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AC C)R"� CERTIFICATE OF LIABILITY INSURANCE DATEiMWDWYyyYt <br /> ---J 03/14/2025 <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 poliey(ies)must have ADDITIONAL INSURED provisions or be endorlred. <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 andoreement(s).PRODUCER <br /> ISU-Dunlap Agency NAME; Christy Dunlap <br /> PHONE (714)838-3158 <br /> 25283 Cabot Rd..Ste 219 Ne: (714)922-ti157 <br /> ADDRESS: Christyeduniapins.com <br /> Laguna Hills INSURERIS AFFORDING COVERAGE <br /> CA 92653 Em to NAIC s <br /> INSURED INSURER <br /> P yers Compensation Insurance Company <br /> Orl INSURER B <br /> 1901 E 4lh Street,Suite#100 INSURER C: <br /> INSURER D: <br /> Santa Ana INSURER E: <br /> CA 92T05 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER: CL2522710040 <br /> THIS IS TO CERTIFY TFIAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED Ili REVISION HE PNO CRY 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 /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS. <br /> LTR TYPE OF INSURANCE 1 0 POLICY NUMBER <br /> COMMERCIAL GENERAL LIABILITY M DNYVYI M LIMITS <br /> CLAIMS-uADE 1-1 OCCUR EACH OCCURRENCE E <br /> I s <br /> MED EXP(Arryr one percent E <br /> GE,l AGGREGATE LIMIT APPLIES PER PERSONAL BADV INJURY S <br /> FOLICY ❑J'l ❑LOC GENERAL AGGREGATE E <br /> OTHER PRODUCTS-COMPIOPAGG S <br /> AUTOMOBILE LIABILITY E <br /> ANY AUTO EaMacr SINGLE LIMIT s <br /> OVIINED SCHEDULED 901 INJURY Per permn, E <br /> AUTOS ONLY AUTOS <br /> HIRED NON-01MINEO BODILY INJURY(Par saidi l E <br /> AUTOS ONLY AUTOS ONLY GE S <br /> rPe�aaident <br /> UMBREL;UAB E <br /> OCCUPEXCESS EACH OCCURRENCE E <br /> CLAIMS-MADE <br /> AGGREGATE E <br /> DEC NTION E <br /> WORKERS COMPENSATION E <br /> AND EMPLOYERS'UAINLITY YIN N SPTT UTE ERTH- <br /> A ANY PROPRIETORIPARTP4ERIEXECUTIVE 1.DOO,000 <br /> OFFICER/MEMBEREXCWOEW ❑ I EIGS876182-00 03/O1l2025 03/0tr2o26 EL EACH ACCIDENT E(Mandatory In NH) <br /> If Yes.dais be under E L DISEASE-EA EMPLOYEE E 1.000.000 <br /> DESCRIPTION OF OPERATIONS(selpw <br /> E L DISEASE-POLCY LIMIT E 1,000.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 1g1,Addlllonal Remarks schedule,may be attached M more space fs nqukedl <br /> The Contractor's insurance coverage shall be primary insurance Coverage as respects the Entity,its afters,officials.employees,and volunteers.Any <br /> insurance or self-insural maintained by the Entity,its otters,officials employees,or volunteers shall be excess of the Contractor's insurance and <br /> non-contributory <br /> APPROVED <br /> CERTIricATE HOLDER CANCELLATION By Tu Tran Nguyen at 7:41 am,May 20, 2025 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of San la Ana.Attention.Executive Director- ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Community Development Agency <br /> 20 Civic Center Plaza M-25 AUTHORIZED REPRESENTATNE <br /> Santa Ana CA 92701 it l <br /> ©198&201 b ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016l03) The ACORD name and logo are registered marks of ACORD <br />