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ACC)R" CERTIFICATE OF LIABILITY INSURANCE 72/1212026 (MMIDDIYYYY) 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 The Baldwin Group West, LLC NHAMEE: Michael Tran FAx 15901 Red Hill Ave, Ste 100 AI N Ex 714 505-7000 !uC me): 714 573-1770 Tustin CA 92780 ADDRESS: michael.tran gwgbib.com INSURER 5 AFFORDING COVERAGE NAIL# License#:OF69771 INSURER A:American Zurich Insurance Comp 40142 INSURED ONYXPAV-01 w Onyx Paving Company, Inc. suRER6: Evanston Insurance Company 35378 22707 La Palma Ave. INSURERC:Great American Insurance Coma 16691 Yorba Linda CA 92887 INSURERD:Scottsdale Insurance Company 41297 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1354526977 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. INSR I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS D X COMMERCIAL GENERAL LIABILITY BCS20G3096 10/112025 10/1/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE Z OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE X PRO- $2,000,OOD POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP106300607 1011/2025 10/112026 Es aBINFDtSINGLE LIMIT $1.000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident AUTOS ONLY AUTOS ( ) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C UMBRELLA LAB X OCCUR TUE490440203 10/1/2025 10/1/2026 EACH OCCURRENCE $6,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $6,000,DDD DE❑ RETENTION 7 $ A WORKERS COMPENSATION WC106300507 10/1/2025 10/1/2026 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTI V E OFFICERIMEMBEREXCLUDED7 N 1 A E.L.EACH ACCIDENT $1,OD0,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Contractors Pollution Liability MKLV5ENV105319 10/1/2025 10/112026 Aggregate $10,000,00D Occurence $5,000,000 Deductible $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule„may be attached it more space is requiredl —Excess Policy#TUE490440203 is Excess over the General Liability,Auto Liability,and Workers Compensation— Certificate holder(s)is/are named as additional insured per the attached endorsements as required by written contract subject to the terms&conditions Of the policy: GL Additional Insured Form#CG 20 10 12 19 and CIS 20 37 12 19 GL Additional Insured State-Permits Form#CG 20 12 12 19 SGL eeAttached...Primary and Non-Contributory Farm#CG 20 01 12 19 APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 11:14 am,Feb 17,20: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92707 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD