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A("`C>R" ® DATE (MMIDDIYI'YY) <br />�� CERTIFICATE OF LIABILITY INSURANCE 0511212025 <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 I 'AAI.FACT Julia Traughber, CISR, CLCS <br />Pacific Agents Alliance Insurance Agency; Julie Traughber Insurance Agenc PHONE (818) 203-2209m ; (626) 799-7051 <br />524 S Rosemead Blvd RF�z. iulie(cc�iulietrau4hberins.com <br />Pasadena <br />INSURED <br />Argo Enterprises, Inc. dba: UniShield <br />599 4th St <br />CA 91107 <br />INSURER E : <br />CONTINENTAL CASUALTY COMPANY _L2044.3 <br />San Fernando CA 91340 INSURER F : <br />COVERAGES CERTIFICATE NIIMAr-R- RFVI-glnrd NI1MRI=R• <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 ]NSURANGE <br />ADDL <br />SUBR <br />-- _ <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Q OCCUR <br />EACH OCCURRENCE <br />s 1,000,000 <br />DAMAGE TO RENTE➢ <br />PREMISES Ea occurrence)$ <br />300 000 <br />MED EXP (Any one person) <br />$ 10,000 <br />_ <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />A <br />X <br />X <br />B6024759005 <br />03124/2025 <br />03/24/2026 <br />GEN'L <br />X <br />AGGREGATE LIMIT APPLIES PER <br />POLICY F] PRJECOn <br />T L—I LOC - <br />GENERAL AGGREGATE <br />$ 2,000„000 <br />PRODUCTS- GOMPIOP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINEnD SINGLE LIMIT <br />Ea accidet <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDL NOWOWNED <br />AUTOS ONLY AUTOS ONLY <br />BODILY INJURY (Per scscident) <br />Y3TY <br />$ <br />PROP DAMAGE <br />Per acc denl <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 3,000,000 <br />AGGREGATE <br />$ 3.000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />B6024759019 <br />03124/2025 <br />03/24/2026 <br />DED I X I RETENTION 10,000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />N I A <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Marida,ory In NH) <br />If yes, describe under <br />-- <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />Employee Dishonesty, <br />$1,000 deductible <br />$25,000 <br />A <br />Forgery and Alteration <br />B6024759005 <br />03124/2025 <br />03/24/2026 <br />$1,000 deductible <br />$25,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />It is agreed that the City of Santa Ana, its officers, officials, employees and volunteers are named Additional Insureds with respect to liability arising out of work <br />or operations performed by or on behalf of the Contractor including materials, parts or equipment furnished in connection with such work or operations. <br />General Liability Form CG 2026 (04113) is attached. This insurance is also Primary and Non -Contributory with respect to insurance or self-insurance programs <br />maintained by the City per Form No. CG2001 (01104) attached_ Any insurance or self-insurance maintained by the Entity, its officers, officials, employees or <br />volunteers shall be excess of the Contractors insurance and shall not contribute with it per CG2404 (10193) attached. It is also agreed that 30 Days' Notice of <br />Cancellation with 10 Days' Notice for Non -Payment of Premium in accordance with the policy provisions. All coverages are subject to the terms and conditions <br />G <br />APPROVED CANCELLATION <br />By Tu Tran Nguyen at 9:47 am, Jun 09, 2025 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 <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana <br />Digitally signed <br />Tu Tran by Tu Tran <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Nguyen <br />Nguyen 094856z07609 <br />AUTHORIZED REPRESENTATIVE <br />CA 92701 <br />� 150L�; 5� <br />ACORD 25 (2016103) <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />