UNITED SITE SERVICES OF CALIFORNIA, INC. (3)

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ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD'YYYY) `..-� 12/11/2026 12/19/2025 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 policy(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 Lockton Companies,LLC CONTACT NAME: DBA Lockton Insurance Brokers,LLC in CA PHONE FAX CA license#OF15767 Io NoIL t A1C No; E-MA 444 W.47th St.,Ste.900 ADDRESS: Kansas City MO 64112-1906 INSURER$ AFFORDING COVERAGE NA1C# (816)960-9000 kcasu@lockton.com INSURER A:SafCty National Casualty Corporation 15105 INSURED UNITED SITE SERVICES OF CALIFORNIA,INC. INSURER B: 1508610 118 FLANDERS ROAD,SUITE 1000 INSURER C: WESTBOROUGH MA 01581 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 21515571 REVISION NUMBER: XXXXXXX 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP lTR POLICY NUMBER MMIDDIYY MMlDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY N N OL4057787 12/31/2025 12/3 V2026 EACH OCCURRENCE. $ 2 000 000 CLAIMS-MADE Fx]OCCUR PREMISES Ea occurrence $ 1 000 000 MED EXP(Any one person) $ 10 000 PERSONAL&ADV INJURY $ 1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 x POLICY❑pE�T LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY N N CA6675838 12/31/2025 12/31/2026 EOMaBINdEDtSINGLE LIMIT $ 3,000,000 X ANY AUTO BODILY INJURY(Per person) $ �Xy OWNED SCHEDULED BODILY INJURY Per accident $ XXXXyx AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Pcr accident $ Y_xXxxxx $ ��XXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XtYXrXXXty. EXCESS LIAR HCLAIMS-MADE AGGREGATE $ XXXXXXX DED RETFNTIoN S $ XXxxXXX A WORKERS COMPENSATION N X STATUTE ERH AND EMPLOYERS'LIABILITY YIN LDS4047370 12/31/2025 12/31/2026 ANY PROPRIETORIPARTNERJFXECUTIVE NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICERWEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE�1100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RR AGREEMENT:A-2022-078-02. APPROVED 8y Tu Tran Nguyen of 8:27 am,Jan si,z026 CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 21515571 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WfTH THE POLICY PROVISIONS, CIP/DESIGN ENGINEERING ATTN:PUBLIC WORKS AGENCY AUTHORIZED REPRESENTAT 20 CIVIC CENTER PLAZA SAN A ANA, CA 92701 O 1988 0IS ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD