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'�C� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYY) <br /> 07131/2024 <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 be endorsed. If SUBROGATION IS WAIVED,subject to the <br /> terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT AP Intego Insurance Group,LLC <br /> AP INTEGO INSURANCE GROUP, LLC PHONE 888_�89-2939 FAx <br /> C N Ext: AIC No): <br /> 375 Woodcliff Dr. E-MAIL <br /> ADDRESS:certs@apintego.cam <br /> Suite 103 INSURERS AFFORDING COVERAGE NAIC# <br /> Fairport NY 14450 INSURER A: Hartford Casualty Insurance Company 29424 <br /> INSURED INSURER : <br /> WORKING WARDROBES FOR A NAngie <br /> Aceverio -Da <br /> i [����2000 E Mcfadden Ave Ste 11 t , <br /> INSURER E <br /> Santa Ana CA 92705 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 /> tNSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR D POLICY NUMBER MWDOIYYYY MMIDDIYYYY <br /> GENERAL LIABILITY EACH OCCURRENCE I$ <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence)$ <br /> CLAIMS-MADE OCCUR F F VIED£XP{Any one person) $ <br /> PERSONAL&ADV INJURY <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMITAPPLIESPER: PRODUCTS-GOMPIOPAGG $ <br /> POLICY PRO LOC $ <br /> JECT <br /> AUTOMOBILE LIABILITY F F COMBINED SINGLE LIMIT <br /> Ea aeeident $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accidert) S <br /> AUTOS AUTOS <br /> HIRED NON-OWNED PROPERTYDAMAGE S <br /> AUTOS Per accident <br /> $ <br /> UMBRELLA LIAB OCCUR F F EACH OCCURRENCE S <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ �/ $ <br /> WORKERS COMPENSATION X VC LIMIT T <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 1 OoD 000 <br /> A OFFICEIMEMBER EXCLUDED? ❑ N J A 76WEGAT9Z3W 08I3012024 0813012025 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> If yes,describe e.1FERATION.1,below <br /> nFRQ.MPT1QN OF r E.L.DISEASE-POLICY LIMIT I $ 1,000,000 <br /> �I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Risk Management Division <br /> null SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF. NOTtOF WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PRE <br /> 20 Civic Center Plaza <br /> AUTHORIZED REPRESENTATIVE 3 IiEVIEIUFD&API'ROVElZBY: <br /> Santa Ana CA 92702 <br /> � �. Risk Managetnettt Specialist <br /> OO 1988-2010 ACORD <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> Clear All <br />