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A CERTIFICATE OF LIABILITY INSURANCE DATE (0412WYYYYy <br /> D5rD4rzozs <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 BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE <br /> OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ios) must have ADDITIONAL INSURED provisions or be endorsed. If <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Maguire Insurance Agency,Inc.FWI -PHONE <br /> 1 Bala Piz Ste 100 FAX <br /> Bala Cynwyd,PA 19004-1401 (A/C.No,Exti; (AlC,No): <br /> 510.617.7900 E-MAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC N <br /> INSURER A: Philadelphia lndernity Insurance Company 18058 <br /> INSURED INSURER B <br /> MeeraMichelle Rana <br /> 2010 W San Lorenzo Ave INSURER C: <br /> Santa Ana,CA 92704 INSURER D <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 INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS <br /> OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR I I ADDL SUBR I POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD(YYYY) (MMIDDIYYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY X PHPK2740236-000 051D112026 06101r2027 EACH OCCURRENCE $2.000,000 <br /> CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) 510o,000 <br /> X PROFESSIONAL LIABILITY MED EXP(Any one person) $2,500 <br /> PERSONAL S ADV INJURY S2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $4,000.000 <br /> POLICY ❑PROJECT ❑LOC PRODUCTS-COMPIOP AGG S4,000,000 <br /> OTHER SAM AGGREGATE $300.000 <br /> R <br /> 0 <br /> SAM OCCURENCE 5100,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) 5 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED AUTOS SCHEDULED AUTOS <br /> ONLY BGDILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> ONLY AUTOS ONLY (Per accident) 5 <br /> S <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 <br /> EXCESS LIAR �H CLAIMS-MADE AGGREGATE S <br /> DEO I I RETENTfON S <br /> S <br /> WORKERS COMPENSATION PER OTHER <br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE <br /> ANYPROPRI ETORIPARTNERIEXECUTI V E <br /> NIA <br /> A OFFICERIMEMBER EXCLUDED? E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) <br /> If yes,describe under <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space is required) <br /> It is understood and agreed that the fallowing entity is added as an additional insured but only with respect(s)to the operations of the named insured except that liability resulting from the additional insured's sale <br /> negligence. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana,Attention:Parks.Recreation.and Community Services agency 20 Civic Center Piz#M-23 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Santa Ana.CA 92701-4058 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br /> THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> APPROVED <br /> By Tu Tran Nguyen at 8:18 am, May 11, 2026 <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />