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I-LthSUL-01 <br />FORCE <br />DAT0/8/2DIY <br />4 <br />11812024 <br />CERTIFICATE OF LIABILITY INSURANCE <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(les) 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 endorsoment s . <br />PRODUCER <br />NTACT <br />AssuredPartners of NV, LLC <br />5340 Kietake Lane Ste 201_LAIC, <br />Reno, NV 89511 <br />PHONE Fax <br />No, Ext): (775) 829-2345 1 (AIC, N04775) 827-7090 <br />MAIL <br />BESS. <br />INSURERISI AFFORDING COVERAGE <br />NAIC 9 <br />INSURER A:RLI Insurance Company <br />13056 <br />INSURED <br />INSURER B: Contractors Bonding and Insurance Company <br />37206 <br />INSURER C <br />Fleet Solutions LLC <br />169 Cadillac Place <br />Reno, NV 89509 <br />INSURER D <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMRFR: RFVICIntd mi ll"PRo• <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 />L7R_JNSD <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />D <br />POLICY NUMBER <br />POLIICDY EFF <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE )( OCCUR <br />X <br />K <br />RKA0200041 <br />812112024 <br />8/21/2025 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGETORENTED <br />PRE ccurr <br />$ 300,000 <br />MEDEXP (Ary ore arson <br />51000 <br />PERSONAL S. ADV INJURY <br />$ 1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PFR: <br />X POLICY JEpT LUC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS -GOMP/OPAGG <br />$ 2,000,ODO <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />ZOMBI depISINGLE LIMIT <br />1,00Q000 <br />X <br />BODILY INJURY Per erson <br />$ <br />ANY AUTO <br />OWNAUTOS SCHEDULED <br />AUTOS ONLY AUpTOpSyy� <br />CKA0200047 <br />8/2112024 <br />812112025 <br />BODILY INJURY Per acoldent <br />� <br />AUTOS ONLY BUNS <br />Pa�accldent AMAGE <br />$ <br />B <br />X <br />UMBRELLA LIAR <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />CKA0200048 <br />8/21/2024 <br />8/21/2025 <br />EACH OCCURRENCE <br />5,000,000 <br />AGGREGATE <br />5,000,000 <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPRRORPRIIETCERRIPARTNERIEXECUTIVE ❑ <br />andatry n NH) EXCLUDE07 <br />N i A <br />PER OTH. <br />STATUTE I ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />oli <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />B <br />GaragekDepers <br />CKA0200047 <br />8/21/2024 <br />812112025 <br />Limit of Insurance <br />120,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 1 D1, Additional Remarks Schedule, maybe attached If more space Is required) <br />Additional Insured status applies if required by written contract or written agreement per General Liability (RGL- 37107 16 - RGL 365 01 24) and Commercial <br />Auto Liability (RAU 300 01 17). Waiver of Subrogation applies per General Liability (RGL 365 0124), Commercial Auto Liability (RAU 300 0117). Umbrella <br />follows form. 30 Day Notice of Cancellation 10 Day notice for non-payment of premium issued to the first named insured only. <br />Additional Insured: City of Santa Ana, its officers, officials, employees, and volunteers are additionally insured per the General Liability on a primary and <br />non-contributory basis. Waiver of subrogation applies In favor of City of Santa Ana, its officers, officials, employees, and volunteers. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 APPROVED <br />By Cynthia Mora at 7 4B am NOV 25, 2025 <br />AC:UKU 25 (ZU1ti/U3) ©1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />