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AC(:>RV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 03/3112025 <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(ios)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION 1S 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 endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Paragon Commercial Insurance Brokers 07o Ext: Al5)971-9111 tirc No: 41 5 358-941 0 <br /> One Sansome Street Suite 3500 E MAIL info commercialrisk rou cam <br /> ❑DRESS: 9 p <br /> INSURERS)AFFORDING COVERAGE NAIL# <br /> San Francisco CA 94104 INSURER : Travelers Insurance Company 38130 <br /> INSURED INSURERS: Travelers Insurance Company 38130 <br /> DKFSolutions Group, LLC INSURER C: RLI Insurance Company 13056 <br /> 170 Dogvwod Lane INSURER O <br /> INSURER E <br /> Vallejo CA 94591 1 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 /> ILTRR TYPE OF INSURANCE ADUL SUBR POLICY NUMBER MMID�fYYYY FF MW IJ[YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2.000.000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Es occurrence $ 3UD,ODO <br /> MED EXP(Any one person) $ 5.000 <br /> A Y 680-8X765120-25-42 03/19/2025 03/19/2026 PERSONAL&ADV INJURY $ 2.000,000 <br /> GEVL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4.000.000 <br /> X POLICY PROJECT E LOC PRODUCTS-COMRIOPAGO $ 4,000,000 <br /> OTHER. $ <br /> AUTOMOBILE LIABILITY COMBacIc�tlNEDent SINGLE LIMIT $ OOO.00D <br /> Ea <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OVVNEA AUTOS SCHEDULED 680-8X765120-25_42 03/19/2025 03/19/2026 BODILYINJURY(Peramdent $ <br /> AUTOS ONLY AUTOS ) <br /> X HIRED X NOWOMED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Peraccidenl <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1.000.000 <br /> B EXCESS LIAB CLAIMS-MADE CUP-8X765943-25-42 03/19/2025 03/19/2026 AGGREGATE $ 1,00C,000 <br /> X DED RETENTION 5 10,000 $ <br /> WORKERS COMPENSATION PEAR OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N 5TTUTE ER <br /> ANY PRO PRIETOR?ARTNER'EXI-CUTIVE 7 E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBEREXCLUDE97 NIA <br /> (Mandatory inNN) E.L.DISEASE-FA EMPLOYE $ <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Professional Liability <br /> Aggregate $2,OCO,000 <br /> C RTP0046370 03/19/2025 03/19/2026 Occurrence $2,OCO,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> APPRC?VED <br /> Sy Tu Tran!Nguyen at 9:23 am,May 12,2025 <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 /> ATTN:Water Resources <br /> 215 S.Center St. AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92703 <br /> Fax: Email: O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />