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AC40R O® CERTIFICATE OF LIABILITY INSURANCE DAT7//24/2025 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 Stuttgart Insurance Solutions 31878 Del Obispo St. Suite 118-513 San Juan Capistrano CA 92675 NAME: Tiffanic Rodriguez PAHic° No Exl: 888-885-6145 A/C, No) : ADOREss: Tiffmie@stuttgartinsurancesolnlions.com INSURER(S) AFFORDING COVERAGE NAIC9 INSURER A: STATE NATL INS CO INC 12831 INSURED Marina Aguilem 75 VIA CUIDADO RANCHO SANTA MARGARITA CA 92688-3117 INSURER S : INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER IFMMADD= MMIDDIYYYY LIMITS A x COMMERCIAL GENERALLIABILITY CLAIMS -MADE FRIOCCUR Y Y NXT3K9Y9TX-00-GL 08/09/2025 08/09/2026 EACHOCCURRENCE $ 1,000,000 PREMISES Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: iC POLICY ❑jECOT F7 LOG OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGO $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident)$ (Per accdent $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ OED I I RETENTION$ $ ORKERS COMPENSATION NDEMPLOYERS'LIABILITY YIN NY PROPRIETOPJPARTNER/EXECUTIVE❑ FFICERIMEMBER EXCLUDED? Mandalory in NH) Igo, describe under DESCRIPTION OF OPERATIONS below NIA - STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASEEAEMPLOYEE $ E.L. DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allached if more space is required) City of Santa Ana, Its City Council, officers, officials, employees, agents, and volunteers APPROVED By Tu Tran Nguyen at 4:37 Pm, Jul 28, 2025 CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attention: Public Works—CIP Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-36 AUTHORIZED REPRESENTATIVE TWfa.,ip Radfi Iw Santa Ana, CA 92701 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD