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n� �® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMI DN YY)
<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(5), 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 15 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
<br />IMA, Inc. -Colorado
<br />1705 17th Street, Suite 100
<br />CONTACT
<br />NAME IMA Denver Team
<br />PHONE FAx
<br />. 303-534-4567 ac Nei:
<br />E = s: denaccounttechs@imaeorp.com
<br />Denver CO 80202
<br />INSURERS AFFORDING COVERAGE
<br />NAIC9
<br />INSURER A: HOmesite Insurance Company of Florida
<br />11156
<br />INSURED VINFAUT-01
<br />VinFast Auto, LLC
<br />INSURER B: HDI Global Insurance Company
<br />41343
<br />12777 W Jefferson Blvd, Ste. A-101
<br />INSURERC:
<br />INSURER
<br />Los Angeles, CA 90066-7048
<br />INSURER E
<br />El!
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1875108544 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 />INBR
<br />LTR
<br />OF INSURANCE
<br />ADDLTYPE
<br />JIM
<br />BR
<br />SUn
<br />POLICY NUMBER
<br />MMI�DY�
<br />MMLDOY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIALGENERAL LIABILITY
<br />KDSLP90063001
<br />2/27/2024
<br />2/27/2025
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE � OCCUR
<br />OA A ETORENTED
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />AGGREGATE LIMIT APPLI ES PER:
<br />POLICY 0 PRO- ❑
<br />JECT LOC
<br />GENERALAGGREGATE
<br />$3,000,000
<br />GENT
<br />X
<br />PRODUCTS - COMP/OP AGG
<br />$1,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />KDSLP90063001
<br />2/27/2024
<br />2/27/2025
<br />COMBINED SINGLE LIMIT
<br />Ea accident)
<br />$t,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accitlent)
<br />$
<br />PROPERTYDAMAGE
<br />Per accident)
<br />$
<br />HIRED NON-0WNED
<br />AUTOS ONLY AUTOSONLY
<br />X
<br />Deductible
<br />$10,000
<br />Symbol 21
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />CUD6273101
<br />3/1/2024
<br />3/1/2025
<br />EACH OCCURRENCE
<br />$9,000,000
<br />AGGREGATE
<br />$9,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />WCC00000300
<br />2/27/2024
<br />2/27/2025
<br />X I PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMSEREXCLUDED) N
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />A
<br />Garage Liability Coverage
<br />KDSLP90063001
<br />2/27/2024
<br />2/27/2025
<br />Limit
<br />$1,000,000
<br />1
<br />FF
<br />Dedparole:
<br />$10.000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD IDl, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Tet Festival event on Saturday, January 25, 2025.
<br />City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are included as Additional Insured on the General and Automobile
<br />Liability Policies, if required by written contract or agreement, subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of City of
<br />Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers on the General and Automobile Liability Policies, if required by written
<br />contract or agreement, subject to the policy terms and conditions. This Insurance is Primary & Non -Contributory on the General and Automobile Liability
<br />Policies, if required by written contract or agreement, subject to the policy terms and conditions.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana
<br />20 Civic Center Plaza 2nd Floor
<br />AUTHORIZEDREPRESENTATIVE
<br />Santa Ana CA 92701
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD PROVED[,AP
<br />y Luisa Najera at 2:02mn3
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