|
,a`oizo° CERTIFICATE OF LIABILITY INSURANCE DATE06/05/2024/2024IYYYY)
<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
<br />Marsh USA LLC NAININ I I Justin Llizo
<br />1717 Arch Street D I t 2 - 5 AIc, No): 202-263-7700
<br />Philadelphia, PA 19103-21 h P ADDRESS: Justin.Llizo marsh.com
<br />Attn: Veralto.certre uest sh.c
<br />hSURER(S) AFFORDING COVERAGE NAIC #
<br />CN142374883-VC-GAWU 24 r' "� . -' • - - -- 22667
<br />INSURED
<br />SEDARU, INC.
<br />168 ARROW HWY, SUITE 101
<br />SAN DIMAS, CA 91773
<br />CnVFRAnFR
<br />INSURER 6 AORM-P6
<br />[INSURER.
<br />QE: At
<br />rIF-nn79199R3-nd
<br />• V V • � V
<br />RFVISIC)N NIIMRFR- 19
<br />20699
<br />43575
<br />N/A
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSU' ANC a LISTED BELO H E TQ_ I S MED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREI\'cNT TERM OR CONDI I O O CT HE UMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIi!, .HE 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
<br />LTR
<br />OF INSURANCE
<br />ADDLSUBRTYPE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DDIYYYYI
<br />POLICY EXP
<br />iMMIDDIYYYYI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />HDOG47306632
<br />09/30/2023
<br />09/30/2024
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE X� OCCUR
<br />DAMAGE TO
<br />FIR SES Ea occurrDe...
<br />$ 2,000,000
<br />X
<br />MED EXP (Any one person)
<br />$ 10,000
<br />Contractual Liability
<br />X
<br />Broad Form PD
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />PE� LOC
<br />NPOLICY
<br />PRODUCTS - COMP/OPAGG
<br />$ 5,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />ISA H10699629
<br />09/30/2023
<br />09/30/2024
<br />CEa accidentOMBINED SINGLE LIMIT
<br />$ 3,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />L
<br />$
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />XEUG4742107A 001
<br />09/30/2023
<br />09/30/2024
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />C
<br />A
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N / A
<br />WLR C70317849 (AOS)
<br />WLR C70317801 (AK, AZ, CA, DC, MA)
<br />SCF C70317886 (OR, PA, W)
<br />09/30/2023
<br />09/30/2023
<br />09/30/2023
<br />09/30/2024
<br />09/30/2024
<br />09/30/2024
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 2,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 2,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Certificate Holder is additional insured for General Liability but only as required by written contract with respect to the operations of the named insured. Waiver of subrogation is applicable where required by
<br />written contract.
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />20 Civic Center Plaza THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
<br />Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PRC
<br />% orz,NvF RAMougmumtDiviaian
<br />AUTHORIZED REPRESENTATIVE z REVIEWED & APPROVED BY:
<br />%tea® Risk Management Specialist
<br />© 1988-2016 ACORD
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|