) 402-0288 q c, (210) 402-4032
<br />ACNE. Ext : No):
<br />601 Embassy Oaks
<br />E-MAIL psancho@insuranceoneagency.com
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />Suite 101
<br />San Antonio TX 78216-2019
<br />INSDRERA : Atlantic Specialty Insurance
<br />27154
<br />INSURED
<br />INSURER B : Argonaut Insurance Co
<br />19801
<br />E.J. Ward, Inc.
<br />INSURER C :
<br />12621 Silicon Dr
<br />INSURER D :
<br />INSURER E :
<br />San Antonio TX 78249
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: CL2510221993 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MWDD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO
<br />PRRETED
<br />SES Ea occurrrence
<br />$ 500,000
<br />X
<br />MED EXP (Any one person)
<br />$ 10,000
<br />Pollution Liability
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />A
<br />7110163580007
<br />09/01/2025
<br />09/01/2026
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />X POLICY ❑ PRO ❑ LOC
<br />JECT
<br />PRODUCTS-COMP/OPAGG
<br />$ 2,000,000
<br />Employee Benefits
<br />$ 1,000,000
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />7110163580007
<br />09/01/2025
<br />09/01/2026
<br />BODI LY I NJ U RY (Pe r accide nt)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED �/ NON -OWNED
<br />AUTOS ONLY /� AUTOS ONLY
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />A
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />7110163580007
<br />09/01/2025
<br />09/01/2026
<br />DED I X1 RETENTION $ 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABI LI TY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />N/A
<br />WC929268845524
<br />09/01/2025
<br />09/01/2026
<br />X1 STER ATUTE EORH
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />Each Claim Limit
<br />$10,000,000
<br />A
<br />Errors &Omissions, Information Risk
<br />Communication Liabilitty
<br />7600104500007
<br />09/01/2025
<br />09/01/2026
<br />Aggregate Limit
<br />$10,000,000
<br />Retention
<br />$50,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />The General Liability & Auto liability policies has a provision providing a blanket additional insured, a waiver of subrogation, primary and noncontributory
<br />status to any entity who requests such treatment in a written contract or agreement. The Workers Compensation policy includes a blanket waiver of
<br />subrogation which is applied only when the certificate holder has a written contract to obtain such waiver from the insured.
<br />Digitally signed
<br />Tu Tran by Tu Tran
<br />Nguyen
<br />Nguyen084700-0800 APPROVED
<br />r IFRTIFIr ATIF Nr1I IIFR rAKIrIFI I ATIr1N IBy Tu Tran Nguyen at 8:46 am, Dec 10, 2025
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana - Human Resources Department
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92701
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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