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HomeMy WebLinkAboutDIVERSIFIED WATERSCAPE, INC.10SUMNIGE ON FILE cv WORK MAY PROCEED w UNTIL INSURANCE EXPIRES m C:) _ CLERK OF COUNCIL cr WE'. A-2023-024 AGREEMENT WITH DIVERSIFIED WATERSCAPES, INC. TO PROVIDE LAKE, STREAM, AND POND MAINTENANCE SERVICES G(y f Js)Lk\)) THIS AGREEMENT is made and entered into on this 21st day offebrrary, 2023 by and between Diversified Waterscapes, Inc. ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City'. RECITALS A. As set forth in Request for Proposal ("RFP") No. 22-093, the City desires to retain a Consultant ]raving special skill and knowledge in the field of. lake, steam, and pond maintenance; biological augmentation; fisheries management; pump installation and repair; fountains and aeration systems; water quality survey and monitoring; sedimentation analysts; shoreline repair; and aquatic treatment products that are formulated to be environmentally safe, biodegradable, and not -toxic to aquatic environments and safe to handle to improve water clarity and quality. B, Consultant represents that it is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: SCOPE OF SERVICES Consultant shall perform all services described in the "Scope of Work" section that was included in "Attachment V of RFP No. 22-093, which is attached hereto and fiilly incorporated herein by this reference as Exhibit A. Consultant and City shall further perform all services described in Consultant's proposal which is attached hereto and fully incorporated herein by this reference as Exhibit S. 2. COMPENSATION a, City agrees to pay, and Consultant agrees to accept as total payment for its services for City, the amount of $127,572.00 per year, or $10,631.00 per month, as further described and identified in Consultant's "Pricing Proposal" which is attached hereto and fully incorporated herein by this reference as Exhibit C. An annual contingency in an amount not to exceed $50,000.00 per year will be available, at the City's sole discretion, for on -call and/or emergency services, as well as for extra work and/or repairs to be performed by Consultant. The total amount to be expended during the term of this Agreement shall not exceed $887,860.00. Page 1 of 10 #253285v2 b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3, TERM This Agreement shall commence on February 21, 2023 for a three (3) year terns ending on February 20, 2026 with the option for the City to grant up to two (2), one-year extensions of the Agreornent, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier fit accordance with Section 15, below, 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an. independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. OWNERSHIP OF MATERIALS This Agreement creates a. non-exclusive and perpetual license for City to copy, use, modify, rouse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement (".Documents & Data"), Consultant shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 6. INSURANCE Consultant shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with theperfonnance of the work hereunder and the results of that work by the Consultant, his agents, representatives, employees or subcontractors. Page 2 of 10 #253285v2 A. Coverage shall be at least as broad as: 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering COL on oil "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with [knits no less than $2,000,000 per occurrence, If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (190 CO 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit, 2. Automobile Liability: Insurance Services Office Form Number CA 0001 covering any auto (Code 1), or if Consultant has no owned autos, hired (Code 8) and non -owned (Code 9) autos, with limit no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers' Compensation insurance as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease, 4. Contractors Pollution Liability and/or Errors & Omissions applicable to the work. being performed, with a limit no less than $2,000,000 per claim or occurrence and $2,000,000 aggregate per policy period of one year, If the Consultant maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Consultant. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. 5. Self -insured Retentions Self -insured retentions must be declared to and approved by the City. The City may require the Consultant or Consultant to purchase coverage with a lowerretention orprovide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self insured retention may be satisfied by either the named insured or City. B. Other insurance Provisions The General Liability, Automobile Liability, Contractors Pollution Liability, and/or Asbestos pollution policies are to contain, or be endorsed to contain, the following provisions: 1. The City, its officers, officials, employees, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Consultant including materials, parts or equipment furnished in connection with such work or operations. General liability coverage can be provided in the form of an endorsement to the Consultant's insurance (at least as broad as ISO Form CG 20 10, CG 1185 or both CG 20 10, CO 20 26, CG 20 33, or CO 20 38; and CG 20 37 forms if later revisions used), #253285v2 Page 3 of 10 2. For any claims related to this project, the Consultant's insurance coverage shall be primary insurance coverage at least as broad as ISO CG 20 01 0413 as respects the City, its officers, officials, employees, agents, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, agents, or volunteers shall be excess of file Consultant's insurance and shall not contribute with it. 3. Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the City. C. The Automobile Liability policy shall be endorsed to include Transportation Pollution Liability insurance, covering materials to be transported by Consultant pursuant to the contract. This coverage may also be provided on the Consultants Pollution Liability policy.. D. If Geaeral Liability, Contractors Pollution Liability and/or Asbestos Pollution Liability and/or Errors & Omissions coverages are written on a olaitns-made form: 1. The retroactive date must be shown, and must be before the date of the contractor the beginning of contract work. 2. Insurance must be maintained and evidence of insurance must be provided for at least five (5) years after completion of the contract of work. 3. If coverage is canceled or non -renewed, and not replaced with another claims -made policy form with a retroactive date prior to the contract effective date, the Consultant must purchase an extended period coverage for a minimum of five (5) years after completion of contract work. 4. A copy of the claims reporting requirements must be submitted to the City for review. 5. If the services involve lead -based paint or asbestos identification / remediation, the Consultants Pollution Liability shall not contain lead -based paint or asbestos exclusions. If the services involve mold identification / remediation, the Consultants Pollution Liability shall not contain a mold exclusion and the definition of "Pollution" shall include microbial matter including mold. E. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best rating of no less than ANII if admitted in the State of California. F, 'Verification of Coverage Consultant shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the COL policy listing all policy endorsements to City before work begins, However, failure to obtain the required documents prior to the work beginning shall not waive the Consultant's obligation to provide them. #k253285v2 Page 4 of 14 The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. G. Waiver of Subrogation Consultant hereby grants to City a waiver of subrogation which any insurer may acquire against City, its officers, officials, employees, and volunteers, fiom Consultant by virtue of the payment of any loss. Consultant agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from die insurer. The Workers' Compensation policy shall be endorsed with a waiver of subrogation in favor of the City for all work performed by the Consultant, its employees, agents, and subcontractors. H. Subcontractors Consultant shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Consultant shall ensure that City is an additional insured on insurance required from subcontractors. For CGI, coverage subcontractors sliall provide coverage with a format least as broad as CO 20 38 Oh 13, I. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. 