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.4co►aD0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DIDNM) <br /> 0 811 8/2 02 6 <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: Monica Valerio <br /> Nancy Rangel Insurance&Financial Services PHONE (714 378-1580 AC.No): (714)378 1583 <br /> 6032 Warner Ave EDD DREss• service@nancyrange1.com <br /> INSURERS AFFORDING COVERAGE NAIC 11 <br /> Huntington Beach CA 92647 INSURERA: HISCOX INSURANCE COMPANY INC 10200 <br /> INSURED INSURER B: biBerk,a berkshire Hathaway Company 524210 <br /> Santa Ana Community Artist Coalition INSURER C <br /> Alicia Rojas INSURER D <br /> 1205 W Saint Gertrude PI INSURER E <br /> Santa Ana CA 92707-3132 1 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 /> ILTRR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMLD��YY MMID�fYYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE OCCUR DA E TO RENTED <br /> PREMISES Ea occurrence $ 100,000 <br /> MED EXP(Anyone person) $ 10,000 <br /> A Y P101.174.712.3 01/23/2025 01/23/2026 PERSONAL&ADV INJURY $ <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 <br /> POLICY❑ PRO- ❑ <br /> JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> OTHER: r rime Coverage $ 250,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIM1T $ <br /> 1 a accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULFD BODILY INJURY(Per $ <br /> AUTOS ONLY AUTOS { } <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Pe cidenl $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB H.CLAIMS-MADE AGGREGATE $ <br /> DED I J RETENTION $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER <br /> ANY PROPRIETOPJPARTNERIEXECUTIVE ❑ p 1 A E. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.D15EASE-POLICY LIMIT $ <br /> each occurrence 1,000,000 <br /> B Professional Liability Y N9PL719945 01/23/2026 01/23/2026 <br /> aggregate 2,000,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached If more space is required) <br /> o'arc.i"Z'_' �AP�PROVED <br /> Tu Tran y fan N u en uare:2oz5,wag yis:ss:rr-0iron Tran Nguyen at 3:5d pm,Aug 18'.0o5- <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana <br /> Attention:Executive Director,Community Development Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> O 1988.2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />