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,4c Ra® CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDIYYYY) 414/2025 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 the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER CONTANAME: KATO DAWOOD DAWOOD INSURANCE AGENCY PHONE 949 417-0204 A!C No: 714 842-9791 18000 Delaware St#304 ADDRR : kato dawoodinsurance.com Huntington Beach, CA 92648 INSURERS AFFORDING COVERAGE NAIC R INSURER A: ADMIRAL INSURANCE COMPANY 24856 INSURED INSURER B Pyramid Group International, Inc. INSURER C 25771 Rapid Falls Road INSURER D Laguna Hills, CA 92653 INSURERE: INSURER F: 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 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, ILTR TYPE OF INSURANCE ADDLJUM SUER POLICY NUMBER MMLDDIYYYYY MMfDDttYYYCY PI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X CLAIMS-MADE OCCUR PREMISES Ea Cc.'...) currence $ 50,000 MED EXP(Any one person) $ rj 000 A X x FEI-ECC-28399-04 3/22/2025 3/22/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 POLICY E PRO J£CT LOC PRODUCTS-COMP/OP AGG $ 2,000000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY per accident J $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ HDEL) RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY OFFICERIMEMO R EXCLUOED7 ECUTIVE ❑ N 1 A F.L.EACH ACCIDENT $ (Mandatory In NH) F.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ PROFESSIONAL LIABILITY Occurrence 2,000,000 A X x FET-ECC-28399-04 3/22/2025 3/22/2026 Aggregate 2,000,000 Claim Expense 1,000,000 DESCRIPTION OF OPERATIONS;LOCATIONS I VEHICLES (ACORD 101,Addlflonal Remarks Schedule,may be altached IF more space Is required) This Certificate of Insurance names: City,its City Council,officers,employees,agents and volunteers are named as additional insureds. Primary/Non-Contributory Endorsement form must be provided in addition to the Certificate of Insurance for General Liability included and N will follow upon the issuance of the policy. Tu TrBnbyruTr�ned Nguye Dgu�ake:en APPROVED n 11:1 SA9.0700, - - B-y_Tu_-T'ran.Nrguyec>-at IJ-IB am,Ajor-0 ,202ti_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ADDITIONAL INSURED THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. ATT;PUBLIC WORKS AGENCY,SUZANNE FURJANIC AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER PLAZA,M-11 SANTA ANA,CA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD