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178504 ServaTech, Inc. Certificate Of Insurance Page (1 of 2) 9/18/2025 4:13:20 PM <br />A�4 z CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />9/18/2025 <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 endorsements . <br />PRODUCER <br />Techlnsurance, Division of Specialty Program Group LLC <br />203 N. LaSalle St., 20th Floor, Chicago, IL 60601 <br />CONTACT <br />NAME: <br />HOE <br />A/CNNo, Ext : (800) 688-1984 qC No ; 312-690 4123 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC 4 <br />INSURERA: Hartford Fire Insurance Company <br />19682 <br />INSURED <br />INSURERB: Hartford Underwriters Insurance Company <br />30104 <br />INSURER C : <br />ServaTech, Inc. <br />INSURER D : <br />PO BOX 28373, Santa Ana, CA, 92799 <br />INSURER E : <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 />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />V/ <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGES( RENTED <br />ccurrence)$ <br />PREMISES Ea occurrence) <br />1,000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />B <br />Yes <br />46SBMBCl WFP <br />6/30/2025 <br />6/30/2026 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY ❑ PRO ❑ LOC <br />JECT <br />✓ <br />PRODUCTS-COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />Yes <br />46SBMBCl WFP <br />6/30/2025 <br />6/30/2026 <br />BODILY INJURY (Per accident) <br />$ <br />✓ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />B <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N / A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Professional Liability (Errors and Omissions) <br />83 TE 0578783-25 <br />10/4/2025 <br />10/4/2026 <br />Occurrence/Aggregate $2,000,000 / $2,000,000 <br />Digitally signed by <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be attached if more space is required) Tu Tran Nguyen <br />Date: 2025.10.03 <br />Please see the attached "Additional Remarks Schedule" form for additional details and remarks Nguyen 12:34:30-07'00' <br />fAPPROVED <br />v Tay Tiara Nouvert at 12:32 o . Oct 03. 20 <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 />Attention: Heidi Chou ACCORDANCE WITH THE POLICY PROVISIONS. <br />215 S. Center St M-85 <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE _ <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />