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ACC?R" CERTIFICATE OF LIABILITY INSURANCE DATE JMMI DIY YY) 025 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 endorsement($). PRODUCER CONTACT Edewood Partners Insurance Agency NAME: Gre tin COI Specialist 9 J Y PHONE FAX 3780 Mansell Rd. Suite 370 (AIQ,No,EX); 770.756.6599 AIC No):770.756.6599 Alpharetta GA 30022 ADDRESS: greylingoerts@greyling.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: National Union Fire Ins Co of Pittsburg19445 INSURED INSURER B Psornas 865 South Figueroa Street INSURERC: Suite 3200 INSURER D: Las Angeles CA 90017 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:286238244 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. INT ADDLSL R TYPE OF INSURANCE INSD R VD POLICY NUMBER FOLIC YYYY PO YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL5268212 41112025 411/2026 EACH OCCURHENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea 0 currencel $500,000 MED EXP(Any one person) $25,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY�JE� ❑ LOC PRODUCTS-COMPIOP AGG $4.000,000 OTHER: $ A AUTOMOBILE LIABILITY CA4489706 4/1/2025 411/2026 COMBINaccidEDentSiNGLELIMIT $2,000,000 Ea X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED FEODILY INJURY Per accident) $ AUTOS ONLY AUTOS X HIRED Ix NON-OWNED RTYDAMAGE $ AUTOS ONLY AUTOS ONLY ident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS PER A AND EMPLOYERS'NIA COMPENSATION WC72113158(AOS) 41112025 411/2026 X STATUTE QRH ANYPROPRIETORIPARTNERIEXECUTIVE YIN WC72113159(CA) 41112025 41i12026 OFFICERrMEMBEREXCLUDED? NIA E.L.EACH ACCIDENT $2,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES tACORD 101,Additional Remarks Schedule,may be attached It more space is required) 2SAN051900; COSA RFP-25-011 City of Santa Ana, its City Council,officers,officials,employees, agents,and volunteers are named as Additional Insureds with respects to General& Automobile Liability where required by written contract.Waiver of Subrogation in favor of Additional Insured(s)where required by written contract&allowed by law. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof,we will endeavor to provide 30 days' written notice(except 10 days for nonpayment of premium)to the Certificate Holder. OlgiW11,signed Tu Tran byT Th Ng"" Nguyen°; a'.aT2 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 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Public Works Agency 20 Civic Center Plaza (M-21) AUTHORIZED REPRESENTATIVE Santa Ana CA 92703 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD