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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE 3/11/2026
<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
<br /> NAME: Certificate Team
<br /> Inszone Insurance Services, LLC PHONE FAX
<br /> 2721 Citrus Road, Suite A A/C No Ext: 877-308-9663 A/c,No):916-400-2625
<br /> E-MRancho Cordova, CA 95742 ADDRESS: certs@inszoneins.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:OF82764 INSURERA: Certain Underwriter's at Lloyd's London 32727
<br /> INSURED DENOVOP-01 INSURERB: United Financial Casualty Co. 11770
<br /> De Novo Planning Group INSURERC: Starstone Specialty Insurance Co. 44776
<br /> 1020 Suncast Lane
<br /> El Dorado Hills, CA 95762 INSURERD: Fortegra Specialty Insurance Company 16823
<br /> INSURERE: Sentinel Insurance Company, LTD 11000
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1509766382 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y PSNO140348538 4/29/2025 4/29/2026 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $250,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY❑ PRO ❑
<br /> JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X
<br /> OTHER: Hired/Non-Owned Auto $1,000,000
<br /> B AUTOMOBILE LIABILITY Y Y 994357605 3/15/2026 9/15/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED X SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> C UMBRELLA LAB X OCCUR CSX00090224P-02 4/29/2025 4/29/2026 EACH OCCURRENCE $1,000,000
<br /> X EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000
<br /> DED RETENTION$ $
<br /> E WORKERS COMPENSATION Y 57VVECZ03688 4/29/2025 4/29/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? ❑ N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Pollution Liability PSNO140348538 4/29/2025 4/29/2026 Aggregate/Each Claim $2,000,000
<br /> A Errors&Omission PSNO140348538 4/29/2025 4/29/2026 Aggregate/Each Claim $2,000,000
<br /> D Cyber Liability C-4LPT-161699-CYBER-2025 6/9/2025 6/9/2026 Aggregate $1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Additional Insured on the General Liability and Auto Liability. Primary and Non-Contributory on the General Liability and Auto Liability.Waiver of Subrogation on
<br /> the General Liability,Auto Liability and Workers Compensation. Excess follows form,subject to the terms and conditions of the policy.
<br /> The aforementioned coverage is provided to the extent in the attached forms for:City of Santa Ana.
<br /> VAPPR'JOVED
<br /> CERTIFICATE HOLDER CANCELLATION an Nguyen at 2:08 pm,Apr 01,2026
<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 /> Planning and Building Agency
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> Santa Ana, CA 92701 `
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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