| ,a►co OR CERTIFICATE OF LIABILITY INSURANCE DATE (M/202YYY) 
<br />06/242025 
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to 
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the 
<br />certificate holder in lieu of such endorsement(s). 
<br />PRODUCER Phone: (714) 973-1436 Fax: (714) 973-0011 CONTACT ELMCO INSURANCE, INC. 
<br />NAME: 
<br />ELMCO INSURANCE, INC. PHONE (714) 973-1436 FAX No: (714) 973-0811 
<br />636 E CHAPMAN AVENUE we No Ex 
<br />E-MAIL contact@Elmcoinsurance.com 
<br />ORANGE CA 92866 ADDRESS: 
<br />FFORDING COVERAGE NAIC # 
<br />INSURERS) A 
<br />Agency Lic#: 0509747 
<br />INSURER AIX Specialty Insurance Company 
<br />12833 
<br />INSURED 
<br />INSURERS INFINITY SELECT INSURANCE COMPANY 
<br />20260 
<br />CALIFORNIA BARRICADE RENTALS INC. 
<br />INSURERC TRISURA SPECIALTY INSURANCE COMPANY 
<br />16188 
<br />1550 E. SAINT GERTRUDE PLACE 
<br />INSURERD: STATE COMPENSATION INSURANCE FUND 
<br />35076 
<br />SANTA ANA CA 92705 
<br />SURPLUS LINES INSURANCE CC, 
<br />10172 
<br />INSURER WESTCHESTER 
<br />INSURER PACIFIC INSURANCE COMPANY 
<br />10046 
<br />COVERAGES 
<br />CERTIFICATE NUMBER: 79915 REVISION NUMBER:1 SUPERCEDES PREVIOUS REVISIONS 
<br />TO CERTIFY THAT THE POLICIES 
<br />OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 
<br />PERIOD 
<br />THIS IS 
<br />ANY REQUIREMENT, 
<br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 
<br />INDICATED. NOTWITHSTANDING 
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 
<br />INSR 
<br />TYPE OF INSURANCE 
<br />ADDL SUBR POLICY EFF POLICY EXP LIMITS 
<br />INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY 
<br />LTR 
<br />A X COMMERCIAL GENERAL LIABILITY 
<br />X X L13MO7430800 07/01/25 07/01/26 EACH OCCURRENCE $ 
<br />1,000,000 
<br />DAMAGE TRENTE 
<br />$ 
<br />100,000 
<br />CLAIMS -MADE I� OCCUR 
<br />PREM SESO(Ea occurence) 
<br />MED. EXP (Any one person) $ 
<br />EXCLUDED 
<br />PERSONAL & ADV INJURY $ 
<br />1,000,000 
<br />GEN'L AGGREGATE LIMIT APPLIES PER: 
<br />GENERAL AGGREGATE $ 
<br />2,000,000 
<br />X PRO ❑ LOC 
<br />POLICY ❑ JECT 
<br />PRODUCTS - COMP/OP AGG $ 
<br />2,000,000 
<br />EMPLOYEE BENEFITS $ 
<br />1,000,000 
<br />OTHER: 
<br />B AUTOMOBILE LIABILITY 
<br />X X 50011184701 07/01/25 07/01/26 COMBIidurt)NED SINGLE LIMIT $ 
<br />(Ea accident) 
<br />1000000 
<br />X ANY AUTO 
<br />BODILY INJURY (Per person) $ 
<br />ALL OWNED SCHEDULED 
<br />BODILY INJURY (Per accident) $ 
<br />AUTOS AUTOS 
<br />X NON -OWNED 
<br />PROPERTY DAMAGE $ 
<br />HIRED AUTOS 
<br />X AUTOS 
<br />(per accident) 
<br />X OCCUR 
<br />TXS000255501 07/01/25 07/01/26 EACH OCCURRENCE $ 
<br />5,000,000 
<br />C UMBRELLA LIAB 
<br />X CLAIMS -MADE 
<br />AGGREGATE $ 
<br />5,000,000 
<br />EXCESS LAB 
<br />DED I RETENTION $ 
<br />$ 
<br />WORKERS COMPENSATION 
<br />D 
<br />X 931316425 07/01/25 07/01/26 X STATUTE ERH 
<br />AND EMPLOYERS' LIABILITY Y/ N 
<br />E.L. EACH ACCIDENT $ 
<br />1,000,000 
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE 
<br />OFFICER/MEMBER EXCLUDED? 
<br />N/A E.L. DISEASE -EA EMPLOYEE $ 
<br />1,000,000 
<br />(Mandatory in NH) 
<br />If yes, descdbe under 
<br />E.L. DISEASE -POLICY LIMIT $ 
<br />1,000,000 
<br />DESCRIPTION OF OPERATIONS below 
<br />E POLLUTION LIABILITY 
<br />G73540124005 07/01/25 07/01/26 Each Pollution Condition 
<br />$1,000,000 
<br />F PROFESSIONAL LIABILITY 
<br />010H077065425 07/01/25 07/01/26 Aggregate Limit 
<br />$2,000,000 
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 
<br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION Tu Tran Tu Tmn Nguyen, 
<br />1:`555°z0°a°Z Nguyen 
<br />APPROVED 
<br />By Tu Tran Nguyen at 12:55 pm, Jul 02, 2025 
<br />CERTIFICATE HOLDER 
<br />CANCELLATION 
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 
<br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 
<br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. 
<br />4th Floor AUTHORIZED REPRESENTATIVE 
<br />Santa Ana, CA 92702 
<br />Attention: 
<br />-,ORD 25 (2014/01) Certificate # 79915 Revision # 1 ©1988-2014 ACORD CORPORATION. All rights reserved. 
<br />The ACORD name and logo are registered marks of ACORD 
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