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ACOR � CERTIFICATE OF LIABILITY INSURANCE r ATE`MM`°°"YYY) 5/2912025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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. If 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 CONTAEADDRESS: a Shahbandarlan TO Transportation Insurance Brokers, LLC PHOJXC,NEs18-z4s-28o0 AIC No):818-246 4690 425 W. Broadway Suite 300 shahbandarian tibinsurance.com Glendale CA 91204-1269 INSURER SI AFFORDING COVERAGE NAIC# Lancer Insurance Company 26077 INSURED JFKTRAN-01 INSURER B: JFK Transportation Co., Inc. 980 W. 17th Street#B INSURER C: Santa Ana CA 92706 1 INSURERD, INSURER E: _INSURER F: COVERAGES CERTIFICATE NUMBER: 1598717791 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 OR 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTRR ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER MM DOIYYYY POLICY EFF MMI�QY� LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL155905924 812512024 812512025 EACH OCCURRENCE $5.000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5.000 PERSONAL&ADV INJURY $5.000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $5.000,000 POLICY❑JECTPRO ❑ LOC PRODUCTS-COMPIOP AGO $ X OTHER: $ A AUTOMOBILE LIABILITY Y BA155835#22 812512024 812512025 COMBINED SINGLE LIMIT Ea accidani $5000 000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS ) X HIRED AUTOS X AO OOVVNED PROPERTY accident)OAMAGE $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I I ER ANY PROPRIETORIPARTNERlEXECUTiVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory In NH) EL-DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMD" DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are added as Additional Insured,but only as respects the operations of the named insured and only to the extent the additional insured is held liable for the conduct of the named insured.Waiver of Subrogation applies but only as respects the sale negligence,errors&/or omissions of the named insured. t U Tran Dlgftaliy signed by T.Tran Nguyen Nguyen 69:54:3,-0 APPROVED By Tu Tran Nguyen at 9 54 am,Jun 10,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, Attention: Parks, Recreation, and ACCORDANCE WITH THE POLICY PROVISIONS. Community Services Agency 20 Civic Center Plaza, CA 92701, M-23 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 O 1988-2014 ACORD CORPORATION. Ali rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD