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Client#: 74070 BIDANYU
<br /> ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIUDIYYYY)
<br /> 4/1712026
<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 any rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Rosanne Coyne
<br /> Assured Partners of Ohio, LLC PHONE
<br /> 0 333-90
<br /> ,NExt) 44 FAAICX
<br /> ,No} _
<br /> 3900 Kinross Lakes Pkwy#300 E-MAILD SBUProofs@AssuredPartnersOH.com
<br /> Richfield,OH 44286-9445 INSURER(S)AFFORDING COVERAGE NAIL#
<br /> 440 333-9000 INSURER A:United States Liability Insurance Co 25895
<br /> INSURED INSURER B:Hartford Casualty Insurance Co 29424
<br /> Bi Dan Yu dba Young Rembrancits North
<br /> Orange County INSURER c
<br /> 1060 N. Mar Vista Ave. INSURER U
<br /> Pasadena, CA 91104 INSURER E:
<br /> 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 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 /> INSR ADULSUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY X X GL1190670C 03/07/2026 0310712027 EACH OCCURRENCE $1,000,000_
<br /> CLAIMS-MADE ❑X OCCUR
<br /> PREMISESOEa RENTED
<br /> $100,000
<br /> i
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE OMIT APPLIES PER: GENERAL AGGREGATE s 2,'000,000
<br /> n PRO- n
<br /> POLICY 1—I JECT LOC PRODUCTS-COMPIOPAGG s2,000,000
<br /> OTHER S
<br /> A AUTOMOBILE LIABILITY X X GL7190670C 03/07/2026 03/07/202 COMBINED SINGLE LIMIT
<br /> Ea aeeidenl 51,000,000
<br /> ANY AUTO BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED BODILY INJURY Per accident S
<br /> AUTOS ONLY AUTOS ( )
<br /> WIRED NON-OWNED PROPERTY DAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY _Per accident _$
<br /> A X UMBRELLA LIAB X OCCUR CUP1572191 C 03/0712026 0310712027 EACH OCCURRENCE $2 000,000
<br /> EXCESS_LIAB CLAIMS-MADE' AGGREGATE $2 000=
<br /> lmn
<br /> 000 00DE❑ RETENTION$ II $
<br /> B WORKERS COMPENSATION X 45WECAW2FB9 03/07/2026 03/07/202 PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN TAT T
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT 51 000,000
<br /> OFFICERIMEMBER EXCLUDED? � NIA i
<br /> (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE S1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E_L-DISEASE-POLICY LIMIT $1,000,000
<br /> A Sexual Abusel X X GL1190670C 03/07/2026 03107/202 $1,000,0001$2,000,000
<br /> Molestation
<br /> A Professionaf Liab X X GL1190670C 103107120261031071202i $1,000,00032,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> The City of Santa Ana, its officers,officials, employees,and volunteers are to be covered as
<br /> additional insureds on the CGL policy with respect to liability arising out of work or operations
<br /> performed by or on behalf of the Permittee including materials, parts,or equipment furnished in
<br /> connection with such work or operations.A Waiver of Subrogation is in favor of the City of Santa Ana.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:35 am,Apr 20,2026
<br /> City of Santa Ana,Attention: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Parks, Recreation,and Community ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Services Agency, 20 Civic Center
<br /> Plaza M-23 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana, CA 92701 1.1&-
<br /> O 1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br /> #S14539061M1412901 RCOYN
<br />
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