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CERTIFICATE OF LIABILITY INSURANCE Dare{MMrnDNrrYl <br /> 0 112 9/2 026 <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 CONTACT Certificate Department <br /> NAME: p <br /> Newfront Insurance Services,LLC PHONE(Ajc NO. (415)754 3635 "C.No <br /> 777 Mariners Island Blvd E-MAIL CE)rts@rE)wfront.com s ewfront.com <br /> ADDRESS: C�3 <br /> Suite 250 INSURER 5 AFFORDING COVERAGE NAIL# <br /> San Mateo CA 94404 INSURER A: Service American Indemnity Company 39152 <br /> INSURED <br /> INSURER B <br /> Waterline Technologies Inc. INSURER C: <br /> INSURER D: <br /> 620 N Santiago St INSURER E: <br /> Santa Ana CA 92701 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 13E 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 LTR TYPE OF INSURANCE ADDL SU D POLICY NUMBER MMI�DNYW MMf00m P LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAG $ <br /> CLAIMS-MADE OCCUR PREMIS TO RENTEb <br /> PREMISES Eaoccurconce $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENT AGGRFGATF LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY❑PRO- <br /> POLICY ❑LIDO PRODUCTS-COMPIOPAGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accldnnt <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> P BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLALIAS OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YINSTATUTE ER <br /> ANYPROPRIETOWPARTNEWEXECUTIVE --- E-L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICEPJMEMBEREXCLUDED7 NIA X SAMTWC0031505 07/01/2025 07/0112026 <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 /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Waiver of subrogation applies in favor of the certificate holder with respect to Workers Compensation. <br /> APPROVED <br /> By To Tran Nguyen at 3:06 pm,Jan 29,2020 <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attention: (Public Works) <br /> AUTHORI2 ESENTATIVE <br /> 20 Civic Center Plaza M-11 <br /> Santa Ana CA 92701 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORID <br />