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A� ® DATE(MMIDDIYYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 10,<31i2025
<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.
<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 CONTANAME: Andrew Yang
<br /> Cedarwood Financial &Insurance Services Inc ArcoNN Ext: 530-753-0700 1 FAAIc No: 530-231-0157
<br /> 1777 Oak Ave Ste B ADDRESS: yangal@cwfinins.com
<br /> Davis, CA 95616 INSURERS AFFORDING COVERAGE NAIC 9
<br /> INSURER A: Hartford Underwriters Insurance Company 30104
<br /> INSURED FUJII LAW GROUP LLP INSURER B: Hartford Casualty Insurance Company 29424
<br /> JOHN FUJII INSURER0: AmGUARD Insurance Comp an 42390
<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: 14
<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 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 /> ILTR TYPE OF INSURANCE INSD SUER
<br /> POLICYNUMBER MMIDIDIYYYY CY EFF MMIU�IYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 51 SBABMl MCY 12/15/2024 12/15/2025 EACH occURRENCE $ 1,000,000
<br /> DAM E (RENTED
<br /> CLAIMS-MADE
<br /> X oCcuR PREMISESEa occurrenoo) $ 11000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY D PECOT- E LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 51SBABMl MCY 12/15/2024 12/1612025 EOa aocde�SINGLE LIMIT
<br /> t $ 1,000,000
<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 /> X AUTOS ONLY X AUTOS ONLY Per accident
<br /> A X UMBRELLAUA13 X OCCUR 51SBABMlMCY 10/2912025 12/15/2025 EACH OCCURRENCE $ 1,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000
<br /> DED X RETENTION$ 10,000
<br /> $
<br /> B WORKERS COMPENSATION Y 51WECBA9A51 12I1512024 12115I2025 X STATUTE_ DRH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETORIPARTNERIEXECUTIVF YIN N!A F.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICERIMEMBER EXCLUDED?
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYFF $ 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. FUPL596888 12/15/2024 12115/2025 PorClaimlAggr 1,0 0,00013,000,000
<br /> D Cyber Liability FLY-CB-63CWZ2LUV-00 12/15/2024 12/15/2025 Per claim 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I 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. Digitaly signed
<br /> T 'r
<br /> U I ran Tu Train Nguy nby
<br /> Nguyen°5o;43za�ao' APPROVE®
<br /> CERTIFICATE HOLDER CANCELLATION By T-u Tran Ndu.yerf 60 01 pm;"6cf 391 2625
<br /> SHOUL.13 ANY OF THE ABOVE DESCRIBED POLICIES BE
<br /> City Clerk THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CANCELLED BEFORE
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza(M-30)
<br /> P.O. Box 1988 AUTHO I�EO REPRESENTATIVE
<br /> SANTA ANA, CA 92702-1988
<br /> (YA1)
<br /> O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Printed by YA1 on 10/31/2025 at 02:22PM
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