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DATE(MM/DD/YYYY)
<br /> AC�O, RO® CERTIFICATE OF LIABILITY INSURANCE 8/8/2025
<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
<br /> NAME: Chubb Customer Service Center
<br /> FAX
<br /> CYBERPOLICY INSURANCE SOLUTIONS PHONE 866-972-2727
<br /> A/C,No,Ext: (A/C,No):
<br /> PO BOX 9070 ADDRESS: chubbcsc@chubb.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> CARLSBAD CA 92018 INSURER A: ACE Fire Underwriters Insurance Company 20702
<br /> INSURED INSURER B: ACE Property and Casualty Insurance Company 20699
<br /> INTERVIEW NOW INC. INSURER C: Chubb National Insurance Company 10052
<br /> 1311 WEBSTER ST#E315 INSURER D:
<br /> INSURER E:
<br /> ALAMEDA CA 94501 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 TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> LTR TYPE OF INSURANCE INSD VIVIDPOLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 1,000,000
<br /> MED EXP(Any one person) $ 5,000
<br /> A Y Y D96109003 05/07/2025 05/07/2026 PERSONAL&ADV INJURY $ *1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY ❑ECT ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY (Ea accident) $
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y Y D96109003 05/07/2025 05/07/2026 BODILY INJURY(Per accident) $
<br /> AUTOS ONLYN
<br /> AUTOS
<br /> X AUTOS ONLY AUTOS ONLY (Per accident) $
<br /> Occurrence/Aggregate $ **1M/2M
<br /> X UMBRELLA LAB MCLAIMS-MADE
<br /> OCCUR EACH OCCURRENCE $ 2,000,000
<br /> B EXCESS LAB Y Y D96109027 05/07/2025 05/07/2026 AGGREGATE $ 2,000,000
<br /> DED I X RETENTION$ 0 $
<br /> ER NOTH-
<br /> ORKERS COMPENSATION X I STATUTE I ER
<br /> ND EMPLOYERS'LIABILITY
<br /> Y/N NY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> C FFICER/MEMBER EXCLUDED? FNI N/A 7179-66-10 05/07/2025 05/07/2026
<br /> Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> *Personal and Advertising Injury is included within the General Liability limits **Hired and Non-Owned Auto is included within the General Liability limits
<br /> The insurance afforded by the policies described herein is subject to all terms,exclusions and conditions of such policies.City of Santa Ana and any person or organization as required per written contract or agreement listed as
<br /> Additional Insured,as per the terms and conditions of the ADDITIONAL INSURED VENDORS Endorsement(BP0447,or its equivalent)with a Primary and Non-Contributory/Other Insurance,Including Primary Provision and a
<br /> Waiver Of Subrogation Required By Contract as per the terms and conditions of the Chubb Businessowners Liability Extension Endorsement(BOP-47675,or its equivalent)included in the policy.The 30 Day Notice of Cancellation as
<br /> per the Chubb Notice of Cancellation Scheduled Persons or Organizations Endorsement(BOP-48780,or its equivalent)is included in the policy.The issuing insurer will endeavor to mail 30 days written notice to the certificate holder
<br /> named below,but failure to do so shall impose no obligation or liability of any kind upon the insurer.
<br /> Tu Tran ToTa Ng Ye 6y �/
<br /> Date:2 llm.11
<br /> ED
<br /> Nguyen 09:42:41-0700 By Tu Tran Nguyen of 9:42 ani,Aug 11,2025
<br /> -----------------------------------
<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 /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana Police Department AUTHORIZED REPRESENTATIVE
<br /> 60 Civic Center Plaza
<br /> Santa Ana,CA 92702 �
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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