7. INDEMNIFICATION Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Consultant, its subcontractors, agents, employees, or otber persons acting on its behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement apply to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been sufTered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selectedby the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in anylegal proceeding. Notwithstanding the foregoing, to the extent Consultant's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant. Page 5 of l0 #25328Sv2 8. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States, letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. 9. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable, Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. 10. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shalt not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to ,protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing; obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 12, NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, #253285v2 Page G of 10 sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching; training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 13, EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City, Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. 14, ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a, As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to mcot the standard of performance specified in the Recitals of this Agreement. #253285v2 Page 7 of 10 16. WAIVER No waiver of broach, failure of any condition, or any right or romedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy, No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other broach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 18. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies, Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, liconses, approvals, waivers, and exemptions. Said inability shall be cause for tormination of this Agreement. 19, NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ants 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702.-1988 Pax: 714- 647-6956 #253285v2 Page 8 of 10 With courtesy copies to: Nabil Saba, P.B. Executive Director, Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O, Box 1988 Santa Ana, California 92702 Fax: To Consultant: Patrick Simmsgeiger President Diversified Watersoapos, Inc. 27324 Camino Capistrano, Suite 213 Laguna Niguel, California 92766 Phone: 949-582-5414 Fax: 949-582-5420 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited In the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For proposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 20. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective patties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. The Agreement is the final and complete agreement and any prior or contemporaneous agreements for similar services between the parties is superseded by this Agreement. This shall not apply where the Parties are currently engaged and Consultant is providing services not contemplated by this Agreement. C. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. (signature page to follow) Page 9 of 10 #253285v2 A-2023-024 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: fS11 ling? lerk of t e Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: ,Jeathan T. Martinez Assistant City Attorney RECOMMENDED FOR APPROVAL: Nabil Saba, P.E. Executive Director Public Works Agency CITY OF SANTA ANA 7 Kristine Ridge City Manager DIVERSIFIED WATERSCAPES, INC. yPatrick Simmsgeiger President #253285v2 Page 10 of 10 Linares, Eduardo From: City of Santa Ana <certificate-request@ctrax jdidata.com> Sent: Friday, February 24, 2023 2:20 PM To: officemanager@dwiwater.com; Linares, Eduardo; Isabel.Vasquez@ioausa.com; Santamaria, Kevin Subject: Internal Notice of Compliance NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Diversified Waterscapes Inc Name: Project P025 7690 Number: Project Name: Lake Water Treatment Services The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE COI DATE FILE NAME AUTOMOBILE LIABILITY 6072293EI975B 11/19/2023 10/24/2022 Scan.pdf GENERAL LIABILITY EMP1900099804 05/15/2023 05/17/2022 Certificate.pdf Diversified WORKERS COMPENSATION AND EMPLOYERS' CWWCP10006137601 10/01/2023 10/24/2022 Waterscapes City of LIABILITY Santa Ana Risk Mgint Cert.pdf 1 DIVEWAT-01 VASQUEZI ,d►coRO CERTIFICATE OF LIABILITY INSURANCE #% DATE(MM/ 0YYYY) 5/16/2024 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 License # OE67768 IOA Insurance Servi 3009 Douglas Blvd. Suite 110 mngie Roseville, CA 956 N Ar•T lsab I Va UeZ • Prft ( ON 2 A A/ ): E-MAIL abel.Vas ez^loa a.com ADDRESS: �i CG • UR S NP JftVO4Cr%NAIC # IN u 1 r lu c 26620 INSURED I. C RER B : I JU. jn• Diversift Waterscapes Inc Lag U4 ino CA o g . eve d INSURER D ' ' ' WFIV,• • I COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X X EMP1900099806 5/15/2024 5/15/2025 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 POLLUTION PROFE $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson)$ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS -MADE EMX1900023406 5/15/2024 5/15/2025 AGGREGATE $ 2,000,000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Pollution Liability X EMP1900099806 5/15/2024 5/15/2025 Aggregate 2,000,000 A Professional Liabili EMP1900099806 5/15/2024 5/15/2025 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) PO Number 6785-1 The City of Santa Ana, it's officers, employees, agents, and representative are named as Additional Insured with respect to General Liability and Pollution when required by written contract per form# CG2010 0704 and PGI EL 018 0210 Certificate Holder is Additional Insured with respect to General Liability and is Primary and Non -Contributory, when required by written contract per form# PGI EL 020 0210 Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the Entity. City will be mailed 30 days written notice of policy cancellation. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREO ACCORDANCE WITH THE POLICY PRG RA Mougmumt DMsIan z, REVIEWED& APPROVED BY: AUTHORIZED REPRESENTATIVE �/q r"I Aavdo —mm,� Risk Management Specialist ACORD 25 (2016/03) © 1988-2015 ACORD The ACORD name and logo are registered marks of ACORD ACC DATE (MNrLDm'-'YI ACOW" OF LIABILITY INSURANCE 03/13/2024 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(ios) must 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 STATE FARM INSURANCE NAmE; GARY BLACKBURN GARY BLACKBURN, AGENT L1C# 0490552 PHONE9 94��s1-off_ _ FAX.Noi:949..5�� E-MAIL 23881 VIA FABRICANTE, STE 506 ADDRESS. GARY.BLACKBURN BBCZOSTATEFARM.COM ��� MISSION VIEJO, CA 92691 INSURERIS) AFFORDING COVERAGE NAICa INSURER A: State Farm Mutual Automobile Insurance Comaan r INSURERB: ___ 25178 INSURED DIVERSIFIED WATERSCAPES, INC 27324 CAMINO CAPISTRANO STE_ 213 LAGUNA NIGUEL, CA 92677 INSURER C: INSURER D. INSURER E INSURER F : COVERAGES rIPPTIFICATF NI uUll vo. APvI¢Int',t hu tnnul=o• 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; L1R TYPE OF INSURANCE ADD L BRA POLICY NUMBER POLICY EFF MMMDIYYYYI POLICY EXP immiDDlYYYY T_ I LIMITS GENERAL LIABILITY OOMMERCIAL GENERAL UABILITY CLAIMS -MADE ❑ OCCUR II I EACH OCCURRENCE PE I S E W PREMISES Ea accurrancs $ $ MED EXP (Any one person) $ PERSONAL & AOV INJURY _ $ T GENERAL AGGREGATE S -Y— GFFNE'L AGGREGATE LIMIT APPLIES PER s POLICY PRO LOC PRODUCTS - COMP/OP AGG $ $ A � AUTOMOBILE LIABILITY ANY AUTO ALLOWNED AUTC"SULED AUTOS I x AUTOS NON-OANED HIRED AUTOS x AUTOS Y Y 3321267-E05 75L 828 360T-E09-7SH 1i10512023 11108f2Ci23 t1lU5l2024 11I09}2ii24 CE® a6 NED SINGLE LIMIT nli $ I BODILY INJURY (Per Parson) S 1.000,000 BODILY INJURY (PeraccidenC) $ 1,000,000 PROPERTY DAMAGE - Psractident) __„ 5 1,fl00,1300 S UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS -MADE' EACH OCCURRENCE AGGREGATE $ ]� DED RETENTION $ $ i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRCPRIEYIN TORQARTNERIEXECUnVE j OFFICEIM EMBER FXCLU DED? ❑ (Mandatary In NH) 11 yes, de under rvw NIA WC ST.ATU- I OTH- ,-IMITS' E.L. EACH. ACCIDENT ' 5 E.L. O€SFA$E - EA FMPLOYE -- $ E.L. DISEASE- POLICY LIMIT S lI f DESCRIPTION OF OPERATIONS I LOCATIONS ! VEHICLES (Attach ACORD 10i, Additional Remarks Schedule, It mote space Is required) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES ARE ADDITIONAL INSUREDS. 