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A� FAE(MMIDDIYYYY)
<br /> �� CERTIFICATE OF LIABILITY INSURANCE /27/2025
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> CONTACT
<br /> Newtown Insurance Agency NAME: SILVI CHA
<br /> 1458 S San Pedro St#212 AIC.NE N Ext: 213-388-5505 FAx 213-388-7148
<br /> Los Angeles, CA 90015 E-MAIL
<br /> ADDRESS: V silvichannnewtins.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA: EVANSTON INSURANCE CO 35378
<br /> INSURED INSURER B:DRIVE INSURANCE CO 27804
<br /> VALLEY MAINTENANCE CORPORATION INSURERC: UNITED STATES LIABILITY INS CO 25895
<br /> INSURERD: ICW GROUP 27847
<br /> 11759 TELEGRAPH ROAD INSURERE: SURE TEC INSURANCE COMPANY
<br /> SANTA FE SPRINGS CA 90670 INSURERF: NAUTILUS INSURANCE COMPANY
<br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR I POLICY NUMBER MM/DD/YYYY MMIDD/YYYY
<br /> COMMERCIAL GENERAL LIABILITY 3AA8118 8 8 EACH OCCURRENCE $ 2, 0 0 0, C 0 0
<br /> 08/13/2024 08/13/2025 DAMAGE TO RENTED
<br /> CLAIMS-MADE � OCCUR PREMISES Ea occurrence $ 10 0, C 0 0
<br /> J PRIMARY NON—CONTRIBUTORY MED EXP(Any one person) $ 5, C 0 0
<br /> A 11 ON GOING AND COMPLETED OPS END X X PERSONAL&ADV INJURY $ 2, 000, 000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2, 0 0 0, C 0 0
<br /> POLICY JECT LOC PRODUCTS-COMP/OPAGG $ INCLUDED
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COM03370309 03/12/2025 09/12/2025 Ea ccdeDISINGLELIMIT $ 1, 000, 000
<br /> p ANY AUTO BODILY INJURY(Per person) $
<br /> B ALL OWNED SCHEDULED X X BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> HIRED AUTOS AUTOS Per accident
<br /> $
<br /> UMBRELLA LIAB OCCUR XL157840OF 05/02/2024 05/02/202S EACH OCCURRENCE $ 5, 000, 000
<br /> C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5, 000, 000
<br /> DED RETENTION$ PRODUCTS—COM/CP AGG $ 1, 000, 000
<br /> WORKERS COMPENSATION PER H-
<br /> OT EMPLOYERS'LIABILITY WSA5037498 08/13/2024 08/13/2025 STATUTE ER
<br /> YIN
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1, 000, C O O
<br /> 1) OFFICER/MEMBER EXCLUDED? Y❑ N I A X
<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 /> BUSINESS SERVICE DISHONESTY BOND
<br /> E LIMIT OF LIABILITY 5329363 08/11/2024 08/11/2025 25, 000
<br /> g PROPERTY NN1760690 10/23/2024 10/28/2025 20, C00
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Agreement Number:A-2021-043
<br /> City of Santa Ana,officers,agents,employees,and volunteers are named as additionally insured on this policy pursuant to written contract,
<br /> agreement,or memorandum of understanding.Such insurance as is afforded by this policy shall be primary,and any insurance carried by City
<br /> shall be excess and noncontributory."
<br /> This Policy may be canceled by the Company by giving to the Insured and to the additional insureds Indic ated on the certificates of insurance
<br /> issued during the term of this policy,at least Thirty(30) days written notice of cancellation or in the case of non-payment of premium,at least
<br /> ten (10) days'written notice of cancellation."
<br /> APPROVED
<br /> CANCELLATION By Tu Tran Nguyen at 2:12 pm,Apr 03,2025
<br /> CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 CIVIC CENTER PLAZA,4TH FLOOR
<br /> AUTHORIZED REPRESENTATIVE IU Iran byTuTran
<br /> Nguyen
<br /> SANTA ANA,CA 92702 Nguyen Date.2025,04.0
<br /> ©11988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
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