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aC�® DATE(MM(DDMYY) <br /> ��. CERTIFICATE OF LIABILITY INSURANCE 2/17/2025 <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 endorse ment(s). <br /> PRODUCER CONTACT <br /> IIUA,Inc.-Pasadena NAME:PHONE FAX <br /> 3475 E.Foothill Boulevard o •626-507-1399 rA1c No1:626-441-3233 <br /> Suite 100 Anti ILss; ex ress imacor .cam <br /> Pasadena CA 91107 INSURERW AFFORDING COVERAGE NAIC# <br /> 0008309 INSURERA:Sentinel Insurance Company,Ltd. 11000 <br /> INSURED ARASENT.01 INSURERS:Hartford Accident and Indemnity Company 22357 <br /> ARAS Enterprises, Incorporated <br /> P. 0.Box 9324 INSURERC; <br /> Whittier, CA 90608 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:2094717459 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 /> 1IL R TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIODYIYYYY MMLDDY EXP LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 72SBAAP80088C 5/11/2024 5111/2025 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X]OCCUR PREM SES E�a currence $i'mo.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 /> X RO- <br /> POLICY! J JJECT �!LOC PRODUCTS-COMPIOP AGG $2,000.000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY C MBINEDSINGLELIMI $ <br /> _ Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per acckfen!) $ <br /> HIRED NON-OWNED PROPERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLAIJAB OCCUR EACHOCCURRENCE $ <br /> EXCESS LIAB !CLAIMS-MADE AGGREGATE $ <br /> 1 <br /> DED ':RETENTION$ $ <br /> B WORKERS COMPENSATION 72WECZR6352 9/1/2024 9/112025 X PERT <br /> UTE I Et2R <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANYPROPRIETORPARTNERJEXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> CFFICERIMEMBERENCLUDED? El N I A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Renmrks Schedulo,may be attached Itmore space Is required) <br /> The City of Santa Ana,its City Council,officers,officials,employees,agents and volunteers are included as Additional Insured on the General Liability policy,if <br /> required by written contract or agreement,subject to the policy terms and conditions. <br /> This Insurance is Primary&Non-Contributory on the General Liability Policy,if required by written contract or agreement,subject to the policy terms and <br /> coeditors. <br /> A Waiver of Subrogation is provided in favor of Certificate Holder and all other parties required by the contract on the General Liability Policy,If required by <br /> written contract or agreement,subject to the policy terms and conditions. Digitally signed by <br /> Tu Tran Tu Train Date:225 <br /> Nguyen APPROVED <br /> Dale:20 .0428 <br /> Nguyen 07:54,22-07'00' By Tu Train Nguyen at 7:54 am,Apr 28, 2025 <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 /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Parks,Recreation,and Community Services <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br /> Santa Ana,CA 92701 <br /> I <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />