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AGUILERA, MARINA (11)
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AGUILERA, MARINA (11)
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Last modified
10/17/2025 10:17:00 AM
Creation date
10/17/2025 10:16:21 AM
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Contracts
Company Name
AGUILERA, MARINA
Contract #
N-2025-262
Agency
Public Works
Expiration Date
7/31/2026
Insurance Exp Date
8/9/2026
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Ai b® CERTIFICATE OF LIABILITY INSURANCE <br />E (MMIOD <br />DAT7/24/2025YYY) <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(tes) 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 <br />CONTACT NAME: Tiffanie Rodriguez <br />Alc, No, Ezt: 888-885-6145 AM, No): <br />Stuttgart Insurance Solutions <br />ADDRESS: Tiffanie©stnttgartinsurancesolutions.com <br />31878 Del Obispo St. <br />Spite 118-513 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURERA: STATE NATL INS CO INC <br />12831 <br />San Juan Capistrano CA 92675 <br />INSURED <br />INSURER B <br />Marina Aguilere <br />INSURER C <br />75 VIA CUIDADO <br />INSURER D i <br />INSURER E : <br />INSURER F: <br />RANCHO SANTA MARGARITA CA 92688-3117 <br />COVERAGES CERTIFICATE NUMBER: 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 />L'rR <br />TYPE OF INSURANCE <br />INSD <br />WVO <br />POLICY NUMBER <br />(MM/DD <br />MMIDD <br />LIMITS <br />x <br />COMMERCIAL GENERALLIABILITY <br />EACHOCCURRENCE <br />$ ],000,000 <br />CLAIMS -MADE NOCCUR <br />PREMISES (Ea occurrence) <br />$ 100,000 <br />M ED EXP(Anyone parson) <br />$ 5,000 <br />PERSONAL$ ADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />Y <br />NXT3K9Y9TX-01-GL <br />07/20/2024 <br />07/20/2025 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />iC POLICY ❑JECT �LOC <br />PRODUCTS - COMPIOP AGO <br />$ 2,000,000 <br />OTHER: <br />$ <br />AUTOMOBILE <br />LIABILITY <br />(Ea accident) <br />$ <br />BODILY INJURY (Par person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />H <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOSONLV <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED <br />I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />NY PROPRIETORIPARTNERIEXECUTIVE❑ <br />FFICERIMEMBER EXCLUDED? <br />NIA <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />Mandatory In NH) <br />If yea, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Tu Tran Digltallyslgn <br />Turn, Nga'y <br />bu2oss.o <br />City of Santa Ana, Its City Council, officers, officials, employees, agents, and volunteers Nguyen 163825-07 <br />APPROVED <br />By Tv TMn Nguyen at 4:38 pro, Jul 25, 2025 <br />City of Santa Ana <br />Attention: Public Works —CIP Engineering <br />20 Civic Center Plaza, M-36 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />TUI"4ls*r em <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />i by <br />8 <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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