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<br /> A��a® CERTIFICATE OF LIABILITY INSURANCE DAT7t2112025
<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; Heffernan Insurance Brokers
<br /> (OC)Heffernan Insurance Brokers PHONE FAX
<br /> 18004 Sky Park Circle, Suite 210 925-93a-8500 Arc No):925-934-8278
<br /> Irvine CA 92614 ADDRESS: HIB24-7@heffins.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> License#:0564249 114SURERA:Philadelphia Indemnity Insurance Company 18058
<br /> INSURED ORANCOU-D5 INSURER B:Travelers Casualty and Surety Company of America 31194
<br /> Orange County's United Way
<br /> 18012 Mitchell South INSURERC:Lloyd's of London
<br /> Irvine CA 92614-6008 INSURER D:
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1156882876 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 POLICiLS.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE lNSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y PHPK2618575-023 111112024 11/1/2025 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RELATE❑
<br /> CLAIMS-MADE � OCCUR PREMISES Ea occurrence $1,000,000
<br /> MED EXP(Any one person) $20.000
<br /> PERSONAL&ADV INJURY $1,000.000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000.000
<br /> POLICY FRO-
<br /> JET El LOC PRODUCTS-COMPIOPAGG $3,000,000
<br /> X
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY PHPK2618575-023 1111/2024 11l112025 COMBINEDccident SINGLE LIMIT $1,D00,000
<br /> Ea a
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(per accident) $
<br /> AUTOS ONLYE
<br /> AUTOS
<br /> Ix
<br /> HIRED NON-OWNED PROPERTY DAMAGEAUTOS ONLYAUTOS ONLY Per accident
<br /> $
<br /> A X UMBRELLA LAB X OCCUR PHUB887255-023 1111/2024 11/112025 EACH OCCURRENCE 35,000,000
<br /> EXCESS LAB CLAIMS-MADE AGGREGATE S5,000,000
<br /> DE❑ I 'X I RETENTION$ S
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS`LIABILITY YIN STATUTE I ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ N!A F.L.EACH ACCIDENT $
<br /> OFFICERIMEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A Professions[Liability PHPK2618575-023 11/1/2024 1111/2025 Occ$1M MIA
<br /> gg 3,000,000
<br /> B Crime 107338302 11/1/2023 111112026 Empl.ThefQForgeryry 1,000,000
<br /> C CyberLiability ESN1040121023 11/1/2024 1111/2025 1st&3rdOcc$2MMIAgg 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (AGORD 101,Additional Remarks Schedule,may be attached it more space is required)
<br /> Accidental Death&Dismemberment
<br /> Policy Number:MAR16270 APPROVED
<br /> Policy Term: 11101I2024-11/01/2025 By Tu Tran Nguyen at 9:08 am,Jul 22,2025
<br /> Carrier: Market Insurance Company
<br /> Aggregate Limit:$250,000 ➢fgltMy,igned
<br /> Sexual Abuse and Molestation coverage Policy#PHPK2618575-023-$1,000,000 per occurrence 1$2,000,000 aggregate Tu Train ryT n
<br /> Nguyen o4.`�30 4702
<br /> See Attached...
<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 /> Attn: Executive Director, Community
<br /> Development Agency
<br /> 20 Civic Center Plaza, M-25 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana, CA 92702
<br /> ©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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