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<br /> ACORD DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE F03/18/2026
<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 CONTACT NAME: Willis Towers Watson Certificate Center
<br /> Willis Towers Watson Northeast, Inc. HONE
<br /> c/o 26 Century Blvd A/C_ Ext: 1-877-945-7378 FAX
<br /> 1-888-467-2378
<br /> P.O. Box 305191 ADDRESS: certificates@willis.com
<br /> Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: XL Insurance America Inc 24554
<br /> INSURED INSURERB: Travelers Property Casualty Company of Ame 25674
<br /> Fieldturf USA, Inc.
<br /> c/o Sports Division INSURERC: Standard Fire Insurance Company 19070
<br /> Tarkett Inc. INSURERD: Berkley Assurance Company 39462
<br /> 7445 Cote-de-Liesse Road, Suite 200
<br /> INSURER E
<br /> Montreal, QC H4T 1G2 CAN
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: W44772348 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 INDICATED.
<br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
<br /> ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF
<br /> SUCH POLICIES. *LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE INCLUSIVE OF AMOUNTS REQUESTED BY THE CERTIFICATE
<br /> HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED. *Not Applicable in WY
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE � OCCUR PREMISES RENTED 500,000
<br /> PREMISES Ea occurrence) $
<br /> A MED EXP(Any one person) $ 10,000
<br /> Y Y US00010327LI25A 05/01/2025 05/01/2026 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000
<br /> POLICY� PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED S INGLE LIMIT $ 5,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULED Y Y TC2JCAP-823K312A-TIL-25 05/01/2025 05/01/2026 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> A EXCESS LAB CLAIMS-MADE AGGREGATE $Y Y US00010615LI25A 05/01/2025 05/01/2026 5,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> B ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? No N/A Y UB-8P793534-25-51-K 05/01/2025 05/01/2026 1,000,000
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Workers Compensation & Y UB-8P760619-25-51-R 05/01/2025 05/01/2026 E.L. Each Accident $1,000,000
<br /> Employer's Liability E.L. Disease-Pol Lmt $1,000,000
<br /> Per Statute E.L. Disease-Each Em $1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> This Voids and Replaces Previously Issued Certificate Dated 02/13/2026 WITH ID: W43963762.
<br /> Project: City of Santa Ana (CA) - Santa Anita Park Soccer - 00004178
<br /> Agreement No. A-2023-018
<br /> SEE ATTACHED
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 11:23 am,Mar 19,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Public Works Agency
<br /> AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza
<br /> PO Box 1988
<br /> Santa Ana, CA 92702 F'�(�q• v!
<br /> ©1988-2025 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2025112) The ACORD name and logo are registered marks of ACORD
<br /> SR ID: 29589925 BATCH: 4369005
<br />
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