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AC"R©I CERTIFICATE OF LIABILITY INSURANCE r <br /> ATE(MMIDDIYYYY) <br /> �1 10/07/2025 <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 CONTACT Edward Taber <br /> NAME: <br /> Edward Taber Insurance PHONE 949IN Extl -421-3493 we Ne: 737 212-6650 <br /> 1312 CHALK LN E-MAIL ADDRESS: Edward@Taberinsurance.com <br /> INSURERS AFFORDING COVERAGE NAIC p <br /> CEDARPARK TX 78613-1429 INsuRERA: Gotham[nsurance Company 25569 <br /> INSURED INSURER B: Capitol Specialty Insurance Corporation 10328 <br /> SLS Property Management Solutions Inc. INSURER C: Westchester Specialty Insurance Services Inc 524126 <br /> 1776 Park Ave Ste 4-271 INSURER D <br /> INSURER E <br /> Park City UT 84060 INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 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 OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVDPOLICY NUMBER MMIDDIYYYY) (MMIDDJrYYYYl LIMITS <br /> X COMMERCIAL GENERAL LIABILITY 1,000,000 <br /> EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 100'000 <br /> X WOS MED EXP(Any one person) $ 5,000 <br /> A X PNCWording Y Y GL202500023370 07/25/2025 07/25/2026 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PRO JECT ❑ LOD PRODUCTS-COMP/OP AGG S 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED S4NGLE LIMIT $ <br /> Ea acddent) <br /> ANY AUTO HOD ILY INJURY(Per person) $ <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 <br /> B X EXCESS LIAR HCLAIMS-MADE Y CXS4059150 07/25/2025 C7/25/2026 AGGREGATE $ 2,000,000 <br /> ❑E❑ RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETORJPARTN ERIEXECUTIV E <br /> OFFICERIMEMHER EXCLUOED7 ❑ N 1 A E.L.EACH ACCIDENT $ <br /> )Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S <br /> If yes.describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 <br /> Pollution <br /> Occurrence 1,000,000 <br /> C TBA07092025 07/09/2025 07/09/2026 Aggregate 2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) <br /> Project Information:: Provide On-Call Trash,Weeds,Rubbish&Sanitation Abatement and Board-Up Services for the City of Santa Ana,A-2022-1 03-0 1 <br /> City of Santa Ana Risk Management Division,its officers,employees,volunteers officials,agents and representatives are named as additional insured as respects general <br /> liability for services provided by the named insured Coverage Is Primary and Non-Contributory.Certificate holder will be given 30 day cancellation notice in writing if the <br /> above policy is changed and cancelled. olgital€ysig­] <br /> Tu Tra n bXT— <br /> Coverage is primary by forms ISO CG 20 01 04 13,20 37 04 13 and MEGL 0241-01 05 16 Ng.yen <br /> Nguyen Da 2o25.1a.o7 APPROVED <br /> CERTIFICATE HOLDER CANCELLATION ByTu Trarr Nguyen at 70:02 am,Oct oa,zozs <br /> City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza,4th Floor <br /> Santa Ana Ca 92701 AUTHORIZED REPRESENTATIVE <br /> 6;7)� <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />