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PROTE24 OP ID: BG <br /> ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 04/04/2025 <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 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 877-242-9600 CONTACT Central Insurance Agency, Inc <br /> NAME: <br /> Central Insurance Agency,Inc. PHONE 877-242-9600 FAX 877-243-8995 <br /> PO Box 1047 (A/C,No,Ext): (A/C,No): <br /> Smithtown,NY 11787 E-MAIL certificates@ciainsures.com <br /> George Gavaris ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:Amerisure Mutual Insurance Co 23396 <br /> INSURED INSURER B:StarStone Specialty Insurance 44776 <br /> Protection America Inc. <br /> PPO#120313 INSURER CHartford Undewriters Ins Co 30104 <br /> 21350 Nordhoff St#104C United Financial Casualty 11770 <br /> Chatsworth,CA 91311 INSURER D: <br /> INSURER E: <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 TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD MWDD/YYYY MM/DD/YYYY <br /> B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE Xrl OCCUR WSGL002225 09/19/2024 09/19/2025 DAMAGE TO RENTED 100,000 <br /> X X PREMISES Ea occurrence $ <br /> X Errors&Omission MED EXP(Any oneperson) $ 5,000 <br /> X Assault&Battery PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY� PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> D AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> Ea accident $ <br /> X ANY AUTO X X 04169862 04/08/2025 10/08/2025 BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident) <br /> ccident $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> Y/N WC 21219520202 11/06/2024 11/06/2025 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE � N/A E.L.EACH ACCIDENT $ <br /> EXCLU <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C Property 91SBABLOBYH 04/26/2025 04/26/2026 Contents 13,310 <br /> To DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Trad b Tran sy led <br /> by <br /> Date:2025.04.04 <br /> *see holder notes Nguyen>>:23:20-07'00' <br /> APPROVED <br /> By Tu Tran Nguyen at 11:22 am,Apr 04, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SANTACI <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attention: (Edward Rios) <br /> 20 Civic Center Plaza, M-26 <br /> Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />