DATE(MMIDDIYYYY)
<br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br /> `...-� 1 08/06/2025
<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 endorsement(s).
<br /> PRODUCER CONTACT
<br /> AETOS PARTNERS INSURANCE SERVICES INC. NAME: Lawrence Dy
<br /> 4869 TOPANGA CANYON BLVD #2 AIc"N Ext: 818-914-0933 A/c No: 806-621-4747
<br /> WOODLAND HILLS, CA 91364 E-MAIL
<br /> ADDRESS: lawrence@aetosinsurance.com
<br /> License#: 6015804 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: Greenwich Insurance Company 22322
<br /> INSURED INSURERB: CorePOlnte Insurance Company 10499
<br /> PCA Arborists& Consultants, Inc. INSURERC: XL Specialty Insurance Company 37885
<br /> 910 E. Walnut St. INSURER D7
<br /> Santa Ana, CA 92701 INSURER E 7
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 00000004-260623133762 REVISION NUMBER: 12
<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 CONTRACTOR 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
<br /> POLICY EFF POLICY EXP
<br /> LT R POLICY NUMBER MM DD YYYY MM/DD YYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y NPC-1006073-03 06/17/2026 06/17/2026 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE F]vl DAMAGE A] OCCUR PREM SESOERENTED
<br /> a occurrence) $
<br /> MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY D PRO-
<br /> JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> MBIED
<br /> A AUTOMOBILE LIABILITY Y Y NBA-1009128-01 06/17/2026 06/17/2026 (CEO,acccldentSINGLE LIMIT $ 1,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY X AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY AUTOS ONLY Per accident $
<br /> A UMBRELLA LIAB X OCCUR Y Y NEC-7000978-00 06/17/2026 06/17/2026 EACH OCCURRENCE $ 1,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000
<br /> DED F7 RETENTION$ $
<br /> B WORKERS COMPENSATION IN Y CTP1003831 05/17/2025 05/17/2026 X STATUTE OERH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? Y NIA
<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 /> C Inland Marine NIM-1010211-00 06/17/2026 06/17/2026 Catastrophe Limit 327,908
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana, its City Council, officers, officials, employees,agents, and volunteer is listed as additional insured.
<br /> A waiver of subrogation under the Worker's Compensation and General Liability is in favor of the City of Santa Ana, its City
<br /> Council, officers, officials, employees, agents, and volunteers.
<br /> Tu Tran Digitally signed by
<br /> Tu Tran Nguyen
<br /> Date:202".8.06 APPROVED
<br /> Nguyen 12:04:07-0r00'
<br /> By T8d T0"a41 Ng[6)/eNt a 12.`03 p6Sd,Aug 06,2025'..
<br /> CERTIFICATE HOLDER CANCELLATION
<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 /> Attn: PRCSA—Zoo ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 1801 E Chestnut Ave. M-90
<br /> Santa Ana, CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> � i-
<br /> �,OGr.�.tit�.
<br /> �_ LMD
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<br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by LMD on 08/06/2025 at 11:38AM
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