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DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 10/24/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Bertha Guerrero Valiant Insurance Agency, Inc. HCONN Ext: (714)243-4070 (FAX ,NO: (626)522-8211 Lic. #OM04649 E-MAIL ADDRESS: bguerrero@valiantins.com 1913 E. 17th Street, Suite 210 INSURER(S)AFFORDING COVERAGE NAIC# Santa Ana CA 92705-3922 INSURER A:National Specialty Insurance Co. 22608 INSURED INSURER B:CompWest Ins. Co. 12177 INSURER C: R P W Services Inc. INSURER D: 2330 N. Pacific Street INSURER E: Orange CA 92865 INSURER F: COVERAGES CERTIFICATE NUMBER:25/26 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR POLICYPOLICY EFF LTR W TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DD/YY MMDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ED CLAIMS-MADE ❑OCCUR PREMIDAMASES (E.occurrence) PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL &ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident A X ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED GM043403 7/10/2025 7/10/2026 BODILY INJURY(Per accident) $ AUTOS AUTOS X N NON-OWNED PROPERTY DAMAGE $ HIREDAUTOSAUTOS Per accident Uninsured motorist combined single $ 50,000 UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A B (Mandatory in NH) y CVMCP100134834 10/24/2025 10/24/2026 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. WC Waiver applies per the attached WC990313C 7-09. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:28 pm,Mar 24,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701-4010 AUTHORIZED REPRESENTATIVE Kevin Markel/KEVIN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025(201401)