Laserfiche WebLink
DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 04/29/2026 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br /> AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br /> ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does <br /> not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT NAME: <br /> GLOW INSURANCE SERVICES LLC PHONE (844)500-4569 FAx <br /> 51130171 <br /> (A/C,No,Ext): (A/C,No): <br /> 548 MARKET ST PMB 64264 <br /> E-MAIL ADDRESS: <br /> SAN FRANCISCO CA 94104 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: Hartford Casualty Insurance Company 29424 <br /> INSURED INSURER B: <br /> CALIFORNIA SCIENCE AND TECHNOLOGY INSURERC: <br /> UNIVERSITY <br /> 1601 MCCARTHY BLVD INSURERD: <br /> MILPITAS CA 95035-7401 INSURERE: <br /> INSURER F: <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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD MM/DD/YYYY MM/DD/YYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE❑OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence <br /> MED EXP(Any one person) <br /> PERSONAL&ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY PRO- LOC PRODUCTS-COMP/OPAGG <br /> JECT <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS AUTOS (Per accident) <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE <br /> EXCESS LB CLAIMS- AGGREGATE <br /> MADE <br /> DED RETENTION$ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY Y/N E.L.EACH ACCIDENT $1,000,000 <br /> A PROPRIETOR/PARTNER/EXECUTIVE N/A 51 WEC BY3HON 03/27/2026 03/27/2027 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> (Mandatory in NH) <br /> If yes,describe under f�APPROVEDE.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS below Tu Tran Nguyen at 7.18 am,May 07,2026 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insured's Operations.The Entity,its officers,officials,employees,and volunteers,but only as required by a valid written contract, <br /> agreement,or permit, is an additional insured as provided by the Blanket Additional Insured By Contract Endorsement, Form SL 30 32. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> ATTN:Audrey Goodson BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> 801 W CIVIC CENTER DR STE 200 IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SANTA ANA CA 92701-4066 AUTHORIZED REPRESENTATIVE <br /> �aleztll 6f <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />