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ACORL CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
<br /> 09/16/2025
<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:
<br /> VALLEJO INSURANCE ASSOCIATES LLC (a°C,No,Ext):(888)661-3938 (AX
<br /> . ,No): (877)872-7604
<br /> P 0 BOX 4446 E-MAIL
<br /> VALLEJO,CA 94590 ADDRESS:servlce.center@travelers.com
<br /> (888)661-3938 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:FIDELITY AND GUARANTY INSURANCE COMPANY
<br /> INSURED INSURER B:
<br /> CHRISTOPHER GARNER
<br /> 7816 E TORIN ST INSURER C
<br /> LONG BEACH,CA 90808 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 113819313322952 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 INSD WVD-- POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYYL LIMITS
<br /> A )( COMMERCIAL GENERAL LIABILITY X BIP-B8622449-25 09/01/2025 09/01/2026 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADEoccurrence) $300,000
<br /> X OCCUR PREMISES Ea
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> X POLICY PRO- LOC
<br /> JECT PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER:
<br /> COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY (Ea accident) $
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> HIRED NON-OWNED
<br /> AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE
<br /> (Per accident)
<br /> $
<br /> UMBRELLA LIAB _OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE
<br /> DEDI IRETENTION$ AGGREGATE $
<br /> $
<br /> WORKERS COMPENSATION N/A STATUTE I I ERH
<br /> AND EMPLOYERS'LIABILITY YINI
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE
<br /> OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $
<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 /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> AS RESPECTS TO GENERAL LIABILITY,CITY OF SANTA ANA,ITS CITY COUNCIL,OFFICERS,OFFICIALS,EMPLOYEES,AGENT ARE
<br /> ADDITIONAL INSURED PER FORM ADDITIONAL INSURED-MANAGERS OR LESSORS OF PREMISES,CG 20 11,FOR THE FOLLOWING LOCATION:
<br /> 7816 E TORIN ST,LONG BEACH,CA 90808.RE:CITY OF ANA PUBLIC WORKS AGENCY/20 CIVIC CENTER PLAZA ROSS ANNEX,M-21,
<br /> SANTA ANA,CA 92702/EXECUTIVE COACHING
<br /> APPROVED
<br /> By Tu Tran Nguyen at 12:57 pm, Sep 29, 2025
<br /> CERTIFICATE HOLDER CANCELL
<br /> CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> ATTN:LORI SCHNAIDER,EXECUTIVE DIRECTOR OF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> HUMAN RESOURCES ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 CIVIC CENTER PLAZA(M-25)
<br /> PO BOX 1988 AUTHORIZED REPRESENTATIVE
<br /> SANTA ANA, CA 92701 TZZA.aw M, 6elra,A,
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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