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FATE(MMIDDIYYYY)
<br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br /> 8/28/20263/2025
<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 Lockton Companies,LLC CONTACT
<br /> NAME:
<br /> DBA Lockton Insurance Brokers,LLC in CA PHONE FAX
<br /> CA license#OF15767 (A/C,No Ext: A/C,No
<br /> E-MAIL
<br /> 444 W.47th St.,Ste.900 ADDRESS:
<br /> Kansas City MO 641 12-1906 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> (816)960-9000 kcasu@lockton.com INSURER A:Zurich American Insurance Company 16535
<br /> INSURED DUDEK INSURER B:Continental Casualty Company 20443
<br /> 1474583 605 THIRD STREET INSURER C
<br /> ENCINITAS CA 92024 INSURER D
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 20537415 REVISION NUMBER: XXXXXXX
<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 INSD WVD POLICY NUMBER MM/DDIYYW W MMIDD/ YY
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y GLO014631 1 8/28/2025 8/28/2026 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $ 100 000
<br /> MED EXP(Any one person) $ 10,000
<br /> 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 /> A AUTOMOBILE LIABILITY Y y BAP0146329 8/28/2025 8/28/2026 COMBINED SINGLE LIMIT $
<br /> Ea accident 1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS XXXXXXX
<br /> HIRED NON-OWNED PROPERTY DAMAGE $ �r�r�r�r�r�r�r
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> $ XXXXXXX
<br /> UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX
<br /> DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION PER OTH-
<br /> A AND EMPLOYERS'LIABILITY YIN Y WC0146330 8/28/2025 8/28/2026 X STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ 1000 000
<br /> OFFICER/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 E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> B PROFESSIONAL N Y EEH591932835 INCL POLL 8/28/2025 8/28/2026 PER CLAIM$1,000,000
<br /> LIABILITY AGGREGATE$2,000,000
<br /> INCLUDES POLLUTION
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERMS)REFERENCED.
<br /> RE:THE CITY,ITS OFFICERS,OFFICIALS,EMPLOYEES,AND VOLUNTEERS ARE ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTO LIABILITY As REQUIRED
<br /> BY WRITTEN CONTRACT.GENERAL LIABILITY AND AUTO LIABILITY IS/ARE PRIMARY INSURANCE AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL
<br /> INSURED SHALL BE EXCESS ONLY,AND NON-CONTRIBUTING WITH THIS INSURANCE.A WAIVER OF SUBROGATION,APPLIES TO THE GENERAL LIABILITY,AUTO
<br /> LIABILITY,WORKERS COMPENSATION,,AND PROFESSIONAL LIABILITY POLICIES IN FAVOR OF THE ADDITIONAL INSURED.
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION See Attachments
<br /> By Tu Tran Nguyen at 12:13 pm,Sep 03,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 20537415 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> CITY OF SANTA ANA Tu Tran byTuTrangned ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 CIVIC CENTER PLAZA Nguye Nguyen
<br /> Date: AUTHORIZED REPRESENTATIVF�
<br /> SANTA ANA CA 92701 2025.09.03
<br /> n 12:13:49-0700 I
<br /> �t
<br /> 0, 1988L-015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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