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<br /> CERTIFICATE OF LIABILITY INSURANCE 05/1212025
<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((es)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 CONTACTJulia Traughb_er,CISR,CLCS _
<br /> Pacific Agents Alliance Insurance Agency; Julie Traughber Insurance Agenl 1 50.N10 F (818)203=2209 rA/c,No)! (626)799-7051
<br /> 524 S Rosemead Blvd ADDRESS: julie@julletraughberins.com
<br /> uliet hberins.com
<br /> ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC tF
<br /> Pasadena CA 91107 INSURERA: CONTINENTAL CASUALTY COMPANY 20443
<br /> INSURED
<br /> -INSURERS:
<br /> Argo Enterprises,Inc.dba: UniShield INSURERC: — .4
<br /> 599 4th St INSURER D: _ T
<br /> INSURER E t
<br /> San Fernando CA 91340 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 SUBR -- -- - POLICY EFF POLICY EXP ----
<br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDJYYnL LIMITS -
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE [/ ,,OCCUR CIAMAGE TO RENTED -
<br /> PREMISES Ea occurrenre $ 300,000
<br /> MFD FXP(Any one person) $ 10,000
<br /> A T X X B6024759005 03124/2025 03124/2026 PERSONAL&ADV INJURY $ 1,00D,000
<br /> ��GIE/EN'L AGGREGATE LIMIT APPLIES PER: � GENERAL AGGREGATE $ 2,000,000
<br /> /1 POLICY PRO- n
<br /> JECT Ls I LOC PRODUCTS-COMPIOP AGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> Ea accident_ - I $ _
<br /> ANY AUTO BODILY INJURY(Per person) ,$
<br /> B OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> H RED ONLY AUTOS PROPERTY DAMAGE
<br /> MIRED NON-OWNED -'-$
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> UMBRELLA LIAB OCCUR EACH OCC_UR_R_ENGE $ 3,000,000
<br /> A EXCESS LIAB CLAIMS-MADE B6024759019 03/24/2D25 03/24/2026 AGGREGATE $ 3,000,000
<br /> DED X RETENTION 10,000 -Y $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE,_ ER- _
<br /> ANY PROPRIETO WPARTNERIEXECUTiVE
<br /> CFFICERIMEMBER EXCLUDED? NIA E.L EACH ACCIDENT $
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
<br /> 11 yes,describe under DESCRIPTION OF OF OPERATIONS below E_L_DISEASE-POLICY LIMIT $
<br /> Employee Dishonesty, $1,000 deductible $25,000
<br /> A Forgery and Alteration 86024759005 03124/2025 03/24/2026 $1,000 deductible $25,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 161,A(loltional Remarks schedule,may be attached if more space is Mquired)
<br /> It is agreed that the City of Santa Ana,its officers,officials,employees and volunteers are named Additional Insureds with respect to liability arising out of work
<br /> or operations performed by or on behalf of the Contractor including materials,parts or equipment furnished in connection with such work or operations.
<br /> General Liability Form CG 2026(04113)is attached.This insurance is also Primary and Non-Contributory with respect to insurance or self-insurance programs
<br /> maintained by the City per Farm No.CG2001 (01104)attached. Any insurance or self-insurance maintained by the Entity,its officers,officials, employees or
<br /> volunteers shall be excess of the Contractoras insurance and shall not contribute with it per CG2404(10193)attached. It is also agreed that 30 Days'Notice of
<br /> Cancellation with 10 Days'Notice for Non-Payment of Premium in accordance with the policy provisions. All coverages are subject to the terms and conditions
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By TO Tran Nguyen at 9:47 am,Jun 09,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Dysanvs��ed ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana TLI Tran by Tu Tran
<br /> Nguyen
<br /> Risk Management Division Ng Uyen Da We 2025.06.09 AUTHORIZED REPRESENTATIVE
<br /> 09:aa:56-m-00
<br /> 20 Civic Center Plaza y
<br /> Santa Ana CA 92701
<br /> 01988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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