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ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDIYYYY) �--� 5/612025 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(s). PRODUCER CONTACT Venbrook Insurance Services PHONE carols Kin 16815 Von Karman Avenue E 818-598-8965 A D No): Suite 184 ADDRESS: ckin venbrook.com Irvine, CA 92606 INSURERS AFFORDING COVERAGE NAIC# www.venbrook.com CA Lic No.OD80832 INSURER A: Hartford Underwriters Insurance Company 30104 INSURED INSURER B: Travelers Property Casualty Cc of Amer 25674 Monument ROW INSURER c: Underwriters at Lloyds of London 15642 8 Cobblestone Court Laguna Nigel CA 92677 INSURER : Scottsdale Insurance Company 41297 INSURER E: Travelers Excess and Surplus Lines Co 29696 INSURER F: Travelers Casualty and Surety Co of Amer 31194 COVERAGES CERTIFICATE NUMBER: 85170368 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICYNUMBER MMIDDfYYYY MMIDDIYYYY LIMITS A �/ COMMERCIAL GENERAL LIABILITY �/ `/ 72SBABRBLJ2 4123/2025 4/23/2026 EACH OCCURRENCE $1000000 DAMAGE TC RENTED CLAIMS-MADE OCCUR PREMISES Eaoccurrence $1 DDD DDD MED EXP(Any one person) $10 000 ✓ Deductible;none PERSONAL&ADV INJURY 51,000,00() GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 ✓ POLfCY PED ❑LOC PRODUCTS-COMPIOPAGG $2,000 000 OTHER: $ A AUTOMOBILE LIABILITY 72SBASR6LJ2 4/23/2025 4/23/2026 COMHENEDSINGLELIMIT $ Ea accident 1,000 DDD 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 A ✓ UMBRELLA LIAR H OCCUR 72SBABR6LJ2 4/23/2025 4/23/2026 EACH OCCURRENCE $5 000 OOO EXCESS LIAR CLAIMS-MADE AGGRFGATE $5 000 000 DE❑ ✓ RETENTION$10.000 $ B WORKERS COMPENSATION UB2Y3528922442G 4/23/2025 4/2312026 ,/ STATUTE ERH- AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETORfPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000 DDD OFFICERIMEMBEREXCLUDED7 N 1 A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s 1 OOO 000 C Professional Liability(Claims Made) MPL444730524 4/23/2025 4123/2026 $3,000,000 Each Claim/Aggregate Limit D Professional Liability(Excess) FKS3571558 4/23/2025 412412026 $3,000,000 Aggregate Limit E Cyber Liability CY610809647300 7/2412025 7124/2026 $2,000,0001 Per Occurrence F lCrime 108082890 7/1/2025 711/2026 $25 0001$2 500 ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 1 D1,Additional Remarks Schedule,may be attached if more space is required) Tu Tran yglta y signe b Tu Tran The City,its officers,officials,employees,and volunteers are included as an Additional Insureds with respects Nguyen to General Liability.Primary/Non-Contributory and Waiver of Subrogation apply in favor of the Additional Insured when required Nguyen Date;2025.o6.23 by written and signed contract. Subject to policy terms,conditions,and exclusions. 16:55:34-0/'00' APPROVED By Tu Tran Nguyen at 4:55 pm,Jun 23,2025 CERTIFICATE77— HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attention: Public Works Agency, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, CIP/Design Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92702, M-36 AUTHORIZED REPRESENTATIVE Jeffrey Lang O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 95170398 l 2025 GL, HNG, U1413, WC, PL I Carcla icing 15/6/2025 4:4a:20 PM (PDT) I Page 1 of 5 This certificate cancels and supersedes ALL previously issued certificates.