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AC D® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<br /> 6� 07/22/2025
<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 SUBROGAT[ON 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 Keith Thompson
<br /> NAME:
<br /> Brown&Brown Insurance Services,Inc. HE Ext: (727)461-6044 FAX
<br /> No): (727)442-7695
<br /> 140 Fountain Parkway N p-DORIL Keith,Thompson@bbrown.com
<br /> Suite 600 INSURER(S)AFFORDING COVERAGE NAIL 9
<br /> St.Petersburg FL 33716 INSURERA: Lloyd's of London 065202
<br /> INSURED INSURER B: Bitco General Insurance Corporation 20095
<br /> VFS Fire&Security Services I MeshWrx,lnc 1 Fortis Fire&Safety,Inc INSURER c
<br /> Bernel Inc dba VFS Fire&Security Services INSURER D
<br /> 501 West Southern Ave INSURER E:
<br /> Orange CA 92865 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: CL2543016165 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 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 ADULtiUBR POLICY FIFE POLITY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY 1,000,000
<br /> EACH OCCURRENCE $
<br /> CLAIMS-MADE I' 1 OCCUR N D 100.000
<br /> PREMISES Ea Occurrence 5
<br /> ME EXP(Any one person) S 10,000
<br /> A Y Y GL252435RO2 0510112025 05/01/2026 PERSONAL&ADVINJURY 5 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $. 2,OOD,000
<br /> POLICY I?[ PRO 2,D00,000
<br /> JECT LOC PRODUCTS 5
<br /> OTHER, 8
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000.000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULED Y Y CAP 3 757 746 05/01/2025 05/01/2026 BODILYINJURY(Peraccident) S
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> $
<br /> UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 5,000,000
<br /> A x EXCESS LIAR CLAIMS-MADE FX251545R02 05/01/2025 05/01/2026 AGGREGATE S 5,000,000
<br /> DED I I RETENTION S S
<br /> WORKERS COMPENSATION /� STATUTE ECRH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PRO PRIETORIPARTNEHIEXECUTIVE YIN 1,0OO,D0D
<br /> OFFICERIMEMBER EXCLUDED? N f A Y WC 3 758 505 05/0112025 05/01/2026 E.L.EACH ACCIDENT S
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City,its City Council,its officers,officials,employees,agents,and volunteers are Additional Insured on a primary and non-contributory basis with respect to
<br /> General Liability and Auto Liability if required by written contract.A Waiver of Subrogation in favor of the above applies to General Liability,Auto Liability,and
<br /> Workers Compensation if required by written contract.
<br /> GL Ded:$25,000
<br /> Tu Tra rT �ignaliy signed by
<br /> 7u Tran Nguyen
<br /> Nguyen APPROVED
<br /> By Tu Tran Nguyen at d;27 pm,Jul 30,2025
<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 Attn:Nadia Orc= ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza
<br /> AUTHORIZED REPRESENTATIVE
<br /> M-11
<br /> Santa Ana CA 92701 —�1—�
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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