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REALEST-56 SPARKERI
<br /> AIR® CERTIFICATE OF LIABILITY INSURANCE DATE IMNU00lYYYY)
<br /> 814l2025
<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 License#6009644 CONTACT Shirley Parker
<br /> Acrisure West Insurance Services,LLC PHONE gg1 600-8100 FAX
<br /> 1950 W Corporate Way (A)C,No,Ext):( (AIC,No):
<br /> #1 ADORLss:ShParker@acrisure.com I
<br /> Anaheim,CA 92801-5373 INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURERA:James River Insurance Company )2203
<br /> INSURED INSURER B:Carolina Casualty Insurance Company1 O51 O
<br /> Real Estate Consulting&Services,Inc. INSURER c:Capitol Specialty Insurance Cor oratio
<br /> 216 Avenida Fabricante n 10328
<br /> Suite 110 INSURER O:
<br /> San Clemente,CA 92672 INSURER E:
<br /> 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 15 SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE IADDL SUER POLICY NUMBER POLICY EFF POLICY EXP
<br /> LTR p LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR P0000001571 713112025 7131l2026 DAMAGE TO RENTED 100,000
<br /> X X PREMISESEa cccurren $
<br /> MED EXP(Any ape person 1 $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER- GENERALAGGREGATE $ 2,000,000
<br /> X POLICY❑JFC LOC PRODUCTS-COMPlOPAGG $ 2,000,000
<br /> OTHER:
<br /> AUTOMOBILE LIABILITY GOMBINED SINGLE LIMIT
<br /> Ea accident $
<br /> ANY AUTO BODILY INJURY Per orscri $
<br /> OWNED AUTOS ONLY AUIOSULED BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> 1 L 1 1 $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000
<br /> X EXCESS LIAB CLAIMS-MADE X X POOOOOO1580 7/3112025 713112026 2,000,000
<br /> AGGREGATE $
<br /> DED I RETENTION'$
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YfN STATUTE ER
<br /> BNUWC016423$ i21112024 12l1l2025 E.L.EACH ACCIDENT $
<br /> ANY PROPRiEraRrPARTNERrExEcunvE X 1,000,000
<br /> FFICERIMEMBER EXCLUUEU? N f A
<br /> Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> 1I yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> C Pollution Liab EV20230202-03 4110/2025 4/1012026 General Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Addit[onal Remarks Schedule,may be attached if more space is required}
<br /> General Liability is Primary and Non-Contributory.Blanket Additional Insured Endorsement attached in regards to General Liability.Blanket Waiver of
<br /> Subrogation attached in regards to General Liability and Workers'Compensation.Excess Policy follows form over the General Liability.
<br /> DigilaVly signed
<br /> Endorsements in favor of The City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers, TU Tran Nrm7,an
<br /> Re:On-Call TRASH,WEEDS,RUBBISH,&SANITATION ABATEMENT,AND BOARD-UP SERVICES Date 20
<br /> Nguyen 02508.04
<br /> H:26 i 1-a7'off
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION _J By Tu Tran Nguyen at 2:25 prn,Aug 04,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention:Planning and Building Agency
<br /> 20 Civic Center Plaza,M-19
<br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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