628 3607-EO9-75H IS AN ENOL POLICY 332 1267-EO5-75L IS A 2006 TOYOTA TUNDRA CERTIFICATE OFF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION FICATE HOLDER CITY OF SANTA ANA RISK MANAGEMENT 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92701 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE 0 1988-2010 C( The ACORD name and logo are registered marks of ACORD oR,N F Risk MougmumtDivisian REVIEWED & APPROVED BY: o, z A Aav44 Risk Management Specialist / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/13/2024 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 CONTACT Vicki Rodriguez NAME: Insurance Incorporated aCONN. Ext : (877) 898-9333 IX No : (951) 300-9332 E-MAIL vrodriguez@insuranceinc.com ADDRESS: 3400 Central Ave INSURER(S) AFFORDING COVERAGE NAIC # Suite 220 INSURERA: CompWest Insurance Company 12177 Riverside CA 92506 INSURED INSURER B : INSURER C : Diversified Waterscapes, Inc. INSURER D : 27324 Camino Capistrano #213 INSURER E : INSURER F : Laguna Niguel CA 92677 COVERAGES CERTIFICATE NUMBER: 23 24 WC 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 CONTRACTOR 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ TO t CLAIMS -MADE OCCUR PREM IS (Ea occurrence)DAMAGE $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT. Ea aident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION X1 AOFFICER/MEMBEREXCLUDED? AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE (Mandatory in NH) NIA Y CWWCP10006137602 10/01/2023 10/01/2024 SPER TATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ 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 / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *30-Day Notice of Cancellation with the exception of 10-day notice of cancellation provided due to nonpayment of premium. 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 PRO) Risk Management Division RisieManagementDiviaian Civic Center Plaza, 4flo AUTHORIZED REPRESENTATIVE i REVIEWED/yT'& APPROVED BY: 20 1-If�l,-I-LAY T f > � av do Santa Ana CA 92702 — Risk Management Specialist ©1988-2015 ACOF ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: EMP 1900099805 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide a waiver of subrogation. However, this status exists only for the project specified in that contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement). The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. orz,N�F RiskMougementDMsian r' REVIEWED & APPROVED BY. x ® Risk Management Specialist CG 24 04 10 93 Insurance Services Office, Inc., 1992 Policy#: EMP19000998-06 PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT This endorsement changes the Policy. Please read it carefully. SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide Primary and/or Non-contributory status of this insurance. However, this status exists only for the project specified in that contract. In consideration of the premium charged, it is hereby agreed that this policy shall be considered primary to any similar insurance held by third parties in respect to work performed by you under any written contractual agreement with such third party. It is further agreed that any other insurance which the person(s) or organization(s) named in the schedule may have is excess and non-contributory to this insurance. PG EL 020 0210 orz,N�F RiskMougementDMsian r' REVIEWED & APPROVED BY. x ® Risk Management Specialist Policy Number: EMP1900099806 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an Additional insured. However, this status exists only Tor the project specified in that contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. orz,N�F RiskMougementDMsian r' REVIEWED & APPROVED BY. x ® Risk Management Specialist CG 20 10 07 04 POLICY NUMBER: EMP 1900099806 ADDITIONAL INSURED ENDORSEMENT This endorsement changes the Policy. Please read it carefully. This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY COVERAGE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. The person or organization shown in this Schedule is included as an insured, but only with respect to that person(s or organization(s liability arising out of COVERED OPERATIONS performed for that insured. PGI EL0180210 orz,N�F RiskMougementDMslcrn r' REVIEWED & APPROVED BY. x Ag�z AaN44 ®� Risk Management Specialist WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 03 13 C (Ed. 7-09) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be $ 500. Schedule Person or Organization Description Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10/01/2023 Policy No. CW WCP 100061376 02 Endorsement No. Insured DIVERSIFIED WATERSCAPES INC Premium: $0 Insurance Company COMPWEST INSURANCE Countersigned by COMPANY WC990313C (Ed. 7-09) oR,N F RiskMougementDMsian o REVIEWED & APPROVED BY. A-j�e Aczv44 Risk Management Specialist 5taW Farm State Pamr Mutual Automobile Insurance Company PC1 Box 2368 Bloomington IL 61702-2368 01507 NAMED INSURED 75-8127.4 A A au,s�o our SIMMSGEIGER, MARIA 8 PATRICK AND DIVERSIFIED WATERSCAPES, INC STE 213 27324 CAMINO CAPISTRANO LAGUNA NIGUEL CA 92677-1118 22958-4-A MATCH 01507 MUTT_ VOL DECLARATIONS PAGE PAGE 2 OF 2 POLICY NUMBER 628 3607-E09-75H POLICY PERIOD JAN 03 2024 to MAY 09 2024 12:01 A.M. Standard Time STATE FARM PAYMENT PLAN NUMBER 1346356523 NRSSAT1APPILUL�SUE-DOEM DECLARATIONS ACOINGTHOSEIS1TO YOU DTIN CIY OF SAN MARCOS, SUCCESSOR AGENCY TO THE ENT AGENCY, 1 CIVIC CENTER DR, SAN MARCOS CA INSURED -TURNER LOGISTICS AND TURNER CONSTRUCTION INSUR€D-©HtFFIELD COMMNUNITIE5,2INC., 133 E VINE ST, 9. INSURED-C DAR LAKE CAMP, INC./CEDAR LAKE LLC, PO BOX I�SURED-KFYMNE PROPERTY MANAGEMENT, LLC, 16775 VON R INE CA 92606-4966. INSURED -LAKES AT MENIFEE, 30416 LAGUNA VISTA DR, INSURED -PERSONALIZED PROPERTY MANAGEMENT, 65-950 4L CTY CA 92234-9999. INSUREDS&L ASSOCIATION MANAGEMENT INCCONDD, 43525 INSURED -VILLAGE 3316JAN HOMECYN RS ASSOC AND DOVE C ENT LLC 3001 RED HILL AVE ST-200, COSTA MESA ggC,,A INSUR©NK RFO-ti- %FOLARQTNTA, 495HCAELENTAMPIT OF PARKS O, LA INSURED -CITY OF SANTA�7 ANA RISK MANAGEMENT DIVISION, 20 INtUREDTEAAgSTLAKE 92HQA &OWALTERS MANAGEMENT, 9665 INSURED-FFpI77RSr�TASERVICEIRESIDENTIAL CALIFORNIA LLC, 6190 INSURED- �lERSTONE PRpPERTY E�MT INC ATTN: RISE( ENTER DR STE 300 IRV NE CA 92618-4645. INSURED-FH� TR I�IE�qCCOMPANY LLC IRVINE MANAGEMENT CO., INSURED-30 AOY$$$-CITYCOFCTEMECULLAZC1/0 EXIGIS INSURANCE PIBO466 NEW YY?RK NY 10163-4668. OMMUNITIES INC LAKE CAMP ISVV-1RARSCPLEESUR©6092 SOTRUST PIVOTAL LLC, 12335 NDER THE LIABILITY COVERAGE. SO PTRESHMAYEpp4H2024. -E F_MAY 09 2024. 09155/ 112 05 iut rcF ;os-ozswy irw (.I.Ozkj FOR AE IRVINE Agent: GARY BLACKBURN Telephone: (949)581.0800 Prepared JAN 23 2024 81 Risk MougmumtDMsian REVIEWED & APPROVED BY: Ag�z Acev44 ® Risk Management Specialist DIVEWAT-01 VASQUEZI r ACOROW CERTIFICATE OF LIABILITY INSURANCE FWDATE (MMIDDIYYYY) 7/7/2025 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 License # OE67768 CONTACT Isabel Vasquez NAME: PHONE FAX (A/C, No, Ext): (916) 692-7022 (A/C, No): IOA Insurance Services 3009 Douglas Blvd. Suite 110 E-MAIL-ADDRESS: Isabel.Vasquez@ioausa.com Roseville, CA 95661 INSURERS AFFORDING COVERAGE NAIC # INSURERA:AXIS Surplus Insurance Company 26620 INSURED INSURER B : INSURER C7 Diversified Waterscapes Inc INSURERD: 27324 Camino Capistrano #213 Laguna Niguel, CA 92677 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 rl CLAIMS -MADE X OCCUR X X EMP1900099807 5/15/2025 5/15/2026 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 POLLUTION PROFE $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE ccident Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS -MADE EMX1900023407 5/15/2025 5/15/2026 AGGREGATE $ 2,000,000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Pollution Liability X EMP1900099807 5/15/2025 5/15/2026 Aggregate 2,000,000 A Pollution Liability EMP1900099807 5/15/2025 5/15/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) PO Number 6785-1 The City of Santa Ana, it's officers, employees, agents, and representative are named as Additional Insured with respect to General Liability and Pollution when required by written contract per form# CG2010 0704 and PGI EL 018 0210 Certificate Holder is Additional Insured with respect to General Liability and is Primary and Non -Contributory, when required by written contract per form# PGI EL 020 0210 Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the Entity. City will be mailed 30 days written notice of policy cancellation. APPROVED By Tu Tran Nguyen at 9:34 am, Aug 05, 2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division Digitally signed 20 Civic Center Plaza, 4th floor TU Tran .,NvT nan �' c�r� An. re o��n� N,,,�„a� ar'r1Rr1 9r, /9n1R/n31 rn 1QRR_9n15 tlr11Rr1 r71RPr1R1lTIrlNI All rinhtc racaruarl The ACORD name and logo are registered marks of ACORD AC")?"