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CERTIFICATE OF LIABILITY INSURANCE IA TE 051281200251 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA-ION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. It SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Insurance Canopy A",0% .(844)520-6993 .Nn: North Chesterfield VA 23234 AuoESs: info@insurancecanopy.cam INSURER(S)AFFORDING COVERAGE _ _ NAIC0 INSURERA: Accelerant Specialty Insurance Company-- 16898 - INSURED INSURER B: Claudia Garcia INSURERC: 360 E 1 St St 406 INSURER D Tustin CA 92780 INSURER E� _ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT CR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSN "PE OF INSURANCE 'ADOL SURR --- POLICY EFF POUCYEXP LTA POCK-NUMBER MMmD MMiO _ LIMITS GENERA-LIABILITY 2,D0D,DDD _EACH OCOURRENCE S K COMMERCIAL GENERAL LIABILITY F DpNKES',E D 3D_D_,D_Da ^ I PREMISES rEa ccuma 1 5 _ CLAIMS-NV,DE K OCCUR MED EXP IAnY epreru) 5 s022DGLD0000tDD- s,Dao A asrznzozs oSnnzD26 CPT202649 PERSONAL aADVINJURY i INCLUGED GENERALAGGREGATE S 3,000,00D GENLAGGREGATE UMITAPPLIES PER, PRODUCTS-COMPIOPAGG S 3,000,000 x POLICY PROr LOC ANIMALBAILEE 5 - AUTOMOBILE LI0.61Lm! COMBINEDE.a�a ;INGLE LIMIT S ANY AUTO BODILY WURY(Pe p n) 5 f ALLW CNEO SCHEDULEn AUTOS AUTOS BODILY INJURY(Per 0¢ni1 5 I NON OWNED PROPERTY DAMAGE S HIREDAUTCS _AUTOS PeracadeM 5 UMBRELLA LIAR p.CCUR EACNOCCURRENCE_ S EXCEES LIAR GLAIMSIx1AOE AGGREGATE 3 OEO RETENTIONS .5 WORKERS COMPENSATION WC STATV- OTH- AND ETIPLOYERS'LIABILITY YIN. __ 19IRY,,L,lhllj5 ER ANY PROPRIETOP—RTNrWE%ECUTNE OFFICEWEMBEREXCLUDEO7 NIA E.L.EACH ACGDENT i (M.ndauxy lnnp E.L.DISEASE-EA EMPLOYEE i N yes.DESCHIPrO614 under ..................._...__._-_. E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ANech ACORD 101,Addid—I Remarks ipheduk,ifmare space is reIulretl) It is understood and agreed that the Certificate Holder is named as Additional Insured per attached CG 20 26(Ed.04 13)-Additional Insured-Designated Person or Organization subject to all policy terms,conditions,and Exclusions. City Of Santa Ana,its City Council,Officers,officials,employees,agents.and volunteers.Waiver of Subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana,Attention:Parks,Recreation,and Community Services THE F%PIRATION DATE THEREOF, NOTICE WILL BE OFLNFREn IN Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE 9 198 8-201 4 ACORD CORPORATION.All rights reserved. ACORD 25 12024101) The ACORD name and logo are registered marks of ACORD INS025(zaMou APPROVED By Tu Tran Nguyen at 3:29 pm,Jun 03,2025 Tu Tran -i-1y.I r-Y Tu Tran Nguyen Oars 2025.MG3 Nguyen I5:2927-0T00'