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AO ® DATE(MM1DDlYYYY)
<br /> V CERTIFICATE OF LIABILITY INSURANCE 1 016120 2 5
<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
<br /> Sequel Insurance Services, Inc. PHONE FAX
<br /> 111 Scripps Drive c N E •279-202-3979 Arc No):279-688-0001
<br /> Sacramento CA 95825 E-MAIL Gertificates@sequelins.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> License#:6010509 INSURER A:Westchester Surplus Lines Insurance Company 10172
<br /> INSURED ECORCON-01 INSURER B:Travelers Property Propegy Casualty Compga of America 25674
<br /> Consulting, Inc.
<br /> 2525 INSURER C:StarStone National Insurance Com art 25496
<br /> 525 W Warren Dr
<br /> Rocklin CA 95677-2167 INSURER D:ACE Pro petty&Casualty-Insurance Cam an 20699
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:695603910 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 NUMBER MMI��Y EFF MMIDD�YY LIMITS
<br /> LTR
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y G71832193006 10/1/2025 10/1/2026 EACH OCCURRENCE $4,000,000
<br /> CLAIMS-MADE � OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $140,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $4,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY X PET LOC PRODUCTS-COMPIOP AGO $4,000,000
<br /> OTHER: Deductible $10,000
<br /> D AUTOMOBILE LIABILITY Y Y H08475210006 10/1/2025 10/1/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS -
<br /> X HfRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> Comp/Coll Deductible $1.000
<br /> B UMBRELLA LIAB N OCCUR CUP-A0957690-25-NF 1011/2025 10/1/2026 EACH OCCURRENCE $5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED I X RETENTION$1 o nnn $
<br /> C WORKERS COMPENSATION Y T10251573 6/3/2025 6131202B XPER
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ERH
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ N r A E.L.EACH ACCIDENT $1,000,000
<br /> OFFlCER1MEMDEREXCLUDED7
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under -
<br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $11000,000
<br /> A Contractors Pollution Liability G71832193 006 1011/2025 10/1/2026 Each Pollution Cond. 4.000,000
<br /> Retro Date 101112621 Aggregate 4,004,OOD
<br /> Deductible 10,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Professional Liability-Carrier:Westchester Surplus.Lines Insurance Company-Policy#G71832193 006-Effective 10/1/2025-10/1/2026-Each Claim Limit:
<br /> $4,000,000-General Aggregate Limit:$4,000,000-Retro Date 10/1/2021 -Deductible:$10,000
<br /> Third Party Crime-Carrier:Travelers Casualty and Surety Company of America-Policy#106602012-Effective:10/112025-101112026-Employee Theft of
<br /> Client Property$1,000,000-Retention$10,000
<br /> Cyber Liability-Carrier: Houston Casualty Company-Policy#H24NGP231006-02-Effective: 10/112025-10/112026-Each Claim Limit:$2,000,000-Aggregate:
<br /> $2,000,000-Deductible:$26,000
<br /> See Attached...
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> ByTu Tran Nguyen at 11:54 am,Oct 06,2025
<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 Digitallysigned ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: PWA—CIP Engineering TU Tran byruTran
<br /> 20 Civic Center Plaza, M-26 Nguyen AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 Nguyen Date:zozs.Io.oe
<br /> ss:o7-aroo
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<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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