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FO4 <br /> MM/DDIYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 14/2026 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br /> AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br /> ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does <br /> not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT NAME; <br /> AUTO DATA PROCESSING INS AGCYINC <br /> 76250717 PHONE.. (800)524-7024 FAX (800)524-4013 <br /> (AIC,No,Ext): (A/C,No): <br /> 71 HANOVER ROAD E-MAIL ADDRESS: <br /> FLORHAM PARK NJ 07932 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: Hartford Casualty Insurance Company 29424 <br /> INSURED INSURER B <br /> DESIGN PATH STUDIO INC. INSURERC: <br /> PO BOX 230165 <br /> ENCINITAS CA 92023-0165 INSURERD: <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 /> 1NDICATED.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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> L TYPE OF INSURANCE D (MMIPOLICY NUMBER DD DD <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE❑OCCUR DAMAGE TO RENTED <br /> PREMISES tEa occurrence) <br /> MED EXP(Any one person) <br /> PERSONAL&ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY PRO- ❑LOC PRODUCTS-COMP/OP AGG <br /> JECT <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea acdclent) <br /> ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS AUTOS (Per accident) <br /> OCCUR APPROVED <br /> {.!M __,. <br /> UMBRELLA LIAB EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS- AGGREGATE <br /> MADE By TU"Trap Nguyen at 8:3 apt,Apr 21,2112 <br /> DED I RETENTION$ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE E <br /> ANY Y/N E.L.EACH ACCIDENT $1,000,000 <br /> PRO PRI ETO R/PARTNE R/EXEC UTI VE <br /> A NIA X 76 WEG AK5UVS 02/15/2026 02/15/2027 <br /> OFFICER/MEMBEREXCLUDED? E,L,DISEASE-EA EMPLOYEE $1,000,000 <br /> (Mandatory in NH) <br /> If yes,describe under E.LDISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> Those usual to the Insured's Operations.Please see Additional Remarks Schedule Acord 101 Form Attached. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Planning and Building Agency BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> 20 CIVIC CENTER PLZ IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SANTA ANA CA 92701-4058 AUTHORIZED REPRESENTATIVE <br /> �.J�"�)cam. �GtO�R-,/i_eG✓2> <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />