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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE 4/23/2026
<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 /> NAME: ESPI Service Team
<br /> Edgewood Partners Ins. Center PHONE FAX
<br /> 10877 White Rock Road Ste 300 A/c No Ext: A/C,NO):
<br /> E-MLic#0B29370 ADDRESS: espiserviceteam@epicbrokers.com
<br /> Rancho Cordova CA 95670 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Arch Specialty Insurance Company 21199
<br /> INSURED RIVEVIE1 INSURERB:Arch Insurance Company 11150
<br /> Santa Ana Golf LLC
<br /> dba: River View Golf Course INsuRERc:Travelers Property Casualty Co of Amer 25674
<br /> c/o CourseCo Inc. INSURERD: HDI Global Specialty SE 1340041
<br /> 5341 Old Redwood Hwy., Ste. 202 INSURERE: Hiscox Insurance Company Inc. 10200
<br /> Petaluma CA 94954
<br /> INSURERF: Homeland Insurance Company of New York 34452
<br /> COVERAGES CERTIFICATE NUMBER:994480225 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 EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y PGPKGO020500 5/1/2026 5/1/2027 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $1,000,000
<br /> MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY PRO ❑
<br /> JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X
<br /> OTHER: Pesticide/Herbicide $500,000
<br /> B AUTOMOBILE LIABILITY PGAUT0015300 5/1/2026 5/1/2027 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> C X UMBRELLALIAB X OCCUR EX5X57426626NF 1/1/2026 1/1/2027 EACH OCCURRENCE $5,000,000
<br /> D 18HX3338 1/1/2026 1/1/2027
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$Nnn, 2nd Layer occ/agg $15,000,000
<br /> WORKERS COMPENSATIONTH
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER NOT SERVICED BY
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $EPIC
<br /> OFFICE R/M EMBER EXCLUDED? ❑ N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> E Employee Dishonesty UC2566172826 5/1/2026 5/1/2027 Limit/Deductible $2,000,000/$10,000
<br /> F Pollution Liability 7930146440000 5/1/2026 5/1/2028 Limit/Deductible $2,000,000/$5,000
<br /> 1st&3rdParty Included
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: 1800 W Santa Clara Ave.,Satna Ana CA 92706. City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers are additional
<br /> insureds. Primary&Non-contributory and Waiver of Subrogation apply.
<br /> APPROVED
<br /> By Tu Tran Nguyen at 3:41 pm,May 05,2026
<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; Attn: Parks, Recs&Community Srvc ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Agency
<br /> 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE
<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 ACORD
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