?0 C" CERTIFICATE 4F LIABILITY INSURANCE DATE(MMIDDAYYY) 07/17/2025 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 STATE FARM INSURANCE GARY BLACKBURN, AGENT LIC# 0490552 23881 VIA FABRICANTE, S7E 506 LiMISSION VIEJO, CA 92691 CONTACT NAME: GARY BLACKBURN PHONE . a " 81-08o j. 949-581-1400 1-1 aDDREss: GARY.BLACKBURN.B8CZ STATEFARM.COM INSURER(S) AFFORDING COVERAGE NAIC u INSURER A: State Farm Mutual Automobile Insurance ComDanv 2S178 INSURED DIVERSIFIED WATERSCAPES, INC INSURERS: INSURERC: 27324 CAMINO CAPISTRANO STE. 213 LAGUNA NIGUEL, CA 92677 INSURERD: INSURER E : INSURER F : rn.r�nnr_�cc r`=0TIl7ir`ATK MI IIURPP- REVISION NUMBER: f 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE LIM ADDLSU9R POLICY NUMBER MMIDD1YYYIr OLICY EFF MMIOD.IYl YY LIMITS GENERAL LIABILITY ❑ EACH OCCURRENCE $ DAMAGE TO R PREMISES Ea occurcence $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ $ POLICY PRO» LOC A AUTOMOBILE. LIABILITY �,. FY �OMarB1INdEeDISINGLE LIMIT $ BODILY INJURY (Per person) S 1.000,000 ANY AUTO 332 1267-EOS-76U 05/0512025 11105/2025 BODILY iNJURY (Per accident) S 1,000,000 ALL OWNED SCHEDULED AUTOS NAUTOS ON -OWNED HIRED AUTOS x AUTOS Ix 3607-E09-753 05/09/2025 11/09/2028 PROPERTY DAMAGE PROPERTY Per accident $ 1,000,000 UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION WC STATU- OTH- LIMTa I ITY AND EMPLOYERS' LIABILY ANY PROPRIETORIPARTNERIEXECUTNE � OFFICE�MEMBER EXCLUDED? I N ! A ❑ E.L. EACH ACCIDENT $ _ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT I S IF yes, descdhe under APPROVED By Tu Tran Nguyen at 9:34 am, Aug O5, 2025 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES ARE ADDITIONAL INSUREDS. 628 3607-E09-75S IS AN ENOL POLICY 332 1267-EO5-75U IS A 2006 TOYOTA TUNDRA CERTIFICATE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA, 4TH FLOOR AUTHORIZED RE.PRE A19VE SANTA ANA, CA 92701 O 1988-2,P1G'lllkCGRlD CORPORATION, All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of A RD 1001486 132849.6 11-15-2010 Policy#: EMP19000998-07 PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT This endorsement changes the Policy. Please read it carefully. SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide Primary and/or Non-contributory status of this insurance. However, this status exists only for the project specified in that contract. In consideration of the premium charged, it is hereby agreed that this policy shall be considered primary to any similar insurance held by third parties in respect to work performed by you under any written contractual agreement with such third party. It is further agreed that any other insurance which the person(s) or organization(s) named in the schedule may have is excess and non-contributory to this insurance. PG EL 020 0210 Page 1 of 1 Policy Number: EMP1900099807 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an Additional insured. However, this status exists only Tor the project specified in that contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 POLICY NUMBER: EMP 1900099807 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide a waiver of subrogation. However, this status exists only for the project specified in that contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement). The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 Insurance Services Office, Inc., 1992 POLICY NUMBER: EMP 1900099807 ADDITIONAL INSURED ENDORSEMENT This endorsement changes the Policy. Please read it carefully. This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY COVERAGE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. The person or organization shown in this Schedule is included as an insured, but only with respect to that person(s or organization(s liability arising out of COVERED OPERATIONS performed for that insured. PGI EL 018 0210 Page 1 of 1 7 State Farm Mutual Automobile Insurance Company PO Box 2368 Bloomington 1L 61702-2368 NAMED INSURED 01000 75-8127-4 A 001- - SIMMSGEIGER, MARIA 8 PATRICK AND DIVERSIFIED WATERSCAPES, INC STE 213 27324 CAMINO CAPISTRANO LAGUNA NIGUEL CA 92677-1118 ❑O NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE, THEN A SEPARATE STATEMENT IS ENCLOSED. 95788-4-A MATCH 01DOO MUTL VOL DECLARATIONS PAGE PAGE 1 OF 2 POLICY NUMBER 628 3607-E09 75U POLICY PERIOD JUL 17 2025 to NOV 09 2025 12:01 A.M- Standard Time STATE FARM PAYMENT PLAN NUMBER 1346356523 AGENT GARY BLACKBURN 23881 VIA FABRICANTE STE 506 MISSION VIEJO, CA 92691-3139 PHONE- (949)581-0800 YOUR CAR YEAR MAKE MODEL BODY STYLE VEHICLE iD. NUMBER CLASS NONOWNF❑ AUTO 670ADP0002 SYMBOLS COVERAGE. & LIMITS r PREMIUMS A liability Coverage H..k35.1 Bodily Injury Limits Each Person, Each $1 ,00D,000 $1 ,000,000 Property Damage,. Each Accident $1,000,000 lJ Uninsured Motor Vehicle Coverages. Bodily Injury Limits Each Person, Each Accident 100.000 $300,000 Total premium for JUL 17 2025 1161ft Ill 141. 99 This is not a hill, IMPORTANT MESSAGES IMPORTANT NOTICE For your protection California law requires the following to appear with this policy. Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is fines guilty of a crime and may be subject to and confinement in state prison. Replaced policy number 6283607-75T. Notice of insurance information collection practices - personal, family, or household insurance transactions: We ma collect customer information from persons other than the individual or individuals applying for coverage. Such customer information as well as other personal or privileged information subsequently collected may, in certain circumstances, be disclosed to third parties without your authorization as permitted by law. You have the right to submit a written request to access, correct, amend, or delete your personal information and the right to receive a response wdhin 30 days of submitting your request. If we deny your request, you have the right to file a statement with us containing the information you feel is accurate and fair along with the reasons you disagree with our denial. Instructions on how to file such request and our full privacy notice can be found www.statetarm.com/oustomer-carelpiivacy-security/privacy or contact your State Farm Agent. Your total renewal premium for MAY 09 2025 to NOV 09 2025 is $228.28. Location used to determine rate charged-29641 VIA CEBOLLA, LAGUNA NIGUEL CA 92677. CONTINUED 08764107456 See Reverse Side 1 M-38M CA.2 95-2042 [o,ao�rlc( 11SXON (olooate) This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS 1. Membership. While this policy is in force, the first insured shown on the Declarations Page is entitled to vote at all meetings of members and to receive dividends the Board of Directors in its discretion may declare in accordance with reasonable classifications and groupings of policyholders established by such Board. 2_ No Contingent Liability. This policy is non -assessable. a_ Annual Meeting. The annual meeting of the members of the company shall be held at its home office at Bloomington, Illinois, on the second Monday of June at the hour of t 0:00 A.M.. unless the Board of Directors shall elect to change the time and place of such meeting, in which case, but not otherwise, due notice shall be mailed each member at the address disclosed in this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary President Important ... California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be tiled only after you and Statl Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to: California Department of Insurance Consumer Servoes Division 300 South Spring Street Los Angeles, CA 90013 Or file a complaint through the Department of Insurance's Internet Web site (www.insurance.ca.gov) Or call toll free 1-800-927-HELP (4357) NOTICE We are required to furnish you with the following information: i . An autorobile liability insurance company may cancel a policy before the end of the current policy period for reasons described in the provision titled Cancellation which is located in the General Terms section of your policy (refer to the Contents in the beginning of your poVicy for the page number). 