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'. �—y� DATE(MMfDOIYYYYI E.f CERTIFICATE OF LIABILITY INSURANCE 09/17/2025 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 QVIVAUl NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX HOME OFFICE: P.O.BOX 328 (AIC,No,EXt):888-333-4949 (A/c,No):507-446-4664 OWATONNA, MN 55060 ADDRESS:CLIENTCONTACTCENTER®FEDINS.COM INSURERS AFFORDING COVERAGE NAIC# INSURERA:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED INSURER B: ELEGANT CONSTRUCTION INC. INSURER 15375 BARRANCA PKWY STE J103 IRVINE,CA 92618-2210 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:24 REVISION NUMBER:0 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDOIYYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000 000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP(.any one person) EXCLUDED A Y Y 1920279 01/24/2025 01/24/2026 PERSONAL&ADV INJURY $1,000 000 CENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 9(POLICY 1 -HPECT ❑LOC PRODUCTS&COMPIOP ACC $2,000,000 OTHER: I __ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANYAUTO BODILY INJURY(Per Person) A OWNED AUTOS ONLY -SCHEEDDULED Y Y 1920279 01/24/2025 01/24/2026 BODILY INJURY(Per Aeciden4 TOS HIRED AUTOS ONLY AUTOS ONLDY PperAccident) AGE X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10,000,000 A EXCESSLIAB CLAIMS-MADE Y Y 1920280 01/24/2025 01/24/2026 AGGREGATE $10,000,000 DEp RETENTICN WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN PER STATUTE THER ANY PROPRIETORIPARTNERI EXECUTIVE E.L EACH ACCIDENT OFFICER MEMBER EXCLUDED? L N/pt (Mandatory in NH) E.L DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached if more space is required) SEE ATTACHED PAGE T j{Q '` �I1 I rC�n T�4Tea7 75.10.14Y A PROV D Nguyen 13:1P23A7'00, By Tu Tian Nguyen at 1 09 A w,.0et 14. Q CERTIFICATE HOLDER CANCELLATION ATTN: PUBLIC WORKS AGENCY 24 0 CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 20 CIVIC CENTER PLZ#M-21 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SANTA ANA,CA 92701-4058 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD