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ACC)L> CERTIFICATE OF LIABILITY INSURANCE rATE i 91171202 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 pollcy(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 NAME: Lisa Ybarra ADrisure West Insurance Services, LLC PHONENo.Exi 714.516 2976 Arc No;714-516-2965 1950 W Corporate Way E-MAIL #1 ADDREss: I Barra acrisure.com Anaheim CA 92801-5373 INSURER(S)AFFORDING COVERAGE NAIC# 16009644 INSURERA:Chubb Indemnity Insurance Company 12777 INSURED OUTDDIM-01 IN5URERa:Federal Insurance Company 20281 Outdoor Dimensions, LLC 5325 E. Hunter Ave. INSURER C I Anaheim CA 92807 INSURER O: INSURER E o INSURER F: COVERAGES CERTIFICATE NUMBER:1638140527 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. INTR ADDLTYPE OF INSURANCE INSD SUBR POLICY NUMBER MMID�mYY MMJ�6� LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y D03293571 9/15/2025 9/15/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 X CONTRACTUAL LIAB MED i=XP An one (Any person) $10,000 X DEDUCTIBLE:$0 PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� JECT 11 LOC PRODUCTS-COMPlDP AGG $2,D00,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y 73655228 911512025 9/15/2026 (Ea acciaddentEDSfNGLELIMIT $1,000,000 Ea JX ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED IXCOMP/COLL NON-OWNED PROPERTY DAMAGEAUTOS ONLY AUTOS ONLY Per accident$1,000 DIED $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ B WORKERS COMPENSATION - Y 71645007 9/15/2025 W15/2026 X STATUTE ORH AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETORIPARTNERIEXECUTIVE NIA E.L,EACH ACCIDENT $1,000,000 OFFICEWMEMBEREXCLUE (Mandatory 1n NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) RE:PROJECT#22-1306 DIGITAL MARQUEES.CITY OF SANTA ANA, ITS OFFICERS,OFFICIALS,EMPLOYEES,AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AND WAIVER OF SUBROGATION AS RESPECTS TO GENERAL LIABILITY AND AUTO LIABILITY PER ENDORSEMENTS ATTACHED.WORKERS COMPENSATION WAIVER OF SUBROGATION APPLIES PER ENDORSEMENT ATTACHED. T % Digitally signed Tu Ira n by Tu Tran : `Nguyen i Nguyen Date:2025.09.18 APPROVED 15:46:59-07'00' By Tu Tran Nguyen at 3.46 pm,Sep 98, 2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE M-22 SANTA ANA CA 92703 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD