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TE <br /> AC40 CERTIFICATE OF LIABILITY INSURANCE FDA5/13/2oz5) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER,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(lies)must be endorsed. if SUBROGATION 15 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 NAME: Will post <br /> Post Insurance Services Inc PHONE . (310)328-3622 FAx (311)32e-6o64 <br /> A1C Na; <br /> License #0551220 E-MAIL ADDRESS; p <br /> will ost@ ostinaurance.com <br /> 2356 Torrance Blvd INSURERS AFFORDING COVERAGE NAIC q <br /> Torrance CA 90501 INBURERA:Hartford Underwriters Insuranc 30104 <br /> INSURED INSURER B:Hartford Casualty Ins Co 29424 <br /> Kim Turner, LLC iNsuRERC:Hartford Fire Insurance Com an 19682 <br /> P 0 Box 6152 <br /> INSURER D; <br /> Ste 100 INSURERS: <br /> Norco CA 92860 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:24 ALL REVISION NUMBER: <br /> THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 /> INTR TYPE OF INSURANCE won SUBR POLICY NUMBER POLICY <br /> MMDDNYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> A CLAIMS-MADE 10 OCCUR DAMAGE TO RENTED PREM $ 1,000,000 <br /> ISES Ea occurrence <br /> X Y 72SRARG714BC 12/23/2024 12/23/2025 MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ EXCLUDED <br /> GENII AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> POLICY PE° <br /> � LOC PRODUCTS-COMPIOPAGG $ 4,000,000 <br /> OTHER: ASGOV $ <br /> AUTOMOBILE LIABILITY OMBIaccideNED SINGLE LIMIT C nt $ <br /> Ea <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ <br /> HiREDAUT05 NON-OWNED PROPERTYPAMAGE $ <br /> AUTOS Per aeclden <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE <br /> $ 4,000,000 <br /> A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000 000 <br /> DED tx RETENTION 10 000 728BABA37MBC 12/23/2024 12/23/2025 $ <br /> WORKERS COMPENSATION X PER DTH- <br /> AND EMPLOYERS'LIABILITY Y f N STATUTE E <br /> ANY PROPRIETORIFARTNERfEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? ElN I A <br /> B (Mandatory In NH} Y 72WP.CAV5G5L 12/22/2024 12/22/2025 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below El,DISEASE-POLICY LIMIT $ 11000,000 <br /> C PROFESSIONAL LIABILITY 720HO50012824 12/23/2024 12/23/2025 PFRCLAIM $2,000,000 <br /> DEDUCTIBLE $2,500 AGGREGATE $2,000,000 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD iDt,Additional Remarks Schedule,maybe attached If more space Is required) <br /> Those usual to the insured's operations. 30 day cancellation notice except nonpayment which is 10 days. <br /> The City of Santa Ana, its officers, officials, employees, and volunteers are Addtl Insureds on General <br /> Liability per attached endt. GL Insurance is Primary & Non-Contributory. GL & WC Waivers of Subrogation <br /> apply per attached endts. <br /> Tu Tran 01gita11-lo-hy <br /> .Tu Tran Nguyen - - <br /> Nguyen .APPROVED <br /> By Tu Tram Nguyen at 9:21 am,May 14 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF TH5 ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> The City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Plaza (M-30) <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O. Box 1988 <br /> Santa Ana, CA 92702-1986 AUTHORIZED REPRESENTATIVE <br /> Dan Post/STACEY <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014I01) The ACORD name and logo are registered marks of ACORD <br /> INS025(2014Df) <br /> I <br />