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A�`�® DATE(MMlDDNYYY)
<br /> AC� CERTIFICATE OF LIABILITY INSURANCE 112212026
<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 /> BHIS-Colossus-Alkeme Insurance NAME: Bonnie Me Ipr
<br /> PHONE
<br /> 1204 E Yorba Linda Blvd .619-908-6351 FAX No):
<br /> Placentia CA 92870 AOORESS: brneylor@alkemeins.com
<br /> INSURERS AFFORDING COVERAGE. NAIC#
<br /> INSURERA:infinity Select Insurance Co 20079
<br /> INSURED BRUCAND-03 INSURER B:Associated Industries Insurance Company,Inc. 23140
<br /> Bruce Anderson Enterprises, Inc.dba A's Construction
<br /> 1662 West McFadden Ave INSURER C:Ategrity Specialty Insurance Company 16427
<br /> Santa Ana CA 92704 INSURER0:Scottsdale Insurance Company 41297
<br /> INSURER E:State Compensation Insurance Fund of California 35076
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:401173303 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 AFFORDLD 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 /> I EXP
<br /> LTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MMID�mYY POLICY
<br /> LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY AES125773501 11/18/2025 11/18/2026 EACH OCCURRENCE $1.000,000
<br /> CLAIMS-MADE FTI OCCUR DAMAGE TO RENTED
<br /> PREMISE5 Ea occurnc ree $100,000
<br /> MED EXP(Any one person) $5.000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000
<br /> yI I PRO-
<br /> POLICY LOC PRODUCTS-COMPIOP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 50029783401 1/10/2026 1110/2027 EOaaB,1NEirl.DSINGLELIMIT $1,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED X SCHEDULED BODILY INJURY(Per aoekdent) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per acddant $
<br /> I _
<br /> ❑ UMBRELLA LAB X OCCUR CXS4067120 10I2112025 11118/2026 EACH OCCURRENCE $2,000,000
<br /> X EXCESS LIAS CLAIMS-MADE AGGREGATE $2.000,000
<br /> DIED I X RETENTION$
<br /> E WORKERS COMPENSATION 9352130 1/10/2026 1110/2027 X I PER OR
<br /> EMPLOYERS'LIABILITY Y 1 N STATUTE ER
<br /> ANYPROPRIETOPJPARTNERJEXECUTIVE N 1 A E.L.EACH ACCIDENT $1.,000,000
<br /> OFFICERIMEMBER EXCLUDED?
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> C Pollution Liabilty G48784586 001 10/612025 1016/2026 Each Condition 1,000,000
<br /> Aggregate 2.000.000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES ACORD 101.Additional Remarks Schedule,may be attached it more space is required)
<br /> The City of Santa Ana,its officers,officials,employees and volunteers are named as Additional Insureds applies per CG 2033 0413&CG 2037 0704 on a
<br /> Primary and Non-Contributory basis per attached form NXGL009 0809 and waiver of subrogation applies per attached form CG 2404 0509 as respects to
<br /> General Liability coverage per attached forms and are required by written contract with the named insured prior to an occurrence and subject to policy terms
<br /> and conditions as respects to insureds operations..
<br /> The City of Santa Ana,its officers,officials,employees and volunteers are named as Additional Insureds applies per attached farm and waiver of subrogation
<br /> applies per attached farm as respects to business auto liability coverage and are required by written contract with the named insured prior to an occurrence and
<br /> subject to policy terms and conditions as respects to insureds operations. [FORMS TO FOLLOW,Renewal Policy in Processing]
<br /> See Attached...
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> By Tu Tran Nguyen at 7.44 am,Jan 26,2026 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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Public Works Agency-Parks, Fleet, & Facilities S
<br /> 20 Civic Centre Plaza M-11 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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