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ACGI CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDIYYYY) <br /> �- 08/08/2025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE 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((es)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 Ashley Greenberg <br /> NAME: <br /> Cornerstone Specialty Insurance Services,Inc. Arc NN Exl: (714)731-7700 Arc,No; (714)731-7750 <br /> 14252 Culver Drive,A299 E-MAIL Ashley@Cornerstonespecialty,com <br /> ADDRESS: <br /> INSURERS)AFFORDING COVERAGE NAIC q <br /> Irvine CA 92604 INSURERA: RLI Insurance Company 13056 <br /> INSURED INSURER B: <br /> BROOKHURST DEVELOPMENT CORPORATION INSURER C: <br /> 23986 Aliso Creek Road,Suite 103 INSURER D: <br /> INSURER E: <br /> Laguna Niguel CA 92677 INSURER <br /> COVERAGES CERTIFICATE NUMBER: 25126 COVERAGES REVISION NUMBER: <br /> THIS IS TO GERTIFYTHATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 EFF POLICY EXP <br /> LTR INSD YVVD POLICYNUMBER MMIDDIYYYY MMfDDNYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY 2,000,000 <br /> EACH OCCURRENCE $ <br /> DAMA E T R T 11000,000 <br /> CLAIMS-MADE X OCCUR PREMISES Eaaccnrrence $ <br /> X ADDTL INSURED I P&NC MED EXP(Any one person) $ 10,000 <br /> A x BLNKT WVR OF SUBRO PSB0007502 02/12/2025 02/12/2026 PERSONAL&ADV INJURY $ INCLUDED <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,001) <br /> POLICY ® PRO ❑ LOG PRODUCTS-COMPIOPAGG $ 4,000,OOD <br /> JECT <br /> OTHER; $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,00,000 <br /> Ee aceldent <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED PSB0007502 02112/2025 02/12/2026 BODILY INJURY(Per accldent) $ <br /> AUTOS ONLY AUTOS <br /> X H1RED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accldenl <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> -4EXCESS UAB CLAIMS-MADE AGGREGATE $ <br /> DEO I I RETENTION$ $ <br /> WORKERS COMPENSATION PER OTR• <br /> AND EMPLOYERS'LIABILITY YIN X STATUTE I I ER <br /> ANY PROPRIETORIPARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICERIMEMBEREXCLUDED7 NIA PSW0004181 02/12/2025 02/12/2026 <br /> (Mandatory In NH) E,L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> I(yes,describe under 1,D00,000 <br /> DESCRIPTION OF OPERATIONS below K,L,DISEASE-POLICY LIMIT $ <br /> PROFESSIONAL LIABILITY Each Claim $1,000,000 <br /> A Claims Made RDPOO57400 02/13/2025 02/13/2026 Annual Aggregate $2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be altached If more space Is required) <br /> City of Santa Ana is Additional Insured for General Liability but only if required by written contract with the Named Insured prior to an occurrence and as per <br /> attached endorsement.Coyerago Is subject to all policy terms and conditions.*30 days notice of cancellation,except for 10 days notice for non-payment of <br /> premium.For Professional Liability coverage,the aggregate limit is the total insurance available for all covered claims reported within the policy period. <br /> Tu Tldn l TuTan Nguyen <br /> Nguyen 1 :1011 10.7%5 APPROVED <br /> -By-Tu-Tran-Afguyen at 103"ar -Aug 2� <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza M25 <br /> AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 02702 <br /> 01988-2015 ACORD{CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />