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ACCDORE® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYY) 8/6/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Edgewood Partners Insurance Center PHONE Certificates De artment Pax H.O.BOX 5003 c No 4 559-451-3200 A!C No;925-$01-0671 San Ramon CA 94583 ADDRESS: EPICcorts@eplcbrokers.com INSURER 3 AFFORDING COVERAGE NAIC# LlCene •OB2937Q INSURERA:Arch Specialty Insurance Company 21199 INSURED ALLAMER31 INSURER B:Zurich American Insurance Com an 16535 All American Asphalt P.O. Box 2229 INSURER GreatAmerican Insurance Company 16691 Corona, CA 92878 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:342737698 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE TADDL 3 8RPOLICYNUMBER sH°olomYY QDbfY`/YpY LIMITS A X COMMERCIAL GENERAL LIABILITY Y DPC100506609 811/2025 811/2026 EACHOCCURRENCE $1,000,000 CLAIMS-MADE Ifl OCCUR PREMISES He oocurrancel $100,000 MED EXP(Any one person) $ PERSONAL R ADV INJURY $1,000,000 GHN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY[X]PRO- JECT 71 LCC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y 13AP557108813 8/1/2025 8/1/2026 EearF31NeDtSINGLELIMIT $2,OD0,000 X ANY AUTO BODILY INJURY{Par person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED X AUTOS ONLY X AUTOSO NLDY PROPERTYDA AGE Per accldent $ $ C UMBRELLALIAB X OCCUR Y Y TUE347463605 81112025 8l9/2026 EACHOCCLIRR♦;NCE $5,000,004 X EXCESS LIAB CLAIMS-MADH AGGREGATE $5,444,400 ❑ED X RETHNTION B WORKERS COMPENSATION Following-Form $ AND EMPLOYERS'LIABILITY YIN Y WC593205712 8I112025 8/112026 X STATUTE ER" ANYPROPRIETORIPARTNER7EXECUTIVE OFFICERlMEMBEREXCLUD NIA E.L.EACH ACCIDENT $1,000,000 E07 (Mandatary E.L.DISEASE-EA EMPLOYE $1,000,000 Linder If yes,describbe Linder DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached it more space is requlmd) Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation #370641 RE:Project VS.20-6959,20-69601 Main Street Rehabilitation From Memory Lane to North City Limits:Bedford Road Rehabilitation at Malnplace Drive 1 ,,Dlgltallyslgned City of Santa Ana,its officers,employees,agents and representatives TU Tran'byTuTran Nguyen Nguyen Date:2025.0e.26 14,471.27-07'00' APPROVED CERTIFICATE HOLDER CANCELLATION SyTu Tran Nguyen a(2 R7pm,Aug 26,2025 1. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division,4th Floor 20 Civic Center Plaza AUTHORIZE REpRESENTATLVE Santa Ana CA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD