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<br /> .a►coRo� CERTIFICATE OF LIABILITY INSURANCE ATE a5/z9/2025
<br /> /zozs
<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(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS 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 WTW Certificate Center
<br /> NAME:
<br /> Willis Towers Watson Southeast, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378
<br /> c/o 26 Century Blvd AfC No:
<br /> P.O. Box 305191 E-MAIL ADDRESS: certificates@wtwco.com
<br /> Nashville, TN 372305191 USA
<br /> INSURER S AFFORDING COVERAGE NAEC#
<br /> INSURERA: ACE American Insurance Company 22667
<br /> INSURED INSURERB: ACE Property S Casualty Insurance Company 20699
<br /> ARM Industries Incorporated
<br /> an ABM industries Incorporated Company INSURER C; QBE Specialty Insurance Company 11515
<br /> 4151 Ashford Dunwoody Road, suite 600 INSURER❑: Federal Insurance Company 20281
<br /> Atlanta, GA 30319 INSURER.E; AIG Specialty Insurance Company 26883
<br /> INSURERF: American Rome Assurance Company 19380
<br /> COVERAGES CERTIFICATE NUMBER W39165395 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 SUB.ECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMfDDfYYYY MMIDDfYYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY
<br /> EACH OCCURRENCE S 2,000,000
<br /> CLAIMS-MADE O OCCUR DAMAGE TO RENTED 2,0a0,000
<br /> PREMISES Ea occurrence $
<br /> A X $1,000,OOO SIR MED EXP(Any are person) 5 Excluded
<br /> X XCU X Y XSL G48949757 11/01/2024 11/01/2025
<br /> PERSONAL&ADV INJURY 5 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 6,000,000
<br /> X POLICY E PRO 2,000,000
<br /> JECT LOC PRODUCTS-COMPIOPAGG 5
<br /> OTHER: 5
<br /> AUTOMOBILE LIABILITY COMBINED SINGLELIM[T 5 5,000,000
<br /> Ea accident
<br /> IX
<br /> ANY AUTO BODILY INJURY(Per person) 5
<br /> AOWNED SCHEDULED Y r ISA H11374211 11/01/2024 11/01/2025 BODILY INJURY(Per accident) S
<br /> AUTOS ONLY AUTOS
<br /> HIRED x NON-OWNED PROPERTY DAMAGE 5
<br /> AUTOS ONLY /� AUTOS ONLY Per accident
<br /> 5
<br /> B
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE Y Y XEU G27910865 010 11/01/2024 11/01/2025 AGGREGATE g 10,000,000
<br /> 0ED I X�RETENTION$0 5
<br /> WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> A ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT 5 1,000,000
<br /> CFFICERJMEMBER EXCLUDED? No NIA Y WCU C72624762 11/01/2024 11/01/2025 - 1,000,000
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5
<br /> C Professional Liability 130007484 07/01/2024 07/01/2025 Each Claim $5,000,000
<br /> Aggregate $5,000,000
<br /> Retention $1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required)
<br /> SIR - Excess Workers Compensation: Digitally signed by
<br /> CA-$1,000,000 SIR TuTran Tu Iran Nguyen
<br /> OH WA OR IL MI- $500,000 SIR Nguyen Date: 07'007
<br /> 1 10:28:16-07'00'
<br /> SEE ATTACHED -
<br /> APPROVED
<br /> By Tu Tran Nguyen of 10:20 am,Jun 17 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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> Attention: Parks, Recreation, and Community Services Agency AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza M-23
<br /> Santa Ana, CA 92701 �r
<br /> 91988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> SR In: 27837252 BATCH: 3982138
<br />
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