Laserfiche WebLink
AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDrrM) <br /> �� 04/29/2025 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Tuong Vi Truon <br /> ISU HIGH TECH INSURANCE SOLUTION PHOAIC,NE �14-839-9990 p/C No; 714-831-0099 <br /> T1eZ In$L1rdRCe Agency q DRIESS: insurance@tiezagency.com <br /> 10810 Warner Ave Ste 9 INSURERS AFFORDING COVERAGE NAIC9 <br /> Fountain Valley, CA 92708 INSURERA: CNA 20443 <br /> INSURED INSURERB: THE HARTFORD 29424 <br /> HOPE COMMUNITY SERVICES <br /> INSURER C <br /> 1538 CENTURY BLVD <br /> INSURER D <br /> SANTA ANA, CA 92703 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> INSR EXP <br /> LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM OPOLIDI,YYYY MMIDD EFF YIYYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 300,000 <br /> CLAIMS-MADE �OCCUR VIED EXP(Any one person) $ 10,000 <br /> A X X B7013009560 11/16/2024 11/16/2025 PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 <br /> K POLICY F7 PRO JECT LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY <br /> DAMAGE $ <br /> HIREDAUTOS AUTOS <br /> S <br /> UMBRELLA LIA11 HOCCUR EACH OCCURRENCE S <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S <br /> DED I RETENTION$ $ <br /> WORKERS COMPENSATION I WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOWPARTNER/EXECUTIVE❑ N/A X S7 WEC ALSTPU E.L.EACH ACCIDENT $ 1,000,000 <br /> B OFFICERIMEMBER EXCLUDED? Y 05/01/2025 05/01/2026 <br /> (Mandatory in NH) E.L.DISEASE-EA EM PLOYEd$ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> City of Santa Ana Risk Management Division is named as additional insured. <br /> City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers <br /> Digitallymgned by <br /> Tu Tran <br /> Tu Tran Nguyen �APTP��R!OVED����Date:2025.04.29N u en 15 48,49_D,-00- <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Attention:Executive Director SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza M-25 AUTHORIZED REPRESENTATIVE <br /> SANTA ANA , CA 92702 TUONG VI TRUONG <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />