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t a►r °r CERTIFICATE OF LIABILITY INSURANCE FDATE(M <br /> 08/08//2025 Y) <br /> 025 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> First Indemnity Insurance Agency,Inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> One Beacon Street CERTIFICATE DOES NOTAMEND,EXTEND ORALTER THE COVERAGE <br /> Boston MA 02108 AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Hartford Casualty Insurance Company 29424 <br /> SerVlam By Wright,I_,I_,P INSURER B: <br /> 3 Corporate Park,Suite 100 INSURER C: <br /> Irvine,CA 92606-5159 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br /> PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSR DATE MMIDD/YY DATE MMIDD/YY <br /> ❑ GENERAL LIABILITY EACH OCCURENCE $ <br /> ❑ COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED $ <br /> El El CLAIMS MADE ❑OCCUR PREMISES MED EXP(Any(Ea <br /> occurrence <br /> ❑ one person) $ <br /> ElPERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> ❑ POLICY❑ PROJECT❑ LOC PRODUCTS-COMP/OP AGG $ <br /> $ <br /> ❑ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ❑ANY AUTO (Each Occurrence) $ <br /> ❑ALL OWNED AUTOS BODILY INJURY $ <br /> ❑ SCHEDULED AUTOS (Per person) <br /> ❑ HIRED AUTOS BODILY INJURY $ <br /> ❑ NON-OWNED AUTOS (Per accident) <br /> ❑ PROPERTY DAMAGE $ <br /> ❑ (Per accident) <br /> ❑ GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ <br /> ❑ANY AUTO OTHER THAN EA ACC $ <br /> ❑ AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE $ <br /> ❑ DEDUCTIBLE $ <br /> ❑ RETENTION $ $ <br /> WORKERS COMPENSATION AND 08 WEC BJ9H7N 07/22/2025 07/22/2026 ® ❑oTH- <br /> A ❑ EMPLOYERS'LIABILITY TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECU- E.L.EACH ACCIDENT $1,000,000 <br /> TIVE OFFICER/MEMBER EXCLUDED? <br /> If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> SPECIAL PROVISIONS below <br /> E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> ❑ OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> The City of Santa Ana, its City Council, officers, officials,employees,agents,and volunteers are hereby added to the waiver of <br /> subrogation <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> City of Santa Ana EXPIRATION DATE THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO <br /> 801 W. CIVIC Center Dr. MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT <br /> Santa Ana, CA 92701 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> [ PPROVED <br /> By Tu Tr an Nguyen at 10:15 am,Aug 08,2025' Dig tanYsigned AUTHORIZED REPRESENTATIVE <br /> A ORD '1708)____--______- ___ Nguyen ©ACORD CORPORATION 1988 <br /> Nguyen o`e 2025.oo$ <br />