2 An automobile liability insurance company may increase the premium or refuse to renew the policy for any of the following reasons. a. Accident involvement by an insured, and whether an insured is a1 fault in the accident. b. A change in, or an addition of, an insured vehicle. G. A change in, or addition of, an insured under the policy. d. A change in the location of garaging of an insured vehicle, e. A change in the use of the insured vehicle. f. Convictions for violating any provision of the Vehicle Code or the Penal Code relating to the operation of a motor vehicle. g. The payment made by an insurer due to a claim filed by an insured or a third party. An automobile liability insurance company may increase the premium or refuse to renew the policy for reasons that are not listed above but which are lawful and not unfairly discriminatory. c b2 B10 :ate 1 ~arin State Farm Mutual Automobile Insurance Company 96788-4-A MATCH 01000 MUTL VOL -� PO Box 2368 Bloomington IL 61702-2368 DECLARATIONS PAGE PAGE 2 OF 2 01000 NAMED INSURED 75-8127-4 A A POLICY - NUMBER 6283607-EO9-75URI 0mm� axis - - JU._.--- -- -... - - SIMMSGEIGER, MARIA & PATRICK POLICY PEOD L— 1-7 2025 to NOV 09 2025 AND DIVERSIFIED WATERSCAPES, 12:01 A.M. Standard Time INC STE 213 STATE FAHM PAYMENT PLAN NUMBER 27324 CAMINO CAPISTRANO 1346356523 LAGUNA NIGUEL CA 92677-1118 EXCEPTIONS, POLICY BOOKLET & ENDOFISON ENTS (See policy booklet &1 individual endorsements far coverage details.) YOUR POLICY CONSISTS OF THIS DECLARATIONS PAGE THE POLICY 30OKLET - FORM 9805E AND ANY ENDORSEMENTS THAT APPLY, INCLUDING THOSE ISSUED TO YOU WITH ANY S6BSETUENT RENEWAL NOTICE. 01 6028BU ADDITIONAL INSURED -CITY OF SAN MARCOS, SUCCESSOR AGENCY TO THE SAN MARCOS REDEVELOPMENT AGENCY, 1 CIVIC CENTER DR, SAN MARCOS CA 92069-2918. 02 6028RU ADDITIONAL INSURED -KEYSTONE PROPERTY MANAGEMENT, LLC, 240 COMMERCE STE 200 IRVINE CA 92602-5005. 03 6028BU ADDITINAL INSURED -LAKES AT MFNIFFF, 30416 LAGUNA VISTA DR, MENIFEE CA 92584-9999. 04 6028BU ADDITIONAL INSURED-AVALON MANAGEMENT GROUP INC, 31608 RAILROAD CANYON RD, CANYON LAKE CA 92587-9556.. D5 6028BU ADDITIONAL INSURED -VILLAGE SAN JUAN HOMEOWNERS ASSOC AND PROGRESSIVE ASSOC MGMT 1290 N "ANCOCK ST STE 103 ANAHEIM CA 92BO7-1925. 06 6028RU ADDITIONAL INSUREO-COUNTY OF LOS ANGELES DEPARTMENT OF PARKS & RECREATION CONTRACTS DIVISION 1000 S FREMONT AVE ALHAMBRA CA 91803-1323. 07 6028BU ADDITIONAL INSURED-OITY OF LA QUINTA, 70495 CALLS TAMPICO, LA UINTA CA 92253-2839. 8 6028BU ADDITIONAL INSURED -CITY OF SANTA ANA RISK MANAGEMENT DIVISION, 20 CIVIC CENTER PLZ FL 4TH SANTA ANA CA 92701-4058. 09 6028BU ADDITIONAL WUREO-LASTLAKE 1 HOA & WALTERS MANAGEMENT, 9665 CHESAPEAKE DR STE 300 SAN DIEGO CA 92123-1364. 10 6028BU ADDITIONAL ENSURED -FIRST SERVICE RESIDENTIAL CALIFORNIA LLC, 6190 TAYLOR DR STE B FLINT MI 48507-4691. 11 6028BU ADDITIONAL INSURED-POWERSTONE PROPERTY MGMT INC ATTN: RISK 12N6028BUOADDITIONALCINSURED-THEEIRVINEICOMPANYAL IRfflESMANAGEMENT CO., ISAOA 550 NEWPORT CENTER OR, NEWPO T BEACH CA 92660-7 10. 13 60'�8RU ADDITIONAL INSURED-30 DAYS -CITY OF TEMECULA C /0 EXIGIS INSURANCE 14M6028BU ADDITIONAL INSURED-CTT1l OFWESCCONDIDO10201-N6BROADWAY, ESCONDIDO CA 92025-2709. 15 6028BU ADDITIONAL INSURED -THE CITY OF HUNTINGTON BEACH, 2000 MAIN ST, HUNTINGTN BCH CA 92648-2763. 16 6028BU ADDITIONAL INSURED-COACiiELLA VALLEY WATER DISTRICT, PO BOX 1088, COACHELLA CA 92236-1088. 17 6028BU ADDITIONAL INSURED-RMV PA3 DFVFLDPMENT LLC RM COMMUNITY DEI LLC RANCHO MISSION VIEJO LLC, 10805 HOLDER ST STE 23D CYPRESS CA 90630- 146. 18 6028BU ADDITIONAL INSURFD-LOS ANGELES UNIFIED SCHOOL DISTRICT & THE BOARD -OF EDUCATION OF THE CITY OF LA, 333 S BEAUDRY AVE FL 28, LDS ANGELES VEHICLE SHARING. WANNER &O SUgROGATION-UNDERyTHE-LIABIE!TY COVERAGE FOR ONNI HOLDINGS LLC; OMNI CONTRACTING CALIFORNIA INC- THE IRVINE CO- MGMT CO- CITY OF ECONDIDO• THE CITYT OF HUNTINGTON BEACH; COACHELL WATER DIST- ASSES MGMT LLC• TM PA3 DFV LLC- RM COMMUNITY DEV LLC; MRMV1SANVJUAN WATNSHEORLLALC; THECCITTYBOFASANTANANAVRISKEMGMNORTH . Agent: GARY BLACKBURN Telephone:(949)581-0800 08765107456 Prepared AUG 04 2025 8127-A64 IM13M CA (Y,2002 (n1n0250) (01.025an) 13SX0 (0100251d) CERTIFICATE OF LIABILITY INSURANCE °07/17/20225 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 STATE FARM INSURANCE NAME: GARYBLACKBURN GARY BLACKBURN, AGENT LIC#0490552 we N t 949-581-0800 NE arc No)-949-581-1400 23881 VIA FABRICANTE, STE 506 ADOA�ss:GARY.BLACKBURN.B8CZ STATEFARM.COM MISSION VIEJO, CA 92691 INSURERS AFFORDING COVERAGE NAIC# ` INSURER A:State Farm Mutual Automobile Insurance Company 25178 INSURED SIMMSGEIGER, MARIA& PATRICK AND INSURERB: DIVERSIFIED WATERSCAPES, INC INSURERC: 27324 GAMING CAPISTRANO STE. 213 INSURERD: LAGUNA NIGUEL, CA 92677 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MNOGOOrr YY LTR LIMITS GENERAL LIABILITY ❑❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ _ CLAIMS-MADE n OCCUR MED EXP(Any one person) $ PERSONAL B,ADVINJURY $ GENERALAGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ A AUTOMOBILE LIABILITY Y Y a aBIGdeDt SINGLE L1M€T $ 332 1267-E05-76U 11/05/2025 11/05/2026 BODILY MJURY(Per person) ANYAUTD $ 1,000,000 ALL OS X SCHEDULED BODILY INJURY(Peraccideal) $ 1,000,000 AU T PROPERTY DAMAGE Per accident AUTOS NON-OWNED 628 3607-E09-75S 05/09/2025 05/0912026 1,000,000 X HIRED AUTOS )( $ AUTOS _ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LUAS CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY YPN� TORY L MITS ER ---- ANY PROPRIETOR/PARTNER/EXECUTIVE IJ NIA E.L.EACH ACCIDENT $ OFFICE/MEMBER EXCLUDED? (Mandatory In NHI E.L.DISEASE-EA EMPLOYEd $ If yes,describe under E.L.DISEASE-POLICY LIMIT I $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,AddlUonal Remarks Schedule,it more apace Is required) THE CITY OF SANTA ANA, ITS OFFICERS,EMPLOYEES,AGENTS AND REPRESENTATIVES ARE ADDITIONAL INSUREDS. 628 3607-E09-75S IS AN ENOL POLICY 332 1267-E05-75U IS A 2006 TOYOTA TUNDRA CERTIFICATE OF INSURANCE SHALL PROVIDE THIRTY(30)DAY PRIOR WRITTEN NOTICE OF CANCELLATION CERTIFICATE HOLDER APPROVED CANCELLATION By Tu Tran Nguyen at 4:21 pm,Mar 20,2026 CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA,4TH FLOOR AUTHORIZED REPRE5E7 SANTA ANA, CA 92701 O 1988-2010,(CpRff CORPORATION. Ali rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of AC t5l 1001486 132849.6 11-15-2010 ,�teFalfsa State Farm Mutual Automobile Insurance Company 38145-4-A MATCH 00854 MUTL VOL PO Box 2368 Bloomington 1L 61702-2368 DECLARATIONS PAGE NAMED INSURED 00854 PAGE t OF 2 75-a327-4 A A POLICY NUMBER 628 3607-E09-75VODOMS —' 00W POLICY PERIOD FEI3 09 2026 to MAY 09 2026 AND DIVERSIFIED MAR IA 8 PATRIC, 12-01 A.M.Standard Time AND DIVERSIFIED WATERSCAPES, INC STE 213 STATE FARM PAYMENT PLAN NUMBER 27324 CAMINO CAPISTRANO 1346356522 LAGUNA NIGUEL CA 92677-1118 AGENT GARY BLACKBURN 23881 VIA FABRICANTE STE 506 MISSION VIEJO,CA 92691-3139 PHONE:(949)581-0800 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR YEAR MAKE MODEL BODY STYLE VEHICLE ID.NUMBER � CLASS NONOWNED AUTO 670ADP0102 SYMBOLS COVERAGE&LIMITS PREMIUMS A- Liability Coverage "r -m,. M; .. k r ., $108,64..: Hodiiy Injury Limits Each Person, Eachn -:r $1,000,000 $1;noo'Do0 Property Damage Limit, Each Accident $1,000;000 L Physical Damage Coverage-$500 Deductible 25.do U Uninsured Motor Vehicle Coverage Bodily Injury Limits Each Person, Each.Accident $100 000 $300,000__ Total m2rhilurn''for FEB 09 2026 tto MAYs002026, <' $139.14 This is n IMPORTANT MESSAGES IMPORTANT NOTICE For your protection California law requires the following to appear with this policy: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. Replaced policy number 6283607-75U. Notice of insurance information collection practices-personal,family,or household insurance transactions: We may collect customer information from persons other than the individual or individuals applying for coverage. Such customer information as well as other personal or privileged information subsequently collected may,in certain circumstances,be disclosed to third parties without your authorization as permitted by law. You have the right to submit a written request to access,correct amend,or delete your personal information and the right to receive a response within 30 days of submitting your request. Ii we deny your request,you have the right to file a statement with us containing the information you feel is accurate and fair along with the reasons you disagree with our denial.Instructions on how to file such request and our full privacy notice can be found www.statefarrn.com/customer-care/privacy-seourity/privacy or contact your State Farm Agent. Your total renewal premium for NOV 09 2025 to MAY 09 2026 is$278.28. Location used to determine rate charged-29641 VIA CEBOLLA,LAGUNA NIGUEL CA 92677. CONTINUED 08654/05613 See Reverse Side 155.3M CA2 OS2O02(a1aO1"Ac) JIMN (0.025t.) State Farm Mutual Automobile Insurance Company 38145-4-A MATCH 00854 MUTL VOL 8foo�ng onIL 61702-2368 DECLARATIONS PAGE 00854 PAGE 2 OF 2 NAMED INSURED 0058 75-8127-4 A A POLICY NUMBER 628 3607-EO9-75V SIMMSGEIGER, MARIA & PATRICK POLICY PERIOD FEB 09 2026 to MAY 09 2026 AND ➢IVERSIFIED WATERSCAPES, 12:01 A.M.Standard Time INC STE 213 STATE FARM PAYMENT PLAN NUMBER 27324 CAMINO CAPISTRANO 1346356523 LAGUNA NIGUEL CA 92677-1118 EXCEPTIONS,POLICY BOOKLET&ENDOBSEMENTS(See policy booklet&individual endorsements for coverage details.) YOUR POLICY CONSISTS OF THIS DECLARATIONS PAGE THE PCLICY BOOKLET FORM 98005ANY B�1BAND ANY ENDORENERSEMENTS APPLY, I�JCLUDING THOSE ISSUED TO YOU E. 01 6028BU ADDITTIONAL INSURED-CITY OF SAN MARCOS, SUCCESSOR AGENCY TO THE SAN MARCOS REDEVELOPMENT AGENCY, 1 CIVIC CENTER DR, SAN MARCOS CA 92069-2918. 