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ACC CERTIFICATE OF LIABILITY INSURANCE narEfMMfDnnvvv} <br /> it.� 03/0712025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND ORALTER THE COVERAGE AFFORDED BYTHE;POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE,DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREII AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT, If the certlflcate holder is an ADDITIONAL INSURED,the pOlicy(les)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 Fred Dean <br /> NAME: <br /> Premier One Insurance Services PHHONr fAIC, o Est (949)727.2025 F AIC,Ne: (949)727-9219 <br /> 100 Pacifica Ste 480 E-MAIL Fred.DeanQPremierOne.com <br /> ADDREss; <br /> INS URER{S}AFFORDING COVERAGE NAIL N <br /> Irvine CA 92618 INSURERA: Beazley Insurance Company 37540 <br /> INSURED <br /> INSURER 9 <br /> (Water,Ino, INSURER C: <br /> 12 Goodyear#130 INSURER D: <br /> INSURER E: <br /> Irvine CA 92618 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL253713538 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MMJDDN LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> ORE T <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence $ <br /> MED EXP fAny one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGA-rE $ <br /> - <br /> POLICY JEPRDCT F1 LOC PRODUCTS-COMP/OPAGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident} $ <br /> HIRED NON-OWNED PROPERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY per accldont <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DIED I I RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETORIPARTNERfEXECUTIVE = NrA E.L.EACH ACCIDENT $ <br /> OFFICEWMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,dascrihe under <br /> DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ <br /> LIMIT PER OCC $2,000,000 <br /> A Professional Liability V1307D231301 10104/2024 10/0412025 DEDUCTIBLE <br /> $15,000 <br /> RETRO DATE 08-04-2011 <br /> DESCRIPTION OF OPERATIONS f LOCATIONS J VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) <br /> APPROVED <br /> By TO Tran Nguyen at 1.50 pin, Mar.07, 202 <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 Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> 4th Floor AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 DQaw, <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 />