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A!�o® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYY)
<br />03/04/2025
<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 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
<br />CONTACT
<br />NAME: Jacqueline Savidan
<br />Sav-Lux Insurance Services
<br />a/c,NN , Ext : 888 728 5891, X 700 (A/CC, No); 949 420 2156
<br />E-MAIL
<br />ADDRESS: 1ackie@savlux.com
<br />7755 Centex Ave.
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />Suite 1100
<br />INSURER A : Crum & Forster Specialty Insurance Co
<br />44520
<br />Huntington Beach CA 92647
<br />INSURED
<br />INSURER B : Trumbull Insurance Company
<br />27120
<br />INSURER C : Great American E&S Insurance Company
<br />37532
<br />Soffa Electric, Inc.
<br />INSURER D : Hartford Insurance Company
<br />00914
<br />5901 Corvette St.
<br />INSURERE: ACE American Insurance Company
<br />22667
<br />INSURER F : Lexington Insurance Company
<br />Commerce CA 90040
<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 />NSR
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />PREMISES (Ea occurrence)
<br />$ 100,000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />Y
<br />GLO-118086
<br />02/01/2025
<br />02/01/2026
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY ❑X PRO
<br />JECT ❑ LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />(Ea accident)
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />B
<br />AUTOS ALL OWNED X AUTOS SCHEDULED
<br />Y
<br />Y
<br />72UECCM6045
<br />02/01/2025
<br />02/01/2026
<br />BODILY INJURY (Per accident)
<br />$
<br />NON -OWNED
<br />HIREDAUTOS X AUTOS
<br />X
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />$
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />C
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />Y
<br />Y
<br />XSE940944-02
<br />02/01/2025
<br />02/01/2026
<br />X
<br />AGGREGATE
<br />$ 5,000,000
<br />DED RETENTION $
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y I N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? ❑Y
<br />NIA
<br />Y
<br />72WECBM6GJG
<br />02/01/2025
<br />02/01/2026
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 1,000,000
<br />E
<br />Cyber Liability
<br />D02135930
<br />02/01/2025
<br />02/01/2026
<br />Limit: $1,000,000 / $1,000,000
<br />F
<br />Errors & Omissions
<br />015136459
<br />02/01/2025
<br />02/01/2026
<br />Limit: $2,000,000 / $2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Digitally signed
<br />RE: All Operations Tu Tran I TY n
<br />The City of Santa Ana, its officers, officials, employees, and volunteers are included as additional insureds on the CGL policy with respect Nguyen ozs:o3.oa
<br />to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment 08,601 -0800
<br />furnished in connection with such work or operations. General Liability coverage is considered primary and non-contributory.
<br />APPROVED
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />215 S Center Street, M-85
<br />Attention: Heidi Chou
<br />Santa Ana
<br />CANCELLATION k
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />CA 92703 JGd,nSa v
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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