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/-"I ® DATE(MM/DD/YYYY)
<br /> �`� CERTIFICATE OF LIABILITY INSURANCE 11/06/2025
<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.If
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Aon Risk Services Central, Inc. PHONE (866) 283-7122 FAX (800) 363-0105
<br /> Chicago IL Office (A/C.No.Ext): A/C.No.: -a
<br /> 200 East Randolph E-MAIL p
<br /> Chicago IL 60601 USA ADDRESS: _
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: American Zurich Ins Co 40142
<br /> Anser Advisory, LLC INSURER B: Zurich American Ins Co 16535
<br /> 529 E Crown Point Rd., suite 170
<br /> Ocoee FL 34761 USA INSURER C: Continental Casualty Company 20443
<br /> INSURER D: Valley Forge Insurance Co 20508
<br /> INSURERE: Allianz Global Risks US Insurance Co. 35300
<br /> INSURERF: National Union Fire Ins Co of Pittsburgh 19445
<br /> COVERAGES CERTIFICATE NUMBER: 570116575255 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. Limits shown are as requested
<br /> LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> D X COMMERCIAL GENERAL LIABILITY -677T777727EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence) $1,000,000
<br /> MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> X POLICY ❑PRO-
<br /> El LOC PRODUCTS-COMP/OP AGG $2,000,000 coo
<br /> OTHER: ^o
<br /> C AUTOMOBILE LIABILITY 8018367435 01/17/2025 01/17/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> B BAP 9376191 22 11/15/2025 11/15/2026 Ea accident „
<br /> X ANYAUTO SM Xs 1M BODILY INJURY(Per person) 0
<br /> Z
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) 0
<br /> AUTOS ONLY AUTOS R
<br /> HI RED AUTOS NON-OWNED PROPERTY DAMAGE V
<br /> ONLY AUTOS ONLY Per accident
<br /> F X UMBRELLALIAB X OCCUR BE063865653 11/15/2025 11/15/2026 EACH OCCURRENCE $1,000,000 U
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000
<br /> DED RETENTION
<br /> A WORKERS COMPENSATION AND WC929926224 01/01/2025 01/01/2026 X PER STATUTE OTH-
<br /> EMPLOYERS'LIABILITY ER
<br /> Y/N Workers Comp - Ao5
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $5,000,000
<br /> B OFFICER/MEMBER EXCLUDED? N/A WC929926324 01/01/2025 01/01/2026
<br /> (Mandatory in NH) Workers Comp - MA, NM, WI E.L.DISEASE-EA EMPLOYEE $5,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $5,000,000-
<br /> E E&O - Professional Liability USZ000317250 06/01/2025 06/01/2026 Eachclaim/Aggregate $20,000,000
<br /> - Primary Claims-Made
<br /> SIR applies per policy terms & condi ions
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Santa Ana, its officers, officials, employees and volunteers are included as Additional Insured in accordance with
<br /> the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and
<br /> Non-Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A
<br /> Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General
<br /> Liability, Automobile Liability and Workers Compensation policies.
<br /> Tu Tran TDuglnyNguyen signed 6y Tra
<br /> N u er, Date:2025.,,.,2 APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:39 am,Nov 12,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> POLICY PROVISIONS.
<br /> City of Santa Ana AUTHORIZED REPRESENTATIVE
<br /> Attn: Public Works Agency
<br /> 20 Civic Center Plaza, M-22 e c
<br /> Santa Ana CA 92701 USA r/JJ���- p
<br /> ©1988-2015 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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