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SHUMCOD-01 MARIAVELAS UEZ
<br /> AiCC7R© CERTIFICATE OF LIABILITY INSURANCE DATE YYYY}
<br /> 4i27rzazs
<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 endorsements .
<br /> PRODUCER CONTACT
<br /> NFP 3979 Freedom Circle erty& arty Services,Inc. PHONE (AdC,No)J408) 792AX -3670
<br /> Arc, ,Exti:(448)792.5400
<br /> Ste 620 E-MAIL
<br /> D6REss:
<br /> Santa Clara,CA 95054
<br /> INSURERS)AFFORDING COVERAGE NAIC fk
<br /> INSURER A:Hartford Underwriters Insurance Company 30104
<br /> INSURED INSURER B:Trumbull Insurance Company 27120
<br /> Shums Coda Associates,Inc. INSURERC:Hartford-Rated Multiple Companies 00914
<br /> 5776 Stoneridge Mall Road,Suite 150 INSURERD:TeXas Insurance Company 16543
<br /> Pleasanton,CA 94588
<br /> 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 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 NUMBER POLICY EFF POLICY EXPLTR LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> C LA1M5-MADE X OCCUR 57SBABJ7B3P 3/8/2026 3/812027 DAMAGE TO RENTED 1,000,000
<br /> X X EMISES Ea o ce $
<br /> MED EXP(Any oneperson) $ 10,OOD
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000
<br /> POLICY� PRO- LOC PRODUCTS-COMPIOP AGG $ 2,000,000
<br /> OTHER:
<br /> COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY E let g 1,OOO,000
<br /> 1 X ANY AUTO X X 57UECBF8495 3/8/2026 3/8/2027 BODILY INJURY Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLV AUTOS ONLY Per accident $
<br /> L I I 1 1 $
<br /> A X UMBRELLA LIAB M
<br /> OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAR CLAIMS-MADE 57SBABJ7B3P 3/8/2026 318/2027 AGGREGATE $ 5,000,000
<br /> DE❑ I X RETENTION$ 10,000
<br /> C WORKERS COMPENSATION X PERI OTH-
<br /> AND EMPLOYERS'LIABILITY YIN ST E
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE ❑ X 57WECCAI KSM 3/2312026 3/23/2027 1,000,000
<br /> OFFICER/MEMBER EXCLUOED7 N 1 A
<br /> E.L.EACH ACCIDENT
<br /> {Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,DOQ,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below F.L.DISEASE.POLICY LIMIT
<br /> JAEmployee
<br /> OlProfessional Lia BFLPMLTCA011500_020333_05 31812026 3/8/2027 Each Clam_ 1 3,000,000
<br /> ' Per Aggregate $ 3,000,000
<br /> Dishonesty 57SBABJ7B39 3/8/2026 3/8/2027 Ded.$250.00 $ 25,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES iACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Re: Those usual to the Ins ured's Operations.-Per written contractlagreement with the Named Insured per policy terms conditions and exclusions
<br /> Certificate is subject to policy limits,conditions and
<br /> exclusions
<br /> City of Santa Ana its City Council,its officers,officials,employees,agents,and volunteers is an additional insured per the Business Liability Coverage Form
<br /> SL3032 attached to this policy.City of Santa Ana its City Council,its officers,officials,employees,agents,and volunteers is an additional insured per the
<br /> Commercial Auto Broad Form Endorsement HA 99 16,attached to this policy. Waiver of Subrogation applies in favor City of Santa Ana its City Council,its
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Planning and Building Agency
<br /> 20 Civic Center Plaza(M-19)
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2D16103) APPROVEDO 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> By Tu Tran Nguyen at 1'2:32 pm,Apr 27,2026 egitrd marks of ACORD
<br />
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