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ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO47M <br /> �1� 8/28/2026 r 8/26/2025 <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 Lackton Companies,LLC CONTACT <br /> NAME: <br /> DBA Lackton Insurance Brokers,LLC in CA PHONE FAX <br /> CA license#OF15767 LAIC No E t• fAfC No <br /> E-MAIL <br /> 444 W.47th St.,Ste.900 ADDRESS: <br /> Kansas City MO 64112-1906 INSURERS)AFFORDING COVERAGE NAIC# <br /> (a 16)96O-9oaD kcasu(ullockton.enm INSURER A:Zurich American Insurance Cornpapy 16535 <br /> INSURED DUDEK INSURERS:American Guarantee and Liab.Ins.Co. 26247 <br /> 1475838 605 THIRD STREET INSURER C:Continental Casual1y Company 20443 <br /> ENCPffTAS CA 92024 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 16765248 REVISION NUMBER: xxxxxXX <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 <br /> LTR INSD WVD POLICY NUMBER 4MMIDOMDO (MMIDDNYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y GLO0146311 8/28/2025 8/28/2026 <br /> EACH OCCURRENCE S 1000000 <br /> CLAIMS-MADE OCCUR PREMISES Ito occurrence $ 100,000 <br /> MED EXP(Any one person) S 10 000 <br /> PERSONAL&ADV INJURY $ 1 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY®JEQ I—XI LOC PRODUCTS-COMPIOPAGG $ 2,000,000 <br /> OTHER: $ <br /> A, AUTOMOBILE LIABILITY Y Y BAP0146329 8/28/2025 8/28/2026 EO accident) <br /> LIMIT $ 1 000 DDD <br /> X ANY AUTO BODILY INJURY(Per person) $ )Cy <br /> OWNED AUTOSSCHED <br /> BODILY INJURY Per accident $ �xX)��� <br /> AUTOS ONLY AUTOS ( ) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY per accident $ XxxXxxx <br /> $ xxxX <br /> B X UMBRELLA LIAR 1X 1 OCCUR N Y AUC0146407 9/28/2025 8/28/2026 EACH OCCURRENCE $ 11000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1 000.000 <br /> pF0 I I RETENTION$ $ XXXXXXx <br /> WORKERS COMPENSATION PER OTH- <br /> 1r <br /> A AND EMPLOYERS'LIABILITY YIN WC0146111 812812025 9/28/2026 X STATUTE I I ER <br /> ANY OFF ECUTIVE ICEWMEM ER EXCLUDED? E.L.EACH ACCIDENT $ 1.D00 000 <br /> NIA <br /> (Mandatory In NH) E.L.DISEASE-LA EMPLOYEE $ 1,000,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS bell I E.L.DISFASE-POLICY LIMIT I_$ 1 0QQ 000 <br /> C PROFESSIONAL N N EEH591932835 INCL POLL 8/28/2025 8/28/2026 PER CLAIM$2,000,000 <br /> LIABILITY AGGREGATE$2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (gCORD 101,Additional Remarks Schedule,may be attached It more space Is required) <br /> CITY OF SANTA ANA,OFFICERS,AGENTS,EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSURED ON GENERAL AND AUTO LIABILITY <br /> COVERAGE ON A PRIMARY,NON-CONTRIBUTORY BASIS,AS REQUIRED BY WRITTEN CONRACT WAIVER OF SUBROGATION IN FAVOR OF THE <br /> ADDITIONAL INSURED APPLIES ON WORK COMP,GENERAL,AUTO AND UMBRELLA LIABILITY COVERAGE,AS REQUIRED BY WRITTEN CONTRACT <br /> AND WHERE ALLOWED BY LAW,COVERAGE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. <br /> APPROVED <br /> By Tu Tran Nguyen at 7.44 am,Sep 02,2025 <br /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 16765248 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CITY OF,SAN.TA ANA ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ATTENTION:PUBLIC WORKS AGENCY, AUTHORIZED REFRESENTA <br /> CfP/DESIGN ENGINEERING <br /> 20 CIVIC CENTER PLAZA <br /> SAN AANA CA 92702,M-36 � <br /> @ 1988&2015 ACORD CORPORATION, All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />