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<br /> .aco�ra CERTIFICATE OF LIABILITY INSURANCE
<br /> 2/19/2026
<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
<br /> NAME: Michael Tran
<br /> The Baldwin Group West, LLC PN1. DNE 714 505-7000 FAX
<br /> No: 714 573 1770
<br /> 15901 Red Hill Ave, Ste 100 E-MAIL
<br /> Tustin CA 92780 ADDRESS: michael.tran@wgbib.com
<br /> INSURER s AFFORDING COVERAGE NAIC#
<br /> Licerise#_OF69771 INSURER A:American Zurich Insurance Comp 40142
<br /> INSURED ONYXPAV-01 INSURER B:Evanston Insurance Company 35378 Onyx Paving Company, Inc. INSURERC:Great American Insurance Cam a 16691 _
<br /> 22707 La Palma Ave.
<br /> Yorba Linda CA 92887 INSURERD:Scottsdale Insurance Company 41297
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1735525107 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE 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 AOOLSUBR TYPE OF INSURANCE WVD POLICY NUMBER MM
<br /> POLICY EFF POLICY EXP
<br /> LTR !DDIYYYY MMIDDIYYYY LIMITS
<br /> D X COMMERCIAL GENERAL LIABILITY BCS2D03096 101112025 1011/2026 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE FRIOCCUR PREMISES Ea occurrence $100,000
<br /> VIED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE L[MIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY JECOT- 71 LOC PRODUCTS-COMPIOPAGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY BAP106300607 10/112025 10/112026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> $
<br /> C UMBRELLA LIAB 1 -1 X OCCUR TUE490440203 10/1/2025 10/1/2025 EACH OCCURRENCE $6,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE. $6,000,000
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION WC106300507 10/1/2025 10/1/2026 XPER QTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERIMEM 6ER EXCLUDED?
<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 /> B Contractors Pollution Liability MKLVSENV105319 10/1/2025 10/1/2026 Aggregate $10,000,000
<br /> Occurence $5,000,000
<br /> Deductible $10,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> '—Excess Policy#TUE490440203 is Excess over the General Liability,Auto Liability,and Workers Compensation***
<br /> Certificate holder(s)islare named as additional insured per the attached endorsements as required by written contract subject to the terms&conditions of the
<br /> policy:
<br /> GL Additional Insured Form#CG 20 10 12 19 and CG 20 37 12 19
<br /> GL Additional Insured State-Permits Form#CG 20 12 12 19
<br /> GL Primary and Non-Contributory Form#CG 20 01 12 19
<br /> See Attached... APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Ty Fran Nguyen at 12.56 pm,Mar 11,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> 20 Civic Center Plaza
<br /> Santa Ana CA 92707 AUTHORIZED REPRESENTATIVE
<br /> OO 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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