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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> 01/30/2026
<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 endorsements .
<br /> PRODUCER CONTACT Ben Goode
<br /> NAME:
<br /> StateFarm State Farm Insurance and Financial Services a/O"N Est: (951)501-1000 ac No): (951)501-1001
<br /> Agent, Ben Goode E-MAIL s: ben@goodeagent.com
<br /> 41880 Kalmia Street,Suite 125 -ADDREINSURER(S)AFFORDING COVERAGE NAIC#
<br /> Murrieta CA 92562 INSURERA: State Farm Fire and Casualty Company 25143
<br /> INSURED INSURER B: State Farm Mutual Automobile Insurance Company 25178
<br /> Santolucito Dore Group, Inc. INSURER C 7
<br /> 31566 Railroad Canyon Road,Suite 2, PMB 10 INSURER D:
<br /> INSURER E:
<br /> Canyon Lake CA 92587 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
<br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> TED
<br /> CLAIMS-MADE � OCCUR -PRE'IS
<br /> SES(DAMAGE ToE.occurrence) $ 500,000
<br /> MED EXP(Any one person) $ 5,000
<br /> A Y Y 92-AO-0847-7 01/01/2026 01/01/2027 PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICYEl PRO LOC PRODUCTS-COMP/OPAGG $ 4,000,000
<br /> JECT
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY Y Y 730 1128-AO1-75 01/01/2026 07/01/2026 COEaMBINED ccidentS INGLE LIMIT $ 2,000,000
<br /> a
<br /> XANY AUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> A OFFICER/MEMBER EXCLUDED? YI NIA Y 92-TB-Z389-9 01/01/2026 01/01/2027
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Commercial Liability Umbrella Policy
<br /> A Y 92-J7-C947-7 01/01/2026 01/01/2027 Each Occurrence 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,officers,agents,employees,and volunteers are named a additionally insured on this policy pursuant to written contract,agreement, or
<br /> memorandum of understanding.Such insurance as is afforded by this policy shall be primary,and any insurance carried by City shall be excess and non
<br /> contributory.
<br /> APPROVED
<br /> By Tu Tran Nguyen at 2:46 pm,Feb 02,2026
<br /> CERTIFICATE HOLDER CANCELLATION
<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, its City Council, officers,officials,employees, ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> agents,and volunteers.
<br /> AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza
<br /> Santa Ana CA 92701,M-36
<br /> @ 1988-2015 A ORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> 1001486 132849.12 03-16-2016
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