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CERTIFICATE OF INSURANCE 1 °04/07/2025 <br /> PRODUCER AND THE NAMED INSURED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> Evolution Insurance Brokers,LLC. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE OF INSURANCE DOES NOT AFFIRMATIVELY OR <br /> NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED <br /> 8722 S.Harrison St. BY THE INSURANCE POLICIES BELOW. <br /> Sandy,UT 84070 INSURERS AFFORDING COVERAGE <br /> 801)304-5500 <br /> INSURED INSURER A: Prime Insurance Company <br /> Ohana Shuttles LLC <br /> DBA: <br /> INSURER B: <br /> 2640 E Beyer Blvd <br /> San Ysidro, CA 92173 INSURER C: -Company#12588 <br /> COVERAGES "LIMITS SHOWN ARE THOSE IN EFFECT AS OF POLICY INCEPTION" 765539 <br /> The policies of insurance listed below have been issued to the Insured named above for the policy indicated. Notwithstanding any requirement,term or condition of any contractor <br /> other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policies described herein is subject to all the terms,exclusions and <br /> conditions of such policies.Aggregate limits shown may have been reduced by paid claims. <br /> POLICY EFFECTIVE POLICY EXPIRATION <br /> TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDIYY) LIMITS <br /> Commercial Liability <br /> Claims Made <br /> El Exclude Products <br /> Exclude Completed Operations <br /> 0 Commercial Auto Liability SC24110389 11/04/2024 11/04/2025 <br /> ❑ Any Auto $5,000,000 CSLIPer Accident <br /> All Owned Autos <br /> Q Scheduled Autos <br /> Hired Autos $15,000 U.M.Per Person <br /> Non-Owned Autos $30,000 U.M.Per Accident <br /> Drive Away $3,500 U.M.Property Damage <br /> Specifically Described Autos <br /> Commercial Garane Liability <br /> G.K.L.L. <br /> O.T.R.P.D. <br /> D.O.C. <br /> ❑ Cargo <br /> On Hook <br /> Contractual Liability Indemnification <br /> Wrongful Repossession <br /> Exclude Completed Operations <br /> Exclude Products <br /> El Claims Made <br /> Excess Liability <br /> Claims Made <br /> LIMITATION OF COVERAGE FOR ADDITIONAL INSURED <br /> Liability Coverage is only provided to the Additional Insured with respect to Accidents otherwise covered under the Policy/Coverage Contract where the Insured is found <br /> directly liable and not where the Additional Insured is found independently negligent of the Insured. <br /> DESCRIPTION OF OPERATION LOCATIONSIVEHICLESIEXCLUSIDNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Coverage is limited to only insured activities or operations identified in the Policy. APPROVED <br /> By Tu Tran Nguyen at 10:38 am,Apr 09,2025 <br /> 0 CERTIFICATE HOLDER Q ADDITIONAL INSURED LOSS PAYEE Q WAIVER OF SUBROGATION PRIMARY AND NON- <br /> CONTRIBUTORY <br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> volunteers EXPIRATION DATE THEREOF,NO WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br /> NAMED TO THE LEFT.SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br /> PWA Facilities—SARTC UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> 1000 E Santa Ana Blvd <br /> Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br /> ,�jf <br /> UDA-F-030 14FE82020 '~�"`�^ <br />