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DATE(MMIDDlYYYY)
<br /> .4coRo CERTIFICATE OF LIABILITY INSURANCE F4/28/2026
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS i
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
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<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(les)must have ADDITIONAL INSURED provisions or be endorsed. I
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in fleu of such endorsements.
<br /> PRODUCER Phone: (707)996-2912 T Jerilee Carpenter
<br /> Fax: (707)996-7912 NAME:
<br /> Apollo General Insurance Agency,Inc.(1) PHONE ac Ne
<br /> P.O.Box 1508 E-MAIL DD SS: Jerileec@apgen.com
<br /> Sonoma,California 95476 INSURERS AFFORDING COVERAGE NAIC9
<br /> INSURER A; Everest Indemnity Insurance Company 10851
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<br /> INSURED INSURER a: Everest National Insurance Company 10120
<br /> American Wrecking,Inc. INSURER C: State Compensation Insurance Fund Of California 35076
<br /> 2459 Lee Avenue INSURER D: Tokio Marine Specialty Insurance Company 23850
<br /> South El Monte,CA 91733
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1594 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE 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 TYPE OF INSURANCE ADDL SUER POL€CY EFF POLICY EXP LIMITS
<br /> LTR POLICYNUMBER MMIDDIYYYY MMIDD
<br /> ✓ COMMERCIALGENERALLIABILITY CF40LO1371-261 4/28/2026 4/28/2027 EACHOCCURRENCE S 1,000,000
<br /> A CLAIMS-MADE FI OCCUR PREMISET EaEoccu ence $ 344,400
<br /> 5000
<br /> ✓ MED EXP Any oneperson $ '
<br /> PERSONAL BADVINJURY S 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY JEC LOG PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> OTHER: S
<br /> AUTOMOBILE LIABILITY CF4CA01390-251 9/1/2025 9/l/2026 Eaa SINGLE LIMIT $ 1,000,000
<br /> B
<br /> ✓ ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> ✓
<br /> r/ HIRED ✓ NONOWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
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<br /> UMBRELLA LIAB ✓ OCCUR XW5EX00092-261 4/28/2026 4/28/2027 EACHOCCURRENCE $ 2,000,000
<br /> A ✓ EXCESS LIAR Z 004
<br /> CLAIMS-MADE AGGREGATE $ > ,OOO
<br /> BED I RETENTION$ ✓ $
<br /> WORKERS COMPENSATION 9161690-25 40/4/2025 l0/1/2026 '� STATUTE OR"
<br /> C ANO EMPLOYERS'LIABIL€TY ANYPROPRIETORIPARTNERIEXECUTIVE YIN
<br /> e000 040
<br /> ❑ NIA E.L.EACH ACCIDENT $ 1
<br /> OFFICERIMEMBER EXCLUDED?
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,desaibe under 1 000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Pollution Liability ✓ PPK2657314-002 2/18/2026 2/18/2027 Pe Incident 5,000,000
<br /> Per AAWekate: 5,000,00
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required)
<br /> Re: Contract A-2022-065-04. Operations of the Named Insured. City of Santa Ana, its officers, employees, agents, and
<br /> volunteers are hereby named as Additional Insured, if required by written contract, per endorsement hereto. waiver of
<br /> Subrogation is provided, as required by written contract with the insured as respects coverage evidenced herein.
<br /> Coverage evidenced herein is primary and non-contributory. A 30-day written notice shall be mailed to the certificate
<br /> holder at the address provided herein, should a described policy(s) be cancelled before the expiration date thereof;
<br /> 10--day notice for non-payment of premium.
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<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:54 am,May 11,2026
<br /> Holder's Nature of Interest:Additional Insured s
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City OFSanla Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: Public Works Agency
<br /> AUTHORIZEDREPRESEN TIME
<br /> IP estgn Engineering I
<br /> 20 Civic Center Plaza,M-36
<br /> Santa Ana,CA 92702 "/
<br /> O 1988-2016 ACORD CORPORATION. All rights reserved. I
<br /> ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
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