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CALIFORPRO KEVINT
<br />ACORO CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />5/30/2025
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER License # 0252636
<br />Duran Risk & Insurance Services
<br />3257 E. Guasti Ave, Suite 100
<br />Ontario, CA 91761
<br />CONTACT George Duran
<br />NAME:
<br />PHONE FAX
<br />(A/C, No, Ext): (949 ) 933-2845 (A/C, No):
<br />E-MAILgeorge@drisinc.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Homesite Insurance Company of California
<br />11005
<br />INSURED
<br />INSURER B : MS Transverse Specialty Insurance Company
<br />41807
<br />INSURER C : RSUI Indemnity Company
<br />22314
<br />California Professional Engineering Inc.
<br />INSURER D:ACE American Insurance Company
<br />22667
<br />19062 San Jose Avenue
<br />La Puente, CA 91748
<br />INSURER E: Admiral Insurance Company
<br />24856
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />CPP01924602
<br />5/19/2025
<br />5/19/2026
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />100,000
<br />$
<br />X
<br />MED EXP (Any oneperson)
<br />$ 5,000
<br />Owner's & Contractor
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY ] JECT1:1 LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />$
<br />BODILY INJURY Perperson)
<br />$
<br />X ANY AUTO
<br />TSRSCA000027800
<br />5/19/2025
<br />5/19/2026
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />X HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />C
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />NHA606723
<br />5/19/2025
<br />5/19/2026
<br />AGGREGATE
<br />$ 5,000,000
<br />DED RETENTION $
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N / A
<br />912981
<br />5/19/2025
<br />5/19/2026
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />E
<br />Excess - 5M xs 5M
<br />UX00060001903
<br />5/19/2025
<br />5/19/2026
<br />Aggregate
<br />5,000,000
<br />E
<br />Excess - 5M xs 5M
<br />UX00000001903
<br />5/19/2025
<br />5/19/2026
<br />Each Occurrence
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be attached if more space is required)
<br />The City of Santa Ana, its officers, employees, agents, and volunteers are additional insureds with regard to liability and defense of suits arising from the
<br />operations and uses performed by on or behalf of the named insured per attached forms CG20100413 & CG20370413. With respect to claims arising out of the
<br />operations and uses performed by on or behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or
<br />contributing with any other insurance carried by or for the benefit of the additional insureds per attached form CG20011219. This insurance applies separately
<br />to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. Waiver of Subrogation with respects to
<br />General Liability. Digitally signed
<br />TU Tran byT�Tran
<br />Nguyen
<br />SEE ATTACHED ACORD 101 N9uyenDate:zozso6zs APPROVED
<br />i ossss-o7 o0
<br />CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 10:58 am, Jun 25, 2025
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE
<br />Z., —
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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