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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 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <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 <br />