02 6028BU ADDITIONAL INSURED-KFYSTONE PROPERTY MANAGEMENT, LLC, 240 COMMERCE STE 200 IRVINE CA 92602-5005. 03 6028BU ADDITIONAL INSURED-LAKES AT MENIFEE, 30416 LAGUNA VISTA DR, MENIFEE CA 92584-9999. 04 6028BU ADDITIONAL INSURED-AVALON MANAGEMENT GROUP INC, 31608 RAILROAD CANYON RD, CANYON LAKF CA 92587-9556. 05 6028BU ADDITIONAL INSURED-VILLAGE SAN JUAN HOMEOWNERS ASSOC AND 0606028BUVADDITIIONALMIWREO-COUNTYOOF LOS STE GELF� DEPARTMENT O2 8 0 ARK92& RECREATION CONTRACTS DIVISION 1000 S FREMONT AVE ALHAMBRA CA 91803-1323. 07 6028BU ADDITIONAL INSURED-OITY OF LA QUINTA, M495 CALLE TAMPICO, LA UINTA CA 92253-2839. 8 6028RU ADDITIONAL INSURFD-CITY OF SANTA ANA RISK MANAGEMENT DIVISION, 20 CIVIC CENTER PLZ FL 4TH SANTA ANA CA 92701-4058. 09 6028BU ADDITIONAL INSURED-EASTLAKE 1 HOA & WALTERS MANAGEMENT, 9665 CHESAPEAKE DR STE 300 SAN DIEGO CA 92123-1364, 10 6028BU ADDITIONAL INSURED-FIRST SERVICE RESIDENTIAL CALIFORNIA LLC, 6190 TAYLOR DR STE R FAINT MI 48507-4691. 11 6028HU ADDITICNAL INSURED-POWERSTONE PROPERTY MGMT INC ATTN- RISK MANAGER 9060 IRVINE CENTER DR STE 300 IRVINE CA 92618-4645. 12 6028BU ADDITICNAL INSURED-THE IRV NE COMPANY LLC IRVINE MANAGEMENT CO-, ISAOA 550 NEWPORT CENTER DR, NEWPORT BEACH CA 92660-7010. 13 60'288U ADDITICNAL INSURED-30 DAYS-CITY OF TEMECULA C /0 EXIGIS INSURANCE COMPLIANCE SERVICES, PO BOX 4668 NEW YORK NY 10163-4668. 14 6028BU ADDITIONAL INSURED-CIV OF ESCONDIDO, 201 N BROADWAY, ESCCNDIDO CA 92025-2709. 15 6028BU ADDITIONAL INSURED-THE CITY OF HUNTINGTON BEACH, 2000 MAIN ST, HUNTINGTN BCH CA 92648-2763. 16 6028BU ADDITIONAL INSURED-COACHFLLA VALLEY WATER DISTRICT, PO BOX 1088, COACHELLA CA 92236-1088. 17 6028BU ADDITIONAL INSURED-RMV PA3 DEVELOPMENT LLC RM COMMUNITY DEV LLC RANCHO MISSION ADDITIONALL INSURE➢BLOSHANGELES UNIFIED k CYPRESS & THE46. BOARD OF EDUCATION OF THE CITY OF LA, 333 S BLAUDRY AVE FL 28, LOS ANGELES CA 90017-5157. 603OGF BUSINESS NAMED INSURED. 6125A AMENDATORY ENDORSEMENT. 6126MD FXCESS COVERAGE FOR PERSONAL VEHICLE SHARING. 6129J AMENDATORY ENDORSEMENT. 61308 AMENDATORY ENDORSEMENT -EFF MAY 18 2026. 6164 P HIRED CAR LIABILITY COVERAGE. 6165CS EMPLOYERS NON-OWNED CAR LIABILITY COVERAGE. 6166AM HIMID CAR-COMPREH500 ENSIVE COVERAGE AND COLLISION COVERAGE $100,000 6196AA - WAIVER OF SUBROGATION UNDER THE LIABILITY CCVERAGE FOR ONNI FLOWER HOLDINGS LLC; OMNI CONTRACTING CALIFORNIA INC- THE IRVINE CO- IRVINE MGMT CC- CITY OF ECONDIDO- THE CITYT OF HUNTICTON BEACH- COACHELLA RAN MISS IDSLLMRMREYMIA3MVNCANINVESENDNOHC'CHO MISSION V J ASSES MGMTA'TNCC8SAUU TMTRT LLC AND RMV SAN JUAN WATERSHED LLC; THE U TY OF SANTA ANA RISK MGMT. Agent: GARY BLACKBURN Telephone: (949)581.0800 08655/05613 Prepared MAR 09 2026 8127-A71 155-3M6 rk2 05-2002 Iala025fcy (CIU025Oc) 13Sx0 (01-WWd) DIVEWAT-01 VASQUEZI ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/15/2026 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 License#OE67768 CONTACT Isabel Vasquez NAME: IOA Insurance Services PHONE FAX 3009 Douglas Blvd. (A/C,No,Ext):(916)692-7022 (A/C,No): Suite 110 E-MAIL-ADDRESS:Isabel.Vasquez@ioausa.com Roseville,CA 95661 INSURERS AFFORDING COVERAGE NAIC# INSURERA:GuideOne National Insurance Company 14167 INSURED INSURER B: Diversified Waterscapes Inc INSURER C7 27324 Camino Capistrano#213 INSURERD: Laguna Niguel,CA 92677 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Xrl OCCUR DENVP0000360200 5/15/2026 5/15/2027 DAMAGE TO RENTED 50,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: POLLUTION PROFE $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ A UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE DENVX0000068900 5/15/2026 5/15/2027 AGGREGATE $ 2,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liability X DENVP0000360200 5/15/2026 5/15/2027 Aggregate 2,000,000 A Professional Liabili DENVP0000360200 5/15/2026 5/15/2027 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) PO Number 6785-1 The City of Santa Ana,it's officers,employees,agents,and representative are named as Additional Insured with respect to General Liability and Pollution when required by written contract per Certificate Holder is Additional Insured with respect to General Liability and is Primary and Non-Contributory,when required by written contract Each insurance policy required above shall provide that coverage shall not be canceled,except with notice to the Entity.City will be mailed 30 days written notice of policy cancellation. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:14 pm,Jun 18,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division Y^yiih- 20 Civic Center Plaza,4th floor Santa Ana CA 92702 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACCAU 06/18/2026Y CERTIFICATE OF LIABILITY INSURANCE DATE( YYW) 26 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 CONTACT Marsh Affinity y PHONE Marsh Affinity (A/C, o,Ext): 800-743�130 FAX No): a division of Marsh USA LLC. E-MAADDRIESS: ADPTotalSource@marsh.com PO BOX 14404 Des Moines,IA 50306-9686 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: AIU Insurance Company 19399 INSURED INSURER B: ADP TotalSource DE IV,Inc. INSURERC: 5800 Windward Parkway INSURER D: Alpharetta,GA 30005 L/C/F: INSURER E: Diversified Waterscapes Inc. INSURER F: 27324 Camino Capistrano Ste 213 Laguna Niguel,CA 92677 COVERAGES CERTIFICATE NUMBER: 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. INSR TYPEOFINSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICYEXP LIMITS LTR INSD WVD (MM/DD/YYW) (MM/DD/YYW) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR DAMAGE TO RENTED $ PREMISES Ea occurrence MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PELT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION ER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 A (Mandatory n NH)EXCLUDED? NIA �( WC 051706829 CA 07/01/2026 07/01/2027 E.L.DISEASE-EA EMPLOYEE $ 2,000,000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All worksite employees working for Diversified Waterscapes Inc.paid under ADP TOTALSOURCE,INC.'s payroll,are covered under the above stated policy.Proprietor/Partner/Executive Officer/Member are not excluded as long as they are in the ADPTS payroll or have completed the SEI Participation Addendum.WAIVER OF SUBROGATION IN FAVOR OF CERTIFICATE HOLDER AS RESPECTS OF JOB PERFORMED BY Diversified Waterscapes Inc.AS REQUIRED BY WRITTEN CONTRACT.Re:27324 Camino Capistrano APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:14 pm,Jun 18,2026 City of Santa Ana Parks&Recreation 20 Civic Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana,CA 92071 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O ACORD 26(2016/03) ©1988-2016 ACORD CORPOP6XION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATE IMWDDIYYYY) A`O/2E7® CERTIFICATE ©F LIABILITY INSURANCE D06/18/2026 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 STATE FARM INSURANCE NAME: GARY BLACKBURN GARY BLACKBURN, AGENT LIC#0490552 PH CNMo.E .949-581-0800 FAX No:949-581-1400 E-MAIL 23881 VIA FABRICANTE, STE 506 ADDRESS:GARY.BLACKBURN.B8CZ STATEFARM.COM I $MISSION VIEJO, CA92691 INSURER AFFORDING COVERAGE NAIL INSURER A:State Farm Mutual Automobile Insurance Company 51 INSURED SIMMSGEIGER, MARIA& PATRICK AND INSURERB: DIVERSIFIED WATERSCAPES, INC INSURERC: 27324 CAMINO CAPISTRANO STE. 213 INSURERD: LAGUNA NIGUEL, CA 92677 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE POLICY NUMBER MM)DO EFF MWDR EXP LIMITS GENERAL LIABILITY EACH OCC-1 RENTED URRENCE $ COMMERCIAL GENERAL LIABILSTY PREMISES Ea occurrence $ CLAIMS-MADE71 OCCUR MED EXP(Any one.person) $ PERSONAL$ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LMi1T APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY F1 PRO- LOC --- dOSINGLEIMI aA AUTOMOBILE LIABILITY _ci8nt $ ANYAUTO Y $ _ 3321267-E05-75Y 05/05/2026 11/05/2026 OODILY INJURY(Per person) $ 1,000,000 ALL OWNED Ix SCHEDULED BODILY INJURY(Per accident) $ 1,000AUTOS 000 628 3607-E09-75W 05/09/2026 111091202ENON-OWNED PROPERTY DAMAGE1,000,000 X HIRED AUTOS AUTOS Peraccident $ E UMBRELLA UAS OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ _ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN T RY LI }TS ER ANY PROPRIETORIPARTNER!EXECUTIVE ❑ NIA❑ E.L.EACH ACCIDENT $ OFFICE/MEMBER EXCLUDED? (Mandatory In NH) E-L-DISEASE-EA EMPLOYE $ If yes,describe under _ E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) THE CITY OF SANTA ANA,ITS OFFICERS,EMPLOYEES,AGENTS AND REPRESENTATIVES ARE ADDITIONAL INSUREDS. 