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VERNE'S PLUMBING INC.
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Last modified
10/21/2025 10:24:07 AM
Creation date
10/21/2025 10:23:30 AM
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Contracts
Company Name
VERNE'S PLUMBING INC.
Contract #
A-2025-166-04
Agency
Public Works
Council Approval Date
10/7/2025
Expiration Date
10/6/2028
Insurance Exp Date
5/17/2026
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A��f CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYYi8/29/2025 <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 /> IMA, Inc. PHONE 626 799-7000 FAX, <br /> No: 626 583-2117 <br /> 3475 E. Foothill Blvd., Suite 100 EMAIL <br /> Pasadena, CA 91107 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC N <br /> www.imacorp.com CH04724 INSURERA: Zurich American Insurance Company 16535 <br /> INSURED <br /> INSURER B <br /> Verne's Plumbing Inc <br /> 8561 Whitaker Street INsuRERc: <br /> Buena Park CA 90621 1 INSURER0; <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 86956008 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 TYPE OF INSURANCE AOOL SUBR POLICY NUMBER POLICY EFF MMIDD EXP LIMITS <br /> LTR <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCETO <br /> $ <br /> CLAIMS-MADE OCCUR PREMI ES(RENTED <br /> PREMISES Ea occurrence) $ <br /> MED EXP(Any cne person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENT AGGREGATE LIMIT APPLI ES PER: GENERAL AGGREGATE $ <br /> POLICY❑PRO ❑LOC PRODUCTS-COMPIOPAGG $ <br /> JECT <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMaccideBINEDnt SINGLE LIMIT $ <br /> Ea <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB Id CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> A WOIZKERSCOMPENSATION WC380497004 10/1/2025 10/1/2026 / SPER TATUTE ER <br /> AND EMPLOYERS'LIABILITY YIN <br /> OFFIEWM EMBER EXC NEPJE ECUTIVE FY] NIA E.L.EACH ACCIDENT $1 000,000 <br /> (Mandatary In NH) E.L.DISEASE-EA EMPLOYEE $ o00 ooD <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $11,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is requlredi <br /> WC Waiver of Subrogation applies per WC040306484.WC Cancellation Clause applies per WC040601A attached. <br /> Digitally signed <br /> Tu Tran by Tu Tran <br /> Nguyen <br /> Nguyen Date:2025.09.24 <br /> BBC:-T-f!_Tl-az>-AtgafjrsR!at f-i.:25-'a+>ras-.�;r€�,�tT+2 r:'. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana, M-93 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana, CA 92702 <br /> AUTHORIZED REPRESENTATIVE <br /> Ron Wanglin <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> 86956008 I VL'RNPLU-C' 25-25 NC Master I Nancy Cadwallaaer 1 8/29/2025 11:03:33 AV. (PET) ) Page 1 of 3 <br />
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