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] ® DATE(MMIDDIYYYY)
<br /> A�EIII CERTIFICATE OF LIABILITY INSURANCE 3/20/7026
<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 NAME: Rachel Garciano
<br /> Chrysalis Insurance Agency(Incorporated) PHONE (A1C,No):No E (714)464-$080 714 464-8070
<br /> 3001 Red Hill Ave,Ste.2-226 ADDRESS: serviceCai,'instuedwell.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC R
<br /> Costa Mesa CA 92626 INSURERA: ADMIRAL INS CO 24856
<br /> INSURED INSURER B: AMGUARD INS CO 42390
<br /> Sunny Hills Associates Inc.dlb/a SUNNY HILLS RESTORATION INSURER C: MIDW EST EMPLOYERS CAS CO 23612
<br /> 1999 RITCHEY ST INSURER D: OHIO CAS INS CO 24074
<br /> INSURER E:
<br /> SANTA ANA CA 92705-5100 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE©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 /> LTR TYPE OF INSURANCE INSD N15/D POLICY NUMBER (MM1DDfYYYY) (MMIDDIYYYY) LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> UVA
<br /> CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 100,000
<br /> X POLLUTION LIABILITY MED EXP(Any one parson) $ 5,000
<br /> A X PROFESSIONAL LIABILITY Y FEI-ECC-35209-03 05/15/2025 05/15/2026 PERSONAL S ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY JE� LOC PRODUCTS-COMPIOP AGG S 2,000,000
<br /> OTHER' S
<br /> AUTOMOBILE LIABILITY {Ea accident} $ 1,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> B OWNED X SCHTOSEDULED Y SUAU659174 04/10/2026 04/10/2027 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AU
<br /> HIRED NON-OWNED 7R7PER=AMAGE $
<br /> X AUTOS ONLY X AUTOS ONLY (Per accident)
<br /> UMBRELLA LIAR MCLAIMS-MAOF
<br /> OCCUR EACH OCCURRENCE S 1,000,000
<br /> A X EXCESS LIAR Y FEI-EXS-45093-03 05/15/2025 05/15/2026 AGGREGATE $ 1,000,000
<br /> DED I I RETENTION PRODUCTS/COMPLETI S 1,000,000
<br /> WORKERS COMPENSATION X I STATUTE IFIR
<br /> AND EMPLOYERS'LIABILITY Y 1 N
<br /> ANY PROPRIETORIPARTNER/EXECUTIVE EL,EACH ACC[DENT $ 1,000,000
<br /> C OFFICERIMEMBEREXCLUDED? �Y NIA Y BNET729611432 11i14/2025 11/14/2026
<br /> (Mandatory in Ni E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION CF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,O)0
<br /> Misc Equipment $55,000
<br /> D Commercial Property&Inland Marine BK061278353 4/7/2026 4/7/2027 Property of Others $319,489
<br /> Systems Breakdown S319,499
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> See ACORD 101
<br /> APPROVED
<br /> By Tu Tram Nguyen at 7:13 am,Mar 23, 2026
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> 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 /> Attention:Santa Ana Police Department AUTHORIZED REPRESENTATIVE
<br /> 60 Civic Center Plaza,M-97
<br /> Santa Ana CA 92701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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