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ACiORV PATr:(MM/qD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE _ os�oe�2)20 <br /> THIS CFAY101CATF IS ISSUED AS A MATTER OP INFORMATION ON LYAND CONFEks No RIGHTS U pON TOE CklfTIFICATE HOLDER.THIS CERTIFICATE DOES N&(AFFIRMATIVELY OR NEGATIVELY <br /> AMEND,EKTENDOR ALTERTHE COVRRAGRAFFORDED BYTHE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUkrsk(s) <br /> AUTHORIZED REPRESENTATIVE OR PRODUCVR,ANDTHE CERTIFICATE HOLDER. <br /> IMPORTANT:III the cardRoots holder In en AbbIYIONALINSURED,the pOIICV(lee)must hevs AODTTIONAL INSUREb prov(slons or boendor"d.If SUBROGATION IS WAIVED,subJact to the terms and <br /> condition of the policy,certain pollelos may requireanandaMMant.Astatementonthlscardficata does not confer rights to thecerti leato holdarin Reu ofsuchondomornent(s). <br /> PRObUCER ^T CONTACT <br /> NAME: PHIL DONG <br /> Phli Dong(9720660) PHONE pA1i <br /> 16626 arookhurst St (A/C,No,I! r):714-5B7-6777 V►/c,No):088-866-9567 <br /> F-MAIL <br /> Westminster CA 92683-7673 ADDRIES5; commerolal9phlldong9genoy.com <br /> INSURER($)AFFORDING COVERAGE k"C R <br /> INSURED INSURERA: Trucklnsuranae Exchange 21709 <br /> 1NSURERO: Farmers Insurance Exchange 21662 <br /> GFTUVER,ER1C INsuRERC: Mid Century insurance Company 21131217 <br /> 2021 E 4TM ST INSURERM �. <br /> STE 116 — <br /> SANTA ANA CA 92706 INSUR M <br /> IN5UkERER A F: <br /> COVERAGES - CfrtTIFICATE NUMBER, — REVISION NUMBERS <br /> THIS ISTOCERTIFVYHATTHEP041CIESOF INSURANCE LISTED BELOW HAVE BeEN15SUEOTOTHE INSURED NAMEABOVEFORTHEPOLICY PERIOD INDICATII0,NOIWITHSTANDINGANY - <br /> REQUIREMENT,YERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE I$$UEp OR MAY PERTAIN,THE INSU RANCEAFFORDEO BYTHE <br /> POLICIES DESCRI130D HEREIN IS SUBJECT TO ALLTH E TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> INSR ADDTL SUER POLICY Err POLICYEXP �- <br /> LTR TYPEOFINSURANCE INSR vivoPOLICYNUMBER (MM/DD/YYYV) (MM/DO/VYVY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY �- EACHOCCURRENCE $ 1000000 <br /> 7 CLAIMS•MMA 11�I OCCUR DAMAG$70 RENTED $PREMISES(EaOccurrence) 75,000 <br /> MEDSXP(Any one potion) $ 5000 <br /> A Y Y 016044007 00/2512025 06/2612026 PERSONAL&ADV INJURY S 1,000,000 <br /> GEN'LAGGREOATELIMITAPPLIGSPER: GENERAL AGGREGATE $ 2000000 <br /> POLICY L] PROJECT LOC PRODUCTS-COMP/OPA00 3 1 )00,000 <br /> OTHER; $ <br /> AUTOMOBILE LIABILITY �•_--� COMBINCIPSINGLELIMIT $ <br /> (Eauddent) <br /> ANYAUTO _BODILY INJURY(Porparson) S <br /> OWN EDAUTOS SCHEDULED ONLY AUTOS BODILY INJURY(Per eccldant)$ <br /> p HiRED AUTO$ NON-OWNED PROPERTY DAMAGE $ µ <br /> ONLY AUTOSONLY (Peroccldent) <br /> $ <br /> UMBRELLAUAII HCLAIMS-MADE <br /> OCCUR 6ACHOCCURRENCE $ <br /> EXCBSSLIA9 AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTHER $ <br /> AND EMPLOYERS'LIABILITY STATUTE <br /> ANY PROPRIETOR/PARTNER/ Y/N E.L.EACH ACCIDENT $ <br /> EXECUTIVE OFFICER/MEMBER N/A �--� <br /> EXCLUDED?(Mandatory In NH) E,L,DI$tA5F.FA EMPLOYEE <br /> 1103,descrlbo under DESCRIPTION OF <br /> OPERATIONSbelow E1,0ISEASE-POLICYLIMIT $ <br /> Tt t Iran Digi ally signed by <br /> By Tu Tiara Nguyen at 9:rC a „Seta 10,2025 Tu T an Nguyen <br /> --------------------------------------------- Dat :2025.09.10 <br /> DESCRIPTION OFoPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddltlQnal RemarkaSchedule,maybe attached If more space Is ragUlred) <br /> LOCATION,2021 E FOURTH STE 110,SANTAANA,CA 92705 <br /> ADDITIONAL INSURED:CITY OF SANTA ANA,ITS CITY COUNCIL,OFFICERS,OFFICALS,EMPLOYEES,AGENTS,AND VOLUNTEERS <br /> CERTIFICATE HOLIER CANCELLATION <br /> w- CITY OF SANTA ANA SHOULD ANY OPINE ABOVE DESCRIBED POLICIES BE CANCELLED 0EFORETHEEXPIRATION <br /> ATTN;SANTA ANA POLICE DEPARTMENT DATE Y14CAROR NOTICE WILL BE 131:LIVERBDINA000RDANCE WITH THE POLICY PROVISIONS, <br /> 60 CIVIC CENTER PLAZA,M-18 AUTHORIZED REPRESENTATIVE <br /> SANTA ANA CA 92701 <br /> ACORD'25(2016/03) 01988 2015 ACORD CORPORATION.All Rights Reserved <br /> 31-1769 11.15 TheACORD name and logo are registered marks afACORD <br /> 0 /Z d LED4# VO0LT7996PGZ ZIG11f]Lr� "zQ 6E 1 L 9Z0z'G0 LO <br />