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AC40 07/15//2025 Y) CERTIFICATE OF LIABILITY INSURANCE DATE(M025 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 Kasey Litz NAME: Stanton and Associates Inc. a'C' o Ext: (805)413-1498 a/c,No: (805)435-3737 ISU Stanton&Associates E-MAIL kasey@isustanton.com ADDRESS: y� 3625 Thousand Oaks Blvd#292 INSURER(S)AFFORDING COVERAGE NAIC# Westlake Village CA 91362 INSURERA: HARTFORD FIRE INSURANCE CO. 19682 INSURED INSURER B: Trumbull Ins.Co. 27120 Burke,Williams&Sorensen,LLP INSURER C: Hartford Casualty Ins Co 29424 444 S.Flower St.,40th Floor INSURER D: Sentinel Insurance Company Ltd 11000 INSURER E: Los Angeles CA 90071 INSURERF: COVERAGES CERTIFICATE NUMBER: 25-26 City 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 MAYBE 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 EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SES Ea occurrDence $ 300,000 MED EXP(Any one person) $ 10,000 A Y 72UUNBD3RBC 08/01/2025 08/01/2026 PERSONAL&ADVINJURY $ 1,000,000 MOTHER LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑PRO- FXLOC PRODUCTS-COMP/OPAGG $ 2,000,000 : $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 72UENCG7716 08/01/2025 08/01/2026 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LIAB CLAIMS-MADE 72XHUBF3DCB 08/01/2025 08/01/2026 AGGREGATE $ 10,000,000 DED I X1 RETENTION $ 10,000 $ WORKERS COMPENSATION X1 PER STATUTE EORH AND EMPLOYERS'LIABILITY Y/N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ D OFFICER/MEMBER EXCLUDED? ❑ N/A 72WEAB2915 08/01/2025 08/01/2026 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Hartford CGL policy form HG0001 includes Additional Insured status,Primary and Non-Contributory wording,and Waiver of Subrogation where required by written contracts. TU Trdn Digitally signed by IH 0303-30 Day NOC applies Da Tran Nguyen .16 CG2026—Additional Insured—Designated Person or Organization Date:5(0-07'25.100' 9 9 Nguyen ,6:08:60-0�'00' WC 990394—30-Day Notice of Cancellation to Certificate Holders WC040306—WC Waiver of Subrogation APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:08 pm, Oct 16,2025 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 PROVISIONS. Human Resources Department AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza,4th Flr C Santa Ana CA 92701 ©1988-2015ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD