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Aco 0 <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 07/31/2024 <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 WAIVED,subject to the <br /> 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 /> PRODUCER CONTACT AP Intego Insurance Group,LLC <br /> AP INTEGO INSURANCE GROUP, LLC PHONE 888_289 2939 FAX <br /> A/C No Ext: A/C No): <br /> 375 Woodcliff Dr. E-MAIL <br /> ADDRESS:certs@apintego.com <br /> Suite 103 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Fairport NY 14450 INSURER A: Hartford Casualty Insurance Company 29424 <br /> INSURED <br /> INSURER <br /> WORKING WARDROBES FOR A NAngie <br /> Acev � _2000 E Mcfadden Ave Ste 10C n I I <br /> INSURER E: �-Q <br /> Santa Ana CA 92705 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 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 IN SR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ <br /> CLAIMS-MADE1:1 OCCUR PIED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY <br /> IRO—LOC $ <br /> JECT <br /> AUTOMOBILE LIABILITY F F COMBINED SINGLE LIMIT <br /> Ea accident $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS APer accident <br /> r $ <br /> UMBRELLA LIAB OCCUR I r I EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X WCTOR LIMITS OT <br /> AND EMPLOYERS'LIABILITY <br /> ER- <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE — F 76WEGAT9Z3W 08/30/2024 08/30/2025 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICE/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below r r E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> I I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Risk Management Division <br /> null SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF. NOTICE WILL 6E DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PR( <br /> 20 Civic Center Plaza Risk MeaganentDN,iy'LcrrL <br /> AUTHORIZED REPRESENTATIVE �?'� REVIEWED&APPRCrVm BY: <br /> °i 4g:e f}eev44 <br /> Santa Ana CA 92702 ®' Risk Management Specialist <br /> ©1988-2010 ACORD <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br /> Clear All <br />