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CERTIFICATE OF LIABILITY INSURANCE DAT���IZD2
<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: Lynette Van de VDort
<br /> Marsh&McLennan Agency LLC PHONE FAx
<br /> Marsh&McLennan Ins. Agency LLC -858-206-0322 qfC No:858-452-7530
<br /> E MA
<br /> PO Box 85638; CA Lic#OH 18131 ADDRESS: Lynelle.Van-de-Voort@MarshMMA.com
<br /> San Diego, CA 92186 INSUREi AFFORDING COVERAGE NArc a
<br /> INSURERA:Houston Casualty Company 42374
<br /> INSURED NATISHOUSE INSURERB:Beazley Excess and Si Ins, Inc, 17520
<br /> Nati's House dha Neutral Ground
<br /> 1733 Valencia Street INSURER C
<br /> Santa Ana, CA 92706 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:682031449 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 /> INSR ADDL SUBR - POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE WVD POLICY NUMBER IMMi Mi iYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y H25SS2007104 1/6/2025 1/612026 EACH OCCURRENCE S2,00i
<br /> CLAIMS-MADE � OCCUR DAMAGE ( RENTED
<br /> PREMISES
<br /> Ea occurrence) $50,000
<br /> X Ded.:$1,000 MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE Lli APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> X POLICY E PRO- ❑
<br /> JECT LOG PRODUCTS-COMi AGG $2,000,000
<br /> OTHER: S
<br /> A AUTOMOBILE LIABILITY H25SS2007104 116/2025 1/6/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Pef aCClden[
<br /> $
<br /> 8 UMBRELLALIAB IX]
<br /> OCCUR D3554B250301 1/6/2025 11612D26 EACH OCCURRENCE $1,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE S 1,000,000
<br /> DED I X RETENTIONS S
<br /> WORKERS COMPENSATION I
<br /> Y1N PER OTH-
<br /> AND EMPWYERS'LIABtL#TY STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ i EACH ACCIDENT S
<br /> N/A
<br /> OFFICERIMEMBEREXCLUDED?
<br /> IMandatory in Ni E.L.DISEASE-EA EMPLOYEE $
<br /> if yes,describe under
<br /> DESCRIPTION OE OPERATIONS bed ow E.L.DISEASE-POLICY LIMIT $
<br /> A Professional Liability H25SS2007104 1113121 116/2026 Each ClaimlAggr.IDed. $1 MI$3M1$1,000
<br /> SexuaUPhys€cal Abuse Each ClaimlAggr.lDed. $1 MI$1 M1$1,000
<br /> DESCRIPTION OF OPERATIONS)LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Re:July 25-31,2025.
<br /> City of Santa Ana,Community Development Agency,officers,agents,employees and volunteers are included as additional insured on General liability policy
<br /> per the attached endorsement.Primary and Non-Contributory wording applies to General liability policy per the attached endorsement.30 Days notice of
<br /> cancellation applies on General liability policy.
<br /> Digitallysigned
<br /> Tu Tran uy Nguyenn APPROVED
<br /> Ng
<br /> N g u ye n We:2025.06.25
<br /> 16:24:19-0700' By Tu Tran Nguyen at 4:23 pm,Jun 25,2025
<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 /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS,
<br /> Community Development Agency
<br /> 20 Civic Center Plaza, M-25 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana, CA 92701 rt
<br /> O 1988-2015 ACORD CORPORATION, All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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