Laserfiche WebLink
AC" DATP- IMMIDDIYYYYI <br />llta. B`NNCERTIFICATE OF 04/2 202.5 <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 t0 the <br />certificate holder in lieu of such endorsement(s). <br />JOHN DIEHL <br />PRODUCER State Falco Insurance 626-791-9915 FAXNnr:626 791-991e <br />180 S. Lake Ave Saute 405 -MAIL s. _.-._. <br />aoDREsS: JOHN@JDIEHL.COM <br />Pasadena„ CA 91101 <br />PRODt10Ek <br />r*NdRTPSMFR' Ir7 31• 0D7560 <br />8 <br />INSURED <br />NETFILE INC <br />PO BOX 27320 <br />FPE NO CA 93729-7320 <br />State Farm General Insurance Company <br />State Farm Fire and Casualty Company <br />flNSU�..RER E <br />INSURER F : <br />rfiAnr o PFVlglr)N NUMBER: <br />26161 <br />25143 <br />ANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES „ OF INSURANCE , NSUR I <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 />WME Walk POL" ICY EFP POLICY EXP 1L '.. TYPE OF INSURANCE POLICY NUMBER '.. MMIDD MMMe'DDlYYYYLIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />92-XV-7702-4 <br />0310112025 <br />0310112026 <br />pG�F�I--�NN <br />y 2, <br />D;kM <br />PR (Ea nnnurrenca <br />000,400 <br />$ 300,QQ0 <br />Y <br />—Em <br />MED EKES <br />P (Any ono person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GENERAL AGGREGATE <br />$ 4,QCO,000 <br />PRODUCTS - COMPJOP AGG <br />$ 4,000,040 <br />...... <br />GENT AGGREGATE LIMIT APPLIES PER. <br />x POLICY P � LOG <br />$.. <br />AUTOMOBILE <br />A <br />LIABILITY <br />COMBINED SINGLE LIMrr <br />(Ea accident) <br />$ <br />ANY AUTO <br />❑ <br />I I <br />BODILY <br />INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS.. <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Per accadenl) <br />$ <br />. <br />$ <br />NON -OWNED AUTOS <br />$ <br />A <br />UMBRELLA LNAB <br />EXCESS L1A6 <br />x <br />OCCUR <br />CLAIMS -MADE <br />yy <br />L—I <br />9�2-EO-Y230-0 <br />0310112025 <br />0310112026 <br />EACH OCCURRENCE <br />$ 2,000,004 <br />AGGREGATE <br />$-.. 2,000 000 <br />_.. <br />Y <br />DEDUCTIBLE <br />A <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS" LIABI Y f N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />',NrA <br />ray <br />I Y <br />I_i <br />1 92-MWl-G743-9 <br />0310112025 <br />0310112026 <br />�* WOCYTATIUT OTRH- <br />E.L EACH ACCIDENT <br />.. <br />E,L. DISEASE - EA EMPLOYEE <br />$ <br />1,000,000 <br />W .m 1,000,000 <br />$ <br />E L DISEASE -POLICY LIMIT <br />$ 1,000,004 <br />Mandatory In NH) <br />If yes, describe under <br />B <br />TECHNOLOGY ERRORS d OMISSIONS <br />Y <br />L—J <br />342021 <br />02/1112025 <br />0211112026 <br />$2111,01- EACH WRONGFUL ACT <br />$2.,000,,4DQ - TOTAL LIMIT OF LIABILITY <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1e1, Additional Remarks Schedule, if more space is required) <br />DATA AND INFORMATION STORAGE <br />CANCELLATION NOTICE: IF ANY POLICIES ARE CANCELED BEFORE THE EXPIRATION DATE, STATE FARM <br />WILL TRY TO MAIL A WRITTEN NOTICE <br />TO THE CERTIFICATE HOLDER 30 DAYS BEFORE CANCELLATION. <br />__._._. <br />CERTIFICATE HOLDER CANCELLATION <br />By Tat Tran Nguyen at 10:183 aria, Apr '22; 2025' <br />Tu Tran Digitally signed by <br />CITY OF SANTAANA TuTran Nguyen SHOULD ANY OF THE ABOVE DESCRIBED POLICIES —BE —CANCELLED BEFORE THE <br />Date: 2025.04.22 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE. <br />ATTENTION: JENNIFE'R HALL,, CITY CLERK Nguyen 10:18:33-07'00' POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA, M-30 <br />SANTA ANA, CA, 92701 AUTHORIZED REPRESENTATIVE <br />t <br />W 19Uta- ZUU1J AI. U KU S. UKI WJr%M 11 IWIM. awry r IHI1LQ na— .­ <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 1001486 132849.4 02-11-2010 <br />