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-- -0*1 CI -I <br />ASEBC01 OP ID: <br />CERTIFICATE OF LIABILITY INSURANCE I DATE(MM%DD/YYY_) <br />I 05/16/2024 <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 "NAIVED, subjeui W <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 />PRODUCER E: Charlie Hah. <br />HAN MI INSURANCE CENTER, INC Digit <br />I ry I t EAR <br />7700 Orangethorpe Ave #15 y o - lu (ac, Nor. 714-562-0333 <br />Buena Park, CA 90 1 • ADp Fss: charlielftinsurancehanmi_rnm <br />i <br />by A INSURERS AFFORDING COVERAGE NAIL. <br />URERA:Travelem Casualty Ins,CO_ 119046 <br />INSURED Asel Beauty Col , Inc. ACeV e: Hartford Casualty Insurance Co 1.14jur <br />Lee, Christopher <br />9240 rden Grove Blvd #10do NSURERC: <br />Gar G e Date:l <br />VV_ A / A r1 ItW`JR F .A I �A--� 7A--�' <br />nnvcoAn=Q CCRTIr.f1P .'r- NI IMRFR — l ll I REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AROVE FOR THE POLICY PERIOD I <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF <br />ANY CONTRACT OR OTHER nOC.UMFNT WITH RESPECT TO <br />WHICH THIS 1 <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />BY THE POLICIES DESCRIBED HEREIN IS SLIR_IECT TO ALL <br />THE TERMS I <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />i <br />ADDL <br />INSR TYPE OF INSURANCE POLICY NUMBER <br />LTR <br />POLICY EFF MD/YYYY LIMITS <br />M/D <br />MM/DD <br />I I <br />1 einn,nna <br />A X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE e <br />CLAIMS -MADE OCCUR X X 680-5W851912 <br />0DAMAGE TO RENTE <br />5/07/2024 05/07/2025 $suu,uu <br />PREMISES (Ea occurrence) 1UI <br />1 MED EXP (Anv one oersonl S <br />5.00d <br />FGEN'L <br />PEFl.7lJNAL iL ADV INJURY $ <br />1,V_ V0,VVVI <br />AGGREGATE LIMIT APPLIES PER: <br />I GENERAL AGGREGATE 1 $ <br />000,0001 <br />2,000,0001 <br />X POLICY PRO LOC <br />JECT <br />PRDDVI TJ`l VMfIOFAGG I $ <br />1 Ann nA <br />1 I $ <br />OTHER <br />I COMBINED SINGLE LIMIT I $ <br />'En <br />- <br />I <br />AUTOMOBILE LIABILITY <br />du:ideiii <br />1 a <br />BODILY INJURY (Per person)ANY <br />I <br />AUTO <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per accident $ <br />I <br />AUTOS AUTOS <br />NON -OWNED <br />PROPERTY DAMAGE $ <br />(Per accident) <br />I <br />HIRED AUTOS AUTOS <br />i Is <br />UMBRELLA UAB <br />OCCUR <br />I <br />I EACH OCCURRENCE <br />is <br />I AGGREGATE <br />is <br />I <br />EXCESS LIAB <br />CLAIMS -MADE <br />DIED I RETENTION $ <br />WORKERS COMPENSATION <br />�e T <br />I X I STATUTE 1 I ER u <br />$ <br />I <br />AND EMPLOYERS' LIABILITY YIN <br />57WECAEODDI <br />10118120231 <br />10/18/2024 <br />FL EACH ACCIDENT <br />I $ <br />1 AOO;AO(i <br />B <br />ANY ECUTIVE <br />A <br />OFFICER/MEM ER EXCLUDED ❑ <br />N / <br />1 E L DISEASE - EA EMPLOYEE! <br />$ <br />I,000,UUUI <br />(Mandatory In NH) <br />I <br />I <br />I E.I. n1,.CFACF POLICY LIMIT I e <br />1.000.00d <br />H yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />BPP/RCV/LOC #1 <br />680-5W851912 <br />05/07/20241 <br />05/07/2025 <br />_ <br />ISPOCsiai <br />o ,vvu1 <br />A <br />A <br />BPP/RCV/LOC #2 <br />680-5W851912 <br />05/07/2024 <br />105/07/2025 <br />i <br />(Special <br />30,0001i <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, <br />may be attached if more space is required) <br />-City of Santa Ana, its officers, employees, agents and volunteers are named <br />as additional insureds. <br />-City will be mailed 30 days written notice of policy cancellation. <br /><Please refer holder note for more details> <br />I <br />I <br />I <br />CERTIFICATE HOLDER CANCELLATION ION <br />CITTSAN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DF IVFRFn IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PP <br />Risk Management Division Risk ManagemeKDMsion <br />20 Civic Center Plaza, 4th FI. AUTHORIZED REPRESENTATIVE P, REVIEWED & APPROVED BY. <br />Santa Ana, CA 92702 ,r7 / /� / �I j Ada &ZV4 a <br />Risk Management Specialist <br />9-9 low <br />8R_2n14 _CORD <br />1gc <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />