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Phone: (714)647-5358 rTE,11MMIDDNYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE099/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT The Wolcott Group, Inc. PHONE The Torres FAX o Ext. (800)309-2161 A/c,No): (949)916-0370 23120 Alicia Pkwy Ste #231 E-MAIL Mission Viejo, CA 92692 ADDRESS: chris@wolcottins.com License #: Ob39360 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: United States Liability Insurance Company INSURED Qing Wei INSURER B Austin Quach INSURER C: 630 S Grand Ave Suite 116 INSURER D: Santa Ana, CA 92705 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00018948-241213112000 REVISION NUMBER: 5 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y NPP1639374 12/16/2024 12/16/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE DAMAGE TO RENTED X OCCUR PREMISES Ea occurrence $ 100 000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- X POLICY El ECT CI LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR XL1663118 12/16/2024 12/16/2026 EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under Digitally signed b DESCRIPTION OF OPERATIONS below Tu Tian 9 9 y E.L.DISEASE-POLICY LIMIT $ Date:en 71 o APPROVED By Tu Tran Nguyen at 7:30 am,Oct 02,2025 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Non-Profit Performers for various events and venues. The city of Santa Ana, its city council, its officers,officials,employees,agents, and volunteers has been added as additional insured to above referenced policy letter A per blanket additional insured endorsement Moon Festival event will take place at Delhi Branch Library(505 E. Center Ave Unit B,Santa Ana, CA 92707),from 3-4:40pm. continued on ACORD 101 Additional Remarks Schedule CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attention: Lynn Nguyen (Principal Librarian) & THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Tony Lam (Senior Librarian) ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana Public Library/Delhi Branch Library, AUTHORIZED REPRESENTATIVE M-42 Santa Ana, CA 92707 CRT ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by CRT on 09/19/2025 at 09:17AM