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7�1,MCERTIFICATE OF LIABILITY INSURANCE01"0 5YYY) <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(les)must have ADDITIONAL INSURED provisions or be endorsed.If <br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). r <br /> PRODUCER CONTACT W <br /> Aon Risk Services Northeast, Inc. NAME` M <br /> PHONE (866) 283-7122 FAX 800-353-0105 d New York NY Office (A/C.No.Exit): NC.No.: <br /> One Liberty Plaza E-MAIL <br /> O <br /> 165 Broadway, suite 3201 ADDRESS: _ <br /> New York NY 10006 USA <br /> INSURERS)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: National Union Fire Ins co of Pittsburgh 19445 <br /> ipMorgan chase & co. INSURERB: AIU Insurance company 19399 <br /> and subsidiary, affiliated, and <br /> associated companies thereof INSUREPC: <br /> 383 Madison Ave <br /> New York NY 10179-0001 USA INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 570114953940 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 /> EXCLUSiONSAND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br /> INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMlbb1YYYY MM1DDlYYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 5,000,000 <br /> CLAIMS-MADE F_X 1 OCCUR RENTED $1,000,000 <br /> PREMISES Ea occurrence <br /> X Blanket Contractual Liability MED EXP(Any one person) Excluded <br /> PERSONAL&ADV INJURY S5,000,000 <br /> ` <br /> GEN'LAGGREGATE LIMITAPPLES PER: GENERALAGGREGATE s50,OQO,000 ca'�s <br /> POLICY PRO X LOC rn <br /> �JECT PRODUCTS AGO $5,000,000 v <br /> OTHER: T <br /> 0 <br /> h <br /> A AUTOMOBILE LIABILITY 013-59-3978 06/01/2025 06/01/2026 COMBINED SINGLE UMIT $5,000,000 � <br /> AOS Ea accident , <br /> A J ANYAUTO 013-59-3977 06/01/2025 06/01/2026 BODILY INJURY(Per person) Z <br /> OWNED AUTOSULED MA BODILY INJURY(Per accident) y <br /> CHED <br /> AUTOS ONLY <br /> H6RED AUTOS NON-OWNED PROPERTY DAMAGE O <br /> ONLY AUTOS ONLY Per accident. <br /> A X UMBRELLALIAB X OCCUR 33576381 06/01/2025 06/01/2026 EACH OCCURRENCE $10700,000 C-) <br /> EXCESS LIAB CLAIMS-MADE SIR applies per policy terns & condi ions AGGREGATE s1O,000,000. <br /> DIED I X I RETENTION <br /> R WORKERS COMPENSATION AND 013626322. 06/01/2025 06/01/2026 X I PER STATUTE I OTH- <br /> EMPLOYERS'LIABILITY YIN ADS ER <br /> ANY PROPRIETOR!PARTNER!EXECUTIVE EL.EACH ACCIDENT $1,000,000 <br /> B OFFICERIMEMBEREXCLUDEo? NIA 013626323 06/01/2025 06/01/2026 <br /> (Mandatory in NH) MN E.L.DISEASE-EA EMPLOYEE $1,ODO,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000__T <br /> - <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> City of Santa Ana, its officers, officials, employees and volunteers are included as Additional Insured in accordance with the <br /> policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-contributory <br /> to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A waiver of <br /> Subrogation is granted in favor of certificate Holder in accordance with the policy provisions of the General Liability, <br /> Automobile Liability and workers' compensation policies. <br /> Tu Tran DigiraCly signetl by <br /> Nguyen <br /> PM.:2025 603 APPROVED ED N <br /> f:55:33- <br /> 8y Tu Tran Nguyen at 10:54 am,Oct 03,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> city of Santa Ana AUTHORIZED REPRESENTATIVE <br /> Risk Management Division -� <br /> 20 Civic Center Plaza Altleyllll�tr,S A dC�+�J� �. <br /> Santa Ana CA 92702 USA <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />