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DATE IMM100fYYYY) <br /> acc��xra�° CERTIFICATE OF LIABILITY INSURANCE 05/02/2025 <br /> THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br /> AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not <br /> confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> HILL&USHER INS&SURETYIPHS E' <br /> 59302202 PHONE (866)467-8730 FAX <br /> (AIC,No,Ext): (AIc,No): <br /> The Hartford Business Service Center <br /> 3600 Wiseman Blvd E-MAIL <br /> San Antonio,TX 78251 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Hartford Underwriters Insurance Company 30104 <br /> Joshua Bobrove DBA Photography By Joshua Bobrove INSURER B <br /> 2419 VISTA DEL.CAMPO <br /> SANTA BARBARA CA 93101-4662 INSURERC: <br /> INSURER D <br /> INSURER E <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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR Y TYPE OF INSURANCE ADDL SU OR POLICY NUMBER. POLICY EFF POLICY EXP LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE�OCCUR DAMAGE TO RENTED $1,000,000 <br /> PREMISE Ea occurrence) <br /> X General Liability MED EXP(Any ona person) $10,000 <br /> A X 59 SBA BG7MPE 12119/2024 12/19/2025 PERSONAL$ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> X PRO- El <br /> PRODUCTS-COMPIOP AGG $2,000,000 <br /> POLICY❑ <br /> JECT <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> dent)(Ea acc <br /> ANY AUTO BODILY INJURY(Per person) <br /> A AUTOS <br /> AT OS AUTOS SCHEDULED 59 SBA BG7MPE 12/19/2024 12/19I2025 BODILY INJURY(Per accident) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> X AUTOS X AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LAB CLAIMS- <br /> MADE AGGREGATE <br /> EO RETENTION <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE E <br /> ANY YIN E1 EACH ACCIDENT <br /> PROPRIETORIPARTNERIEXECUTIVE NJ <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE <br /> (Mandatory in NMI <br /> If yes,descrlbeunder - E.L.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below APPROVED - <br /> By Tu Tran Nguyen at 8:18 am,May 20,2025 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) <br /> Those usual to the Insured's Operations.City of Santa Anna,its city councils,its officers,its officials,employees,agents&volunteers are additional <br /> insured per the Business Liability Coverage Part includes a Blanket Additional Insured By Contract Endorsement,Form SL 30 32.Notice of <br /> Cancellation will be provided in accordance with Form SL9013 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Attn:Water Resources Division BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> 220 S DAISY AVE#M-85 IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SANTA ANA CA 92703-4334 AUTHORIZED REPRESENTATIVE <br /> O 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />