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,d►co v� CERTIFICATE OF LIABILITY INSURANCE FDATE`MMIOD"YYYI <br /> �f 08/2812025 <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 Accounts Team <br /> NAME: <br /> Scott&McCauley Insurance Agency PHONE (949)503-1953 FAX <br /> AfC No. <br /> o Ext: Alg.No: <br /> 2 Ritz Carlton Drive L-MAIL <br /> ss: COI@sminsuranceagency.com <br /> -ADDIRE <br /> Suite 204 INSURER(SI AFFORDING COVERAGE NAIC rk <br /> Dana Point CA 92629 INSURERA: AXIS Surplus Insurance Company 26620 <br /> INSURED INSURER B: The Continental Insurance Company 35289 <br /> Tait&Associates,Inc INSURER c: Valley Forge Insurance Company 20508 <br /> 701 Parkcenter Dr INSURER D: Colony Insurance Company 39993 <br /> INSURER E: <br /> Santa CA 92705 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: TAIT MSTER 25-26 REVISION NUMBER: <br /> THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQU6REMENT,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 POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR WVD POLICYNUMBER MM1DDIYYYV MWDDlYYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 25,000 <br /> MED EXP(Any one person) S 5,000 <br /> A Y Y SP002747-08-2025 09/01/2025 09/01/2026 PERSONAL BADV INJURY S 2,000,000 <br /> GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X JECT PRODUCTS-CDMPIOPAGGPOLICYOPRO $ <br /> 2,000.,000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000.000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) 5 <br /> B OWNED SCHEDULED Y Y 7034395486 09/01/2025 09101/2026 BODILY INJURY(Per accident) S <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> r H — $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A X EXCESS LIAB CLAIMS-MADE Y Y SX002748-08-2025 09/01/2025 09/01/2026 AGGREGATE y 5.000,000 <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y r N STATUTE I ER <br /> C ANY PRDPRIETORIPARTNEPJFXECUTIVE $ 1,000,000 <br /> OFFICEPJMEM13ER EXCLUDED? ❑ NIA Y 7034395505 09/01/2025 09/0112026 E.L.EAC HACCIDENT <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> Professional LIablContractors Pollution <br /> Profess/Poll Fa Claim 2.000,000 <br /> AID Excess Liability SP002747-082025/EX04295007 09/01/2025 09101/2026 Ea Claim/Aggregate 4,000,000 X 5M <br /> DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) <br /> The City of Santa Ana,its officers,employees,agents,volunteers,and representatives are included as additional insured on General Liability per the <br /> attached.Insurance is Primary and Non-Contributory.Waiver of Subrogation applies on General Liability per the attached.30 days Notice of Cancellation for <br /> non-payment of premium. <br /> Tu Tran cio-ilysigned by <br /> pr Tu Tran Nguyen <br /> NgI�Vc'y 1 04.1d32�o7a6'2 <br /> J APPROVED <br /> By Tu Tran Nguyen at 9:15 am,Sep 02,2025 <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn Heidi Chou <br /> 215 S Center S#M-85 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> a 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2076103) The ACORD name and logo are registered marks of ACORD <br />