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DATE(MMIDDIYYYY) <br /> .� CERTIFICATE OF LIABILITY INSURANCE 04/22/2026 <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 /> AP INTEGO INSURANCE GROUP LLC PHONE (888)289-2939 FAX <br /> 76250846 <br /> (RIC,No,Ext]: SAIC,Nay: <br /> PO BOX 31241 <br /> E-MAIL ADDRESS: <br /> SALT LAKE CITY UT 84131 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: Hartford Fire and Its P&C Affiliates 00914 <br /> INSURED INSURER B: <br /> CIVIC CALLING CORPORATION INSURERC: <br /> 447 BROADWAY#1295 FL 2 <br /> NEW YORK NY 1 00 1 3-2 562 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 <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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSIR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD DDIYYYY MMIