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ACC)i CERTIFICATE OF LIABILITY INSURANCE DATEIMMODYYYY) <br /> 05/0112025 <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 to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Insurance Canopy Program Support <br /> .MEInsurance Canopy PHONE FAX <br /> . 844-520-6993 (Atc N0001-763-1374 <br /> PC Box 34833 E-MAIL info@insurancecanopy.com <br /> ADDRESS: @ py.com <br /> North Chesterfield VA 23234 INSURER(5)AFFORDING COVERAGE _ NAIC0 <br /> INSURERA: Great American E&S Insurance Company 26832 <br /> INSURED INSURER B <br /> Jose Mascorm,DBA Manachi Los Santaneros INSURER C: <br /> 1625 W Mcfadden Ave INSURER D' <br /> Santa Ana CA 92704 INSURERE: <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 /> ILTR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY E%P <br /> POLICY NUMBER IDD MMRID LIMITS <br /> GENERAL LIABILITY 1,000,OOD <br /> EACH OCCURRENCE S <br /> x COMMERCIAL GENERAL LIABILITY _ DAMAGE TO RENTED 300,000 <br /> _ x PREMISES(Ea occurrarwel S <br /> CLAIMSJ.IADE X OCCUR I rI--Y MEDEXPIAnyonapemn) S 5,000 <br /> A PLF292125-CEP1B6848 05/02/2025 05/04/2025 <br /> PERSONAL BAOV INJURY S 1,000,000 <br /> GENERAL AGGREGATE S 2,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPiOP AGG 5 2,000.000 <br /> X POLICY P JE RO- LOG ANIMAL BAILEE .5 <br /> AUTOMOBILE LIABILITY �'f COMBINEDE B�d-t)SINGLE LIMIT S <br /> ANY AUTO I BODILY INJURY(Per person) 5 <br /> ALL OWNED SCHEDULED <br /> AUTOS <br /> AUTOS AUTOS BODILY INJURY(Per aoade t) S <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS _ AUTOS (Per—dent) 5 <br /> 5 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESS LU\B CLAIMSAIADE AGGREGATE S <br /> D=D RETENTIONS S <br /> WORKERS COMPENSATION WC STATU. OTH- <br /> AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER <br /> ANY PROPRIETORrPARTNER�ECUTIVE C <br /> OFFICE/AIEMBER EXCLUDED'' N I A E.L.EACH ACCIDENT 5 <br /> (Mandatory In NH) E.L DISEASE-EA EMPLOYEE S <br /> U ya9,descnDa undo <br /> OF OPERATIONS I-— EL.DISEASE-POLICY LIMIT S <br /> 7F_ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Ana[b ACORD 1DI,Additional Remarlm Sdi dulg Ilmore span m requnedt <br /> Certificate holder had been added as additional insured regarding the above mentioned policy per attached <br /> Additional Insured-Designated Person or Organization(CG 20 26 Ed.04 13) <br /> The City of Santa Ana,its officers,officials,employees.and volunteers are included as Additional Insured on the above referenced policy where required by <br /> written contract,A Waiver of Subrogation applies in favor of the Certificate Holder.The Certificate Holder is included as an Additional Insured on the above <br /> referenced policy where required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Attention:Executive Director,Community SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Development Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br /> M-25 <br /> Santa Ana,CA 92701 AUTHORIZW REPRESENTATIVE <br /> i <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br /> INS025 12014011 <br /> APPROVED <br /> By Tu Tran Nguyen at 3:22 pm,May 07,2 225 <br /> Tu Tran Digitally signed by <br /> Tu Tran Nguyen <br /> Date:2025.05.07 <br /> Nguyen 152729-07'00' <br />