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® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIODIYYYY)
<br />03/22/2026
<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
<br />Pacific Agents Alliance Insurance Agency; Julie Traughber Insurance Agency
<br />CONTACT
<br />NAME* Julia Traughber, CISR, CLCS
<br />PHCN o E t: (818) 203-2209 ( C, No); (626) 799-7051
<br />EMAIL uGe ulietrau
<br />AODRess; 1 @1 hberins.com 9
<br />524 S Rosemead Blvd
<br />INSURERS AFFORDING COVERAGE
<br />NA1C fl _
<br />INSURERA: CONTINENTAL. CASUALTY COMPANY
<br />20443
<br />Pasadena CA 91107
<br />INSURED
<br />INSURER B :
<br />INSURER C :
<br />Argo Enterprises, Inc. dba: UniShield
<br />INSURER D :
<br />599 4th St
<br />INSURER E ;
<br />INSURERF:
<br />San Fernando CA 91340
<br />COVERAGES CERTIFICATE NUMBER: 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 SUER POLICY EFF POLICY EXP LIMITS
<br />LTR POLICY NUMBER MMIDD MMIDD
<br />v
<br />n
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE Ie0 I OCCUR
<br />PREH3 SE5� a occu nce
<br />$ 1,000,00fl
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />S 1,000,000
<br />A
<br />X
<br />X
<br />B6024759005
<br />03/24/2026
<br />03124f2027
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />S 2,000,000
<br />X
<br />POLICY F] PRCJECT 17 LOC
<br />PRODUCTS - COMPIOP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />(r NED SINGLE LIMIT
<br />Ea accident
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />B
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Per accidenl)
<br />$
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />I OCCUR
<br />EACH OCCURRENCE
<br />s 5,00D,D00
<br />ICLAIMS-MADE
<br />AGGREGATE
<br />$ 5,000,000
<br />A
<br />EXCESS LIAB
<br />B6024759019
<br />03/2412026
<br />03/24/2027
<br />OED /1 RETENTION$ 1{i,Df}D
<br />$
<br />WORKERS COMPENSATION
<br />AND FMPLDYFFRS' LIARILkTY
<br />ANY PROPRIETORfPARTNERIEXECUTIVE
<br />OFFICEPJMEMBER EXCLUDED? ❑
<br />N I A
<br />-
<br />PER OTH-
<br />STATUTE irR
<br />E.L. EACH ACCIDENT
<br />S
<br />(Mandatory in NH)
<br />E.L DISEASE - EA EMPLOYE
<br />$
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS Wow
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />Employee Dishonesty, Forgery etc.
<br />$1,000 deductible
<br />$25,000
<br />A
<br />Business Personal Property
<br />B6024759005
<br />0312412026
<br />03/2412027
<br />$1,000 deductible
<br />$661,500
<br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It 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 (04/13) 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 Contractor's 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 />ERTIFICATE HOLDER APPROVED
<br />By Tu Tran Nguyen at 2:25 pm, Apr 07, 2026
<br />City of Santa Ana
<br />Human Resources Department
<br />20 Civic Center Plaza
<br />Santa Ana
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />CA 92701
<br />ACORD 25 (2016/03)
<br />OO 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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