628 3607-ED9-75S IS AN ENOL POLICY 332 1267-E05-75U IS A 2006 TOYOTA TUNDRA CERTIFICATE OF INSURANCE SHALL PROVIDE THIRTY(30)DAY PRIOR WRITTEN NOTICE OF CANCELLATION CERTIFICATE HOLDER CANCELLATION -:[APPROVED By Tu Tran Nguyen at 3:14 pm,Jun 18,2026 CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA,4TH FLOOR AUTHORIZED REPRES TINE SANTA ANA,CA 92701 O 8- A O RPORATION. Ali rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of CO 1001486 132849.E 11-15-2010 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 07/01/2026 12:01 AM forms a part of Policy No. WC 051706829 CA Issued to ADP TotalSource DE IV, Inc. 5800 Windward Parkway Alpharetta, GA 30005 L/C/F: Diversified Waterscapes Inc. 27324 Camino Capistrano Ste 213 Laguna Niguel, CA 92677 By AIU Insurance Company We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be_% of the total estimated workers compensation premium for this policy. ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY AGAINST, UNDER ANY CONTRACTOR AGREEMENT YOU ENTER INTO P RIOR TO THE OCCURRENCE OF LOSS WC 04 03 61 Countersigned by (Ed. 11/90) Authorized Representative THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY/NON-CONTRIBUTORY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRIMARY/NON-CONTRIBUTORY—If required bywritten contract oragreement,effected priorto the date your operations for that person or organization commenced and named below, such insurance as is afforded by this policy to any additional insureds under this policy shall be primary insurance,and any insurance or self-insurance maintained by such additional insured(s)shall not contribute to the insurance afforded to the named insured. All other terms and conditions remain unchanged. SCHEDULE Any person or organization that is: 1. An owner of real or personal property on which you are performing operations,but only at the specific written request by that person or organization to you,and only if: a. That request is made priorto the date your operations for that person or organization commenced;and b. A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker;or 2. A contractor on whose behalf you are performing operations,but only at the specific written request by that person or organization to you,and only if: a. That request is made priorto the date your operations for that person or organization commenced;and b. A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker. DENV 0216—4YP 03 25 Includes Copyrighted Material of Insurance Services Office, Page 1 of Inc. with its permission Policy Number: DENVP0000360200 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Any person(s) or organization(s) whom the Named Any location between the named insured Insured agrees, in a written contract, to name as an and additional insured under a written Additional insured. However, this status exists only for the project specified in that contract. contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury", "property damage" or"personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to"bodily injury" or"property damage"occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed; or 2. That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that is: 1. An owner of real or personal property on which you are performing operations, but only at the specific written request by that person or organization to you, and only if: a. That request is made prior to the date your operations for that person or organization commenced; and b. A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker; or 2. A contractor on whose behalf you are performing operations, but only at the specific written request by that person or organization to you, and only if: a. That request is made prior to the date your operations for that person or organization commenced; and b. A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker. WAIVER OF SUBROGATION—If required by written contract or agreement,we waive any right of recovery we may have against any entity that is an additional insured shown in the Schedule above per the terms of this endorsement because of payments we make for injury or damage arising out of"your work"performed under a contract with that person or organization. All other terms and conditions remain unchanged. DENV 0218—4YA 03 25 Includes Copyrighted Material of Insurance Services Office, Inc. Page 1 of 1 with its permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, effected prior to the date your operations for that person or organization commenced,that such person or organization be added as an additional insured on your policy. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II- Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule above, but only with respect to liability caused, in whole or in part, by your operations performed for the additional insured(s), or premises owned by or rented to you. DENV 2212- 4YA 03 25 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 1 with its permission State Farm Mutual Automobile Insurance Company 77453-4-A MATCH 01303 MUTL VOL PO Box2368 DECLARATIONS PAGE Bloomington IL 6f7O2-2368 PAGE 1 OF 2 NAMED INSURED 01303 75-8127-4 A A POLICY NUMBER 332 1267-Ed5-75Y 0fI- — POLICY PERIOD MAY 05 2026 to NOV 05 2026 — SIMMSGEIGER, MARIA & PATRICK 12:01 A.M.Standard Time AND DIVERSIFIED WATERSCAPES, INC 27324 CAMN CAPISTRANO STE 213 STATE FARM PAYMENT PLAN NUMBER LAGUNA BEACH CA 92677-1118 1346356523 AGENT GARYBLACKBURN 23881 VIA FABRICANTF STE 506 MISSION VIEJO,CA 92691-3139 PHONE:(949)581-0800 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR Milli R MAKE MODEL BODY STYLE 'VEHICLE ID.NUMBER CLASS 2006 TOYOTA, TUNDRA PICKUP 5TBJU321765475191 103HCV10 SYMBOLS COICERAGE&LIMITS PREMIUMS A Liability Coverage $668.6 Bodily Injury Limits Each Person, Each .- $1,000,000 $1,000,000 Property Damage Limit.'' Each Accident $1,000.000 :. C Medical Payments Coverage $22.63 Limit-Each Person $5,000 _ D Comprehensive Coverage-$250 Dedu` ,.:: $25.70 G CoillSi6n Coverage-$500 Deductible $131 98 H Emergency Road Service Coverage $4 51 H1 Car Rental and Travel Expenses Covera is $30.99 Limit-Car Rental Expense::<` Each Day, Each Lass $50 $1,500 U Uninsured Motor Vehicle Coverage $84.74 Bodily Injury Limits Each Person, Each Accident $100,d00 $300;000 U1 Uninsured Motor Vehicle Property'Damage Coverage 34.82 T,rtalprgmiluni fbr AY002026J& QV 062 79.98 s not a bill: IMPORTANT MESSAGES IMPORTANT NOTICE For your protection California law requires the following to appear with this policy: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. Replaced policy number 3321267-75X. Notice of insurance information collection practices-personal,family,or household insurance transactions: We may collect customer information from persons other than the individual or individuals applying for coverage. Such customer information as well as other personal or privileged information subsequently collected may,in certain circumstances,be disclosed to third parties without your authorization as permitted by law. You have the right to submit a written request to access,correct,amend,or delete your personal information and the right to receive a response within 30 days of submitting your request. If we deny your request,you have the right to fide a statement with us containing the information you feel is accurate and fair along with the reasons you disagree with our denial.Instructions on how to file such request and our full privacy notice can be found www.statefarrn.com/customer-care/privacy-security/privacy or contact your State Farm Agent. Location used to determine rate charged-29641 VIA CFBOLLA.LAGUNA NIGUEL CA 92677-1924. CONTINUED 08719/05773 See Reverse Side 1553866 CA.2 05-2002 (01n02U.) nSxON (.1a025te) 51afttafnf State Farm Mutual Automobile Insurance Company 77452-4-A MATCH 01302 MUTL VOL • PO Box 2368 DECLARATIONS PAGE Bloomington IL 6 1 702-23 68 PAGE 1 OF2 NAMED