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___"Wl� Policy Number: Date Entered: 6/2/2025
<br /> .4CORo® CERTIFICATE OF LIABILITY INSURANCE 7DATE(MMIDDNYYY)
<br /> 2/2025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTED 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 18 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 Jennie Maltese
<br /> & Associates Ins Agency, Inc, NAME:
<br /> 2190 Stokes Street AICNNo Ext: (408)286-1334 Ale No: (408)286-6425
<br /> E-MAIL Suite 201 ADDRESS:Jenni@@barnardinsurance.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> San Jose, CA 95128 Truck Insurance Exchan a 21709
<br /> INSURER A: g
<br /> INSURED Verde Design, Inc. INSURER 8:UNITED FINANCIAL CASUALTY COMPANY 11770
<br /> INSURER C:Truck Insurance Exchange 21709
<br /> 2455 The Alameda INSURER 0,Hartford Casualty Insurance Co. 29424
<br /> Suite 200 INSURERE:At-Bay Specialty Insurance Co.
<br /> Santa Clara, CA 95050
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS !S 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 ADOL SUER POLICY EFF POLICY EXP
<br /> LTRPOLICY NUMBER IMMIDDfYYYYI IMMIDwYYYY1LIMITS
<br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,00 0,000
<br /> A CLAIMS-MADE Ix OCCUR X X 605016326 06/13/2025 6/13/2026 DAMAGE TO RENTED 100 000
<br /> PREMISES Ea occu ence $
<br /> MED EXP{Any one person $5,00 0
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY ® j � LOG PRODUCTS-COMPfOPAGG $2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 000
<br /> Eaaccldent r ,000
<br /> 2
<br /> ANYAUTO X X 982474641 06/13/2025 6/13/2026 BODILY INJURY(Per person) $
<br /> B OWNED ASCHEDULED
<br /> AUTOS ONLY UT OS BODILY INJURY(Per accident) $
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per acddeni
<br /> C X UMBRELLA LIAR OCCUR x x EACH OCCURRENCE $5,000 r 000
<br /> EXCESS LIAB CLAIMS-MADE 605016330 06/13/2025 6/13/2026 AGGREGATE $5,000 r 000
<br /> DEU I RETENTION$ $
<br /> WORKERS COMPENSATION X I PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN
<br /> TU STATE ER
<br /> ANY PROPRIETORIPARTNERIEXEGU7IVE O6/13/2025 6/13/2026 E.L.EACH ACCIDENT $1,000,000
<br /> D OFFICERIMEMBEREXCLUDED? ❑ N/A X 57WECADIAHA
<br /> (Mandatory In NH) E,L,DISEASE-FA EMPLOYEE $1,000,000
<br /> If yes,describe under 1
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ,000,000
<br /> E Cyberliability A136622461-03 02/16/2024 2/16/2025 Per Claim $1,000,000
<br /> Deductible $5,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space Is required)
<br /> 30 days notice of cancellation; 10 days notice for nonpayment of premium
<br /> UMBRELLA LIABILITY IS FOLLOW FORM OVER GENERAL LIABILITY/AUTO LIABILITY and EMPLOYERS LIABILITY.
<br /> The City of Santa Ana, its officers, officials, employees, agents and volunteers are included as additiona
<br /> insured with respect to liability arising out of work or operations performed by or on behalf of the
<br /> Contractorincluding materials, parts or equipment furnished in connection with such work or operations.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Santa Ana Olgitallysigrud
<br /> Tu Tran by uyen Ng
<br /> Publiev works Agency Nguyen SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 20 Civic Center Plaza M-83 Nguyen Dam,.2025.06 s THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 08:5957-07,0' ACCORDANCE WITH THE,POLICY PROVISIONS.
<br /> Santa Ana CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> APPROVED
<br /> By Tu-Trar}Ngafye of 8 68 ©1988-2015 ACORID CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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