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ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY)
<br /> L..----- 3/28/2025
<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 /> Edgewood Partners Insurance Center PHONE Greyling COI Specialist FAX
<br /> 3780 Mansell Rd. Suite 370 INC.No.Ext) 770.552,4225 (NC,Nol:
<br /> Alpharetta GA 30022 ADDRESS: greylingcerts@greyling.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:National Union Fire Ins Co of Pittsburg 19445
<br /> INSURED KIMLASS INSURER B:Allied World Assurance Co(U.S.)Inc. 19489
<br /> 421Kim Fayetteville-Horn and Associates,Suite Inc. INSURER C:New Hampshire Insurance Company 23841
<br /> Street, Suite 600
<br /> Raleigh, NC 27601 INSURER D:Lloyd's of London 85202
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:473570658 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 SUER POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYYI JMM/DD/YYYYL LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY GL5268169 4/1/2025 4/1/2026 EACH OCCURRENCE $2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000
<br /> X Contractual Liab MED EXP(Any one person) $25,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY X Tai X LOC
<br /> PRODUCTS-COMP/OP AGG $4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY CA4489663(AOS) 4/1/2025 4/1/2026 COMBINED SINGLE LIMIT $2,000,000
<br /> A (Ea accident)
<br /> X ANY AUTO CA2970071(MA) 4/1/2025 4/1/2026 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per $
<br /> AUTOS ONLY AUTOS accident)
<br /> X HIRED )( NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY _ AUTOS ONLY (Per accident) $
<br /> $
<br /> B X UMBRELLA LIAB X OCCUR 03127930 4/1/2025 4/1/2026 EACH OCCURRENCE $5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$1p 000 $
<br /> C WORKERS COMPENSATION WC067961230(AOS) 4/1/2025 4/1/2026 X PER OTH-
<br /> C AND EMPLOYERS'LIABILITY YI N WC013711885(CA) 4/1/2025 4/1/2026 STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000
<br /> /M OFFICEREMBEREXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000
<br /> D Professional Liability 60146LDUSA2504949 4/1/2025 4/1/2026 Per Claim $2,000,000
<br /> Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re: SOUTH MAIN ART INITIATIVE;Austin Stake.The City of Santa Ana,its officers,employees,agents,volunteers&representatives are named as
<br /> Additional Insureds with respects to General Liability where required by written contract.The above referenced liability policies with the exception of workers
<br /> compensation&professional liability are primary&non-contributory where required by written contract.Should any of the above described policies be cancelled
<br /> by the issuing insurer before the expiration date thereof,30 days'written notice(except 10 days for nonpayment of premium)will be provided to the Certificate
<br /> Holder.
<br /> Tu Tran Tu Tra oigaallysignednNguyen
<br /> by APPROVED
<br /> Date:2025.04.01
<br /> Nguyen 14:55:04-0700 By Tu Tran Nguyen at 2:55 pm,Apr 01,2025
<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 /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Heidi Chou
<br /> 215 S. Center Street AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92702 ed-6 �4
<br /> L's4 Afi_.ii 6-
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
<br />
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