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DATE(MM/DD/YYYY)
<br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br /> 12/30/2025
<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 /> NAME:
<br /> IMA, Inc. PHONE FAX
<br /> 3475 E. Foothill Blvd., Suite 100 A/c No Ext: 626 799-7000 A/C No: 626 583-2117
<br /> Pasadena, CA 91107 ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> www.imacorp.com OH64724 INSURERA: Greenwich Insurance Company 22322
<br /> INSURED INSURERB: XL Insurance America, Inc. 24554
<br /> United Storm Water, Inc. INSURERC: Indian Harbor Insurance Com an 36940
<br /> 14000 East Valley Blvd.
<br /> City of Industry CA 91746 INSURERD: XL Specialty Insurance Company 37885
<br /> INSURER E: AXIS Surplus Insurance Company 26620
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 88631955 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 / COMMERCIAL GENERAL LIABILITY ✓ GEC3001691 12/31/2025 12/31/2026 EACH OCCURRENCE $1,000,000
<br /> DA AGE To RENTED
<br /> CLAIMS-MADE EVI OCCUR 'RE MIS ES(E.occurrence) $100,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000
<br /> POLICY ✓� ECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> 1� PRO-
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY ✓ AECO062630 12/31/2025 12/31/2026 (Ea
<br /> aBINEDtSINGLE LIMIT $1,000,000
<br /> C ✓ ANY AUTO AECO062631 12/31/2025 12/31/2026 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident
<br /> C UMBRELLA LAB / OCCUR UECO062632 12/31/2025 12/31/2026 EACH OCCURRENCE $10,000,000
<br /> / EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED ✓ RETENTION$10,000 $
<br /> D WORKERS COMPENSATION ✓ WEC3001692 12/31/2025 12/31/2026 / SPER TATUTE OERH
<br /> AND EMPLOYERS'LIABILITY Y/N
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? FN] 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 /> C Pollution Liability-Per Occurrence PECO062633 12/31/2025 12/31/2026 $15,000,000 Each Claim/Agg/$25,000 Ded.
<br /> C Professional Liab-Claims Made PECO062633 12/31/2025 12/31/2026 $15,000,000 Each Claim/Agg/$25,000 Ded.
<br /> E Excess Liability ELZ677135 12/31/2025 12/31/2026 $5Mil xs of$10Mil Ea Occ/Aggregate
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Digitallysign d
<br /> Re:Agreement#A-2021-097-02&A2021-199(1 st Amendment) TUTran byTuTran
<br /> GL&Auto Additional Insureds apply per CG20101219, CG20371219&XIC4141013 attached,only if required by written contract/agreement Nguyen
<br /> GL Primary&Non-Contributory Wording applies per XIL4240605 attached.WC Waiver of Subrogation applies per WC0403060484 attachedN guyen Date:2026.01 35
<br /> Excess Policy follows form.Additional Insured(s):City of Santa Ana,its officers,agents,volunteers and employees. 15:07:13-08
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:06 pm,Jan 05,2026
<br /> Agreement#A-2021-097-02
<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 /> Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza
<br /> Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE
<br /> Cassandra Rosales
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br /> 88631955 1 UNITPUM-01 125-26 All Lines Nancy Cadwallader 112/30/2025 2:11:54 PM (PST) I Page 1 of 8
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