INSURED 01302 75-8127-4 A A POLICY NUMBER 628 3607-EO9-75W — °0"0' °0� POLICY PERIOD MAY 09 2026 to NOV 09 2d26 ANDSIM DIVERSIFIED ED WA & PATRICK 12-01 A.M.Standard Time AND DIVERSIFIED WATERSCAPES, INC STE 213 STATE FARM PAYMENT PLAN NUMBER 27324 CAMINO CAPISTRANO 1346356523 LAGUNA NIGUEL CA 92677-1118 AGENT GARY RLACKBURN 23861 VIA FABRICANTE STE 506 MISSION VIEJO,CA 92e91-3139 PHONE-(949)581-0800 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. YOUR CAR YEAR MAKE„ MODEL BODY STYLE VEHICLE fD.NUIIIIBER CLASS NONOWNED AUTO 670ADPOl02 5YMBflLS COVERAGE 81 LIMITS PREMIUMS A Liability C5 ver-ge Bodily injury Limits Each Person, Each A. $1,000,000 $1,O00,Do0 Property Damage Limit Each Accident L Physical Damage Coverage-$500 Deductible 00.4, 0 i' Uninsured Motor Vehicle Coverage Bodily Injury Limits Each Person, Each Accident $100 00D $300 060 Total premium for MAY ill; .10 IMPORTANT MESSAGES >,. IMPORTANT NOTICE For your protection California law requires the following to appear with this policy: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment o a loss is guilty of a crime and may be subject to fines and confinement in stale prison. Replaced policy number 6283607-75V. Notice of insurance information collection practices-personal,family,or household insurance transactions: We may collect customer information from persons other than the individual or individuals applying for coverage.Such customer information as well as other personal or privileged information subsequently collected may,in certain circumstances, be disclosed to third parties without your authorization as permitted by law. You have the right to submit a written request to access,correct amend,or delete your personal information and the right to receive a response within 30 days of submitting your request. It we deny your request,you have the right to file a statement with us containing the information you feel is accurate and fair along witll the reasons you disagree with our denial. Instructions on haw to file such request and our full privacy notice can be found www.statefann.com/customer-care/privacy-security/privacy or contact your State Farm Agent. Location used to determine rate charged-29641 VIA CEBOLLA,LAGUNA NIGUEL CA 92677. CONTINUED 08713/05772 See Reverse Side 155 sesb CA 2 W20r2 01-0251o1 IMON (010025te) This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS t. Membership.While this policy is in force,the first insured shown on the Declarations Page is entitled to vote at all meetings of members and to receive dividends the Board of Directors in its discretion may declare in accordance with reasonable classifications and groupings of policyholders established by such Board. 2. No Contingent Liability. This policy is non-assessable. 3. Annual Meeting. The annual meeting of the members of the company shall be held at its home office at Bloomington, Illinois,on the second Monday of June at the hour of 10:00 A.M., unless the Board of Directors shall elect to change the time and place of such meeting, in which case, but not otherwise, due notice shall be mailed each member at the address disclosed in this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Sec re Lary President Important... California taw requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and Stag Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to: California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles.CA 90013 Or file a complaint through the Department of Insurance's Internet Web site(www.insurance.ca.gov) Or call toll free 1-800-927-HELP(4357) NOTICE We are required to furnish you with the following information: t. An automobile liability insurance company may cancel a policy before the end of the current policy period for reasons described In the provision titled Cancellation which is located in the General Terms section of your policy (refer to the Contents In the beginning of your policy for the page number). 2. An automobile liability insurance company may increase the premium or refuse to renew the policy for any of the following reasons. a. Accident involvement by an insured,and whether an insured is at fault in the accident. b. A change in,or an addition of,an insured vehicle. c. A change in,or addition of,an insured under the policy. d. A change in the location of garaging of an insured vehicle. e, A change in the use of the insured vehicle. f, Convictions for violating any provision of the Vehicle Code or the Penal Code relating to the operation of a motor vehicle. g.The payment made by an insurer due to a claim filed by an insured or a third party. An automobile liability insurance company may increase the premium or refuse to renew the policy for reasons that are not listed above but which are lawful and not unfairly discriminatory c b2 Rtn State Farm Mutual Automobile Insurance Company 77452-4-A MATCH 01302 MUTL VOL PO Box 2368 DECLARATIONS PAGE Bloomington!L 61702-2368 PAGE 2 OF 2 01302 NAMED INSURED 75-8127-4 A A POLICY NUMBER 628 3607-EO9-75W 001 0058SIM POLICY PERIOD MAY 09 2026 to NOV 09 2026 AND DIVERSIFIED ED WA & PATRICK 12:01 A.M.Standard Time AND DIVERSIFIED WATERSCAPES, INC STE 213 STATE FARM PAYMENT PLAN NUMBER 27324 CAMINO CAPISTRANO 1346356523 LAGUNA NIGUEL CA 92677-1118 EXCEPTIONS,POLICY BOOKLET&ENDORSEMENTS(See policy booklet&individual endorsements for coverage details.) YOUR POLICY CONSISTS OF THIS DECLARATIONS PAGE THE POLICY BOOKLET - FORM 9805ANY BbBAND ANY ENDORSEMENTS NDOORRENESEMEN IC THAT APPLY, INCLUDING THOSE ISSUED TO YOU E. 01 6028BU ADDIITIONAL INS�URED-CITY OF SAN MARCOS, SUCCESSOR AGENCY TO THE SAN MARCOS REDEVELOPMENT AGENCY, I CIVIC CENTER DR, SAN MARCOS CA 92069-2918. 02 6028BU ADDITIONAL INSURED-KEYSTONE PROPERTY MANAGEMENT, LLC, 240 COMMERCE STE 200 IRVINE CA 92602-5005. 03 6028BU ADDITIONAL INSURED-LAKES AT MENIFEE, 30416 LAGUNA VISTA DR, MENIFEE CA 92584-9999. 04 6028BU ADDITIONAL INSURFO-AVALON MANAGEMENT GROUP INC, 31608 RAILROAD CANYON RD, CANYON LAKE CA 92587-9556. 05 6028BU ADDITIONAL INSURED-VILLAGE SAN JUAN HOMEOWNERS ASSOC AND PROGRESSIVE ASSOC MGMT 1290 N HANCOCK ST STE 103 ANAHEIM CA 92807-1925, 06 6028BU ADDITIONAL MSURED-COUNTY OF LOS ANGELES DEPARTMENT OF PARKS & RECREATION CONTRACTS DIVVISION 1000 S FREMCNT AVE ALHAMBRA CA 91803-1323. 07 6028BU ADDITIONAL INSUREO- ITY OF LA QUINTA, 7A495 CALLS TAMPICO, LA oUINTA CA 92253-2839. U8 6028BU ADDITIONAL INSURED-CITY OF SANTA ANA RISC MANAGEMENT DIVISION, 20 CIVIC CENTER PL7 FL 4TH SANTA ANA CA 92701-4058. 09 6028BU ADDITIONAL INURED-EASTLAKE 1 HOA $ 6 WALTERS MANAGEMENT, 9665 CHESAPEAKE DR STE 300 SAN DIEGO CA 92123-1364. 10 6028BU ADDITICNAL ENSURED-FIRST SERVICE RESIDENTIAL CALIFORNIA LLC, 6190 TAYLOR DR STE B FLINT MI 48507-4691. 11 6028BU ADDITIONAL INSURFO-POWERSTONE PROPERTY MGMT INC ATTN: RISK MANAGER 9060 IRVINE CENTER DR STE 300 IRVINE CA 92618-4645. 12 6028BU ADDITIONAL INSURED-THE IRVN F COMPANY LLC IRVINE MANAGEMENT CO., ISAOA 550 NEWPORT CENTER DR, NEWPORT BEACH CA 92660-7010, 13 6D8BU ADDITIONAL INSURED-30 DAYS-CITY OF TEMECULA C /0 EXIGIS INSURANCE CCMPLIANCE SERVICES, PO BOX 4668 NEW YCRK NY 10163-4668. 14 6028BU ADDITIONAL INSURED-CM OF ESCONDIDO, 201 N BROADWAY, ESCONDIDO CA 92025-2709. 15 6028BU ADDITICNAL INSURED-THE CITY OF HUNTINGTON BEACH, 2000 MAIN ST, HUNTINGTN BCH CA 92648-2763_ 16 6028RU ADDITIONAL INSURED-COACHELLA VALLEY WATER DISTRICT, PO BOX 1088, COACHELLA CA 92236-1088. 17 6028BU ADDITIONAL INSURED-RMV PA3 DEVELCPMENT LLC RM CCMMUNITY CE� LLC RANCHO MISSION 1�IEJO LLC 10805 HOLDER ST STE 230 CYPRESS CA 90630- 146. 18 6028BU ADDITIONAL INSORED-LOS ANGELES UNIFIED SCHOOL DISTRICT & THE BOARD OF EDUCATION OF THE CITY OF LA, 333 S BEAUDRY AVE FL 28, LOS ANGELES CA 90017-5157. 603OGF BUSINESS NAMED INSURED. 6125A AMENDATORY ENDORSEMENT. 6126MD EXCESS COVERAGE FOR PERSONAL VEHICLE SHARING. 6129J AMENDATORY ENDORSEMENT. 6164DP HMIREDACAARYLIABOILLITYECO ERA GE MAY 18 2026. 6165CS EMPLOYERS NON-OWNIED CAR LIABILITY COVERAGE. 6166AM HIRED CAR-CCMPR HENSIVE COVERAGE AND COLLISION COVERAGE $100,000 LIMIT• $500 DEDUCTIBLE, 6196AA - WAIVER OF SUBROGATION UNOER THE LIABILITY COVERAGE FOR ONNI FLOWER HOLDINGS LLC; OMNI CONTRACTING CALIFORNIA IN THE IRVINE CO- IRVINE MGMT CO- CITY OF ECONDIDO• THE VvCITYT OF HUNTIf�GTON BEACH; COACHELLA RANCHO MISSIONiVItJOSLLC•MRMVTv REALTYMINCA3DM8VSANCJUANN INVESTMENTDNORTWC' LLC AND RMV SAN JUAN WATERSHED LLC; THE CITY OF SANTA ANA RISK MGMT. Agent: CARY BLA:CKBURN Telephone- (949)581-0800 08714/05772 Prepared JUN 18 2026 8127-A71 155 3664 C4.2 05-2002(o]02Sfc) (01 02S4G� 3sxc, (u1a025vd)