|
ACOR" CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY)
<br /> 1 12/10/2025
<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: Andrew Yang
<br /> Cedarwood Financial & Insurance Services Inc AI°Nl o EXt: 530-753-0700 FA
<br /> Na; 530-231-0157
<br /> 1777 Oak Ave Ste B ADDRESS: yanga1@cwfinins.com
<br /> Davis, CA 95616 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A: Hartford Underwriters Insurance Company 30104
<br /> INSURED FUJII LAW GROUP LLP INSURER B: Hartford Casualty Insurance Company 29424
<br /> JOHN FUJII INSURERC: The Hanover Insurance Company 22292
<br /> 2 PARK PLAZA SUITE 450 INSURERD: Spinnaker Insurance Company 24376
<br /> IRVINE, CA 92614 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 00002297-0 REVISION NUMBER: 15
<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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MMIDD MMIDD
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 51 SBA BM1 MCY 12/15/2025 12/15/2026 EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TO RE
<br /> CLAIMS-MADE1:1 OCCUR PREM SES(E.oNcurDence) $ 1,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY❑ PRO-
<br /> ❑
<br /> JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> C MINED
<br /> A AUTOMOBILE LIABILITY 51 SBA BM1 MCY 12/15/2025 12/15/2026 Ea a.cidan,SINGLE LIMIT $
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> L $
<br /> A X UMBRELLA LIAB OCCUR 51 SBA BM1 MCY 12/15/2025 12/15/2026 EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> B WORKERS COMPENSATION Y 51 WEC BA9A51 12/15/2025 12/15/2026 X STATUTE EERPER H
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? y N I A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> C Lawyers Prof. Liab. LHN M212472 00 12/15/2025 12/15/2026 Per Claim/Aggr 1,0 0,000/3,000,000
<br /> D Cyber Liability FLY-CB-63CWZ2LUV-00 12/15/2025 12/15/2026 Per claim 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Those usual to the Insured's Operations.The City of Santa Ana, its City Council, its officers,officials,employees,agents, and
<br /> volunteers are Additional Insured per the Business Liability Coverage Form SL3032 attached to this policy.Waiver of
<br /> subrogation endorsement as to General Liability per Form SL3003 attached.Waiver of subrogation endorsement as to Workers
<br /> Compensation per Form WC 040306 attached.
<br /> Digitally
<br /> a uy by
<br /> Tu Tran Tu signed
<br /> g
<br /> Nguyen 093956z0800'S
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:39 am,Dec 15,2025
<br /> City Clerk 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 /> 20 Civic Center Plaza (M-30)
<br /> P.O. Box 1988 AUTHORIZED REPRESENTATIVE
<br /> SANTA ANA, CA 92702-1988 —
<br /> (YA1)
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by YA1 on 12/10/2025 at 11:35AM
<br />
|