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Client#: 2069117 SHCIV ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY) 10/07/2025 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONT WCT USI Insurance Services LLC PHONE Briana Parker 2375 E.Camelback Road,Suite 740 E-MAILS Ext:949.668-1818 Arc,No Phoenix,A2 85016 ADDft 8: briana.parker@usi.com INSURER(S)AFFORDING_COVERAGE _ NAIC# 877 468-6516 INSURER A:Colony Insurance Company 39993 INSURED 5&H Civilworks INSURER e:Arch Insurance Company 11150 1801 Hilltop Dr INSURER c:Admiral Insurance Company 24856 Colton,CA 92324 INSURER D INSURER E.- 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 CONTRACTOR 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. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE 1NSR 4NV6_ FOLICYNUMBER_ MMIDpIYYYY) (MWDPnTn LIMITS A X. COMMERCIAL GENERAL LIABILITY X X 600GLO21889900 03/17/2025 03/171202 -EACH OCCURRENCE $5 000 000 CLAIMS-MADE OCCUR DAMGETaoccuel occurrence) $100000 X; Bi/PD Ded:2,500 MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $1,000 000 GEOL AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $10,000,000 PR - POLICY 4 JECT n LOC PRODUCTS-COMP/OP AGG $10,000,000 OTHER: $ B AUTOMOBILE LIABILITY X X 'FBCAT0633200 3/1712025 03/17/202 .COMBINED k SINGLE LIMIT $5,000,000 ANY AUTO BODILY INJURY{Per person} $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) S HIRED AUTOS ONLY �!AUTOS ONELYY ! PROPERTY DAMAGE $ Per accklpnt $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED f RETENTION$ $ # --- - WORKERS COMPENSATION - ---- - - AND EMPLOYERS'LIABILITY YIN ST PER- OTH- T ANY PROPRIETORIPARTNER!EXECUTIVE^ E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? NIA (Mandatory In NH) '-'- I E.L.DISEASE-EA EMPLOYEE $ If yes.describe under ... DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Pollution Liab. X X FEIECC3651600 03/1712025 03/17/202 1,000,00012,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(AGGRO 1e1,Additional Remarks Schedule,may be attached If more space Is roquired) RE: Project: City Parks ADA Sidewalk Improvements Project(CDBG) DIgiWly signed Tu Tran N9 �" The General Liability and Auto Liability policy(s) includes an automatic Additional Insured endorsement Nguyen ozs,n.na that provides Additional Insured status to the Certificate Holder,only when there is a written contract oasass-oaoo that requires such status, and only with regard to work performed by or on behalf of the named insured.The (See Attached Descriptions) APPROVED CERTIFICATE HOLDER CANCELLATION By 7Lr Iran Nguyen at 8.56 am,Oct fib,2025 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Civic Center Dr.Suite 200 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE ® 8-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S51219501/M50640489 BXPJ D