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DATE(MMIDDIYYYY) <br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE <br /> �� 10/24/2025 <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 /> Risk Strategies Company PHONE Emil Elsbree FAX <br /> Burlingame Office (A/CA,N o Ext: 650 762-0425 A/C,No): 650 762-0490 <br /> PO BOX 818078 ADDRESS: eelsbree risk-strate ies.com <br /> Cleveland, OH 44181-8078 INSURER(S)AFFORDING COVERAGE NAIC# <br /> BURL INSURER A: Hartford Underwriters Insurance Company 30104 <br /> INSURED INSURERB: AXIS Insurance Company 37273 <br /> Clrclepolnt INSURERC: Houston Casualty Company 42374 <br /> 1625 Clay Street, Suite 700 <br /> Oakland CA 94612 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 87749094 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 POLICY NUMBER MMIDDIYYYY MMIDDIYYYY <br /> A ✓ COMMERCIAL GENERAL LIABILITY ✓ ✓ 57SBABE5G30 10/1/2025 10/1/2026 EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE ✓ OCCUR PREMISES Ea occurrence $1,000,000 <br /> ✓ Contractual Liability MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> IRO- <br /> POLICY Z ECT LOC PRODUCTS-COMP/OP AGG $4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY 57SBABE5G30 10/1/2025 10/1/2026 COMBINED SINGLE LIMIT $ <br /> ✓ Ea accident 2,000,000 <br /> ANY AUTO 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 /> A ✓ UMBRELLALIAB V OCCUR 57SBABE5G30 10/1/2025 10/1/2026 EACH OCCURRENCE $3,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 <br /> DED ✓ RETENTION$10,000 $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> ❑ <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B Professional Liability ✓ DP004180072025 10/1/2025 10/1/2026 Per Claim $2,000,000 <br /> Retroactive Date 1:11/01/1987 Annual Aggregate $2,000,000 <br /> Retroactive Date 2:05/14/2015 Pollution Liability Included <br /> C C ber Liability H25NGP240843-01 7/16/2025 7/16/2026 Per Claim $2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Ref: Santa Ana On-call Environmental 2023;Project number:5725 <br /> The City, its officers,officials,employees and volunteers are included as additional insureds regarding General and Automobile Liability per <br /> form SL3032.General and Automobile Liability primary insurance and waiver of subrogation per attached form SL0000.Professional Liability waiver of <br /> subrogation applies per policy form DP0001.Cancellation provisions per forms SL9013. <br /> Digitallysigned <br /> Tu Tran by Tu Tran <br /> Nguyen <br /> Nguyen 09094 zo8003 APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:08 am, Dec 03,2025 <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 /> 20 Civic Center Plaza (M-30) ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana CA 92702 <br /> AUTHORIZED REPRESENTATIVE <br /> RSC Insurance Brokerage <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 87749094 1 25-26 GL/AU/UL4B/ESn; 25-26 Cybex i Emily Elsbx 1 10/24/2025 12.14.48 PM (PDT) i Page 1 of 9 <br />