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AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDNYYY)
<br /> 1 1/1 912 024
<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 /> United Agencies, Inc NAME
<br /> CandyMontoya FAX
<br /> 100 N. First Street#210 c • 818-643-2304 we No),818-643-2313
<br /> Burbank CA 91502 ADDRESS: cmontoya@unitedagencies.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Valley Fore Insurance Company 20508
<br /> INSURED TERRHIN-01 INSURER e:National Fire Insurance Company of Hartford 20478
<br /> The MRKT Co., LLC
<br /> 3450 Cahuenga Blvd., Suite 501 INSURER C:
<br /> Las Angeles CA 90068 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:41290970 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 /> TYPE OF INSURANCE
<br /> LTR POLICY NUMBER MWDD1YYYY MMIDDIYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y 1016411434 1113/2024 11/3/2025 EACH OCCURRENCE S1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES Eaaccurrence $1.000,000
<br /> MED EXP(Any one person) 510,000
<br /> PERSONAL SADV INJURY 51,000,000
<br /> GEN'L AGGREGATE LIMIT APPLI ES PER: GENERAL AGGREGATE 52,000,000
<br /> X POLICY D PRO-
<br /> JECT LOC PRODUCTS-COMPIOPAGG S2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y 6020725510 9/16/2024 9/16/2025 CO accident)EDSINGLE LIMIT $1,OOp,000
<br /> IX
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULEDBODILY INJURY Per accident $
<br /> AUTOS ONLY AUTOS ( )HIRED X NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> $
<br /> A X UMBRELLA LIAB X OCCUR 2095568100 111312024 11/312025 EACHOCCURRENCE $10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED I X I RETENTIONS $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $
<br /> OFFICERlMEMBER EXCLUDED? ElNIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,descdhe under
<br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE,POLICY LIMIT S
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required)
<br /> Subject to all policy terms,conditions and exclusions. 30 days NOC except 10 for non-payment of premium.
<br /> As respects GL:City of Santa Ana, its City Council,its officers,officials,employees,agents,and volunteers are to be covered as additional insureds with
<br /> respect to liability arising out of work or operations performed by or on behalf of the Partner including materials,parts,equipment,and personnel furnished in
<br /> connection with such work or operations where required by written contract per attached blanket endorsement including Primary non-contributory. As respects
<br /> Auto Additional Insured included in Auto Coverage form CA0001.Umbrella policy follows form. Conditionally
<br /> Conditions:valid WC policy(it expired on 711/25)and the APPROVED
<br /> missing insurance documents by 4:00pm tomorrow,9111125. By Tu Tran Nguyen at 10:35 am,Sep 10,2025
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> The City of Santa Ana
<br /> 20 Civic Center Plaza, 2nd Floor
<br /> Santa Ana CA 92701 ALIT oRIZEDREPRESENr,4rIVE
<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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