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.d►co CERTIFICATE OF LIABILITY INSURANCE DATE IMMfDD YYYY}
<br /> 0313112026
<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 Brent Nishikawa
<br /> NAME:
<br /> The Liberty Company Insurance Brokers PAHONNQ Ext: (888)918 3960 arc,No
<br /> Lic#OD79653 E-MAIL SS: bnishikawa@fibertycompany.com
<br /> ADDRE
<br /> 5955 De Soto Ave,.Ste 250 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Woodland Hills CA 91367 INSURER A: Travelers Property Casually Co of America 25674
<br /> INSURED INSURER B: The Travelers Indemnity Co of CT 25682
<br /> 41-eaf,Inc. INSURER c: Berkshire Hathaway Homestate Insurance Company 20044
<br /> 2126 Rheem Dr INSURER D: Pacific Insurance Company,Limited 10046
<br /> INSURER E:
<br /> Pleasanton CA 94588 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 2026 NEW REVISION NUMBER:
<br /> THIS IS TO CERTIFYTHAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAYBE 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 /> -
<br /> INSR ALIDL SUB R POLICY Err POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WV❑ POLICY NUMBER MMIDDIYYYY MMfDDNYYY) LIMITS
<br /> X COMMERCIAL GEN LRAL LIABILITY 1,000,000
<br /> EACH OCCURRENCE S
<br /> CLAIMS-MADE OCCUR DAMAGE T REN 1,000,000
<br /> PREMISES Ea occurrence 5
<br /> VIED EXP(Any one person) 5 5,000
<br /> A Y Y 6600519815A 113/1512026 03/15/2027 PERSONAL&ADV INJURY 5 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g 2,000,000
<br /> POLICY O PRO ❑ 2,000,000
<br /> J ECT LOC PRODUCTS-COMPIOP AGG 5
<br /> OTHER: S
<br /> AUTOMOBILE LIABILITY COMSI NEC SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY{Per person), $
<br /> B OWNED X AUTOS
<br /> SCHEDULED Y Y BA-C4831196-26-43-G 03/15/2026 03115/2027 BODILY INJURY(Per accident) $
<br /> A TOS ONLY
<br /> V HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident S
<br /> 5
<br /> X UMBRELLA LIAR I Ne'l OCCUR EACH OCCURRENCE S 6,000,000
<br /> A EXCESS LIAB CLAIMS-MADE C'UP04831922 03/15/2026 03/15/2027 AGGREGATE S, 6,000,000
<br /> DE❑ I X1 RETENTION So F5
<br /> WORKERS COMPENSATION X1
<br /> SPER TATUTE ORH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETORIPARTNERfFXECUTIVE YIN 1,000,000
<br /> C' OFFICERIMEMBER EXCLUDED? � NIA Y FOWC726350 04/01/2026 04/01/2027 E.L.EACH ACCIDENT 5
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS be€ow E.L.DISEASE-POLICY LIMIT $
<br /> Professional Liability Per Claim $5,000,000
<br /> D Retro Date:04101/2007 Y 130HO881505-26 03/15/2028 03/15/2027 Aggregate $5,000,000
<br /> Retention $50,000
<br /> DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (ACORD 101,Additional Remarks ScheduIe,may be attached if more space is required)
<br /> RE:Agreement N-2025-278.
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are included as an Additional Insured under the Commercial
<br /> General Liability(Including completed operations)and Auto Liability on a Primary/Non-Contributory basis when required by written contract.A Waiver of
<br /> Subrogation in favor of the Additional Insured applies to the General Liability,Auto Liability,Workers Compensation and Professional Liability when required
<br /> by written contract.30 Notice of cancellaticn applies.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By 7u Tran Nguyen at 41:32 am,Apr 172,2172f;
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Planning and Building Agency
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 v4—
<br /> Q 1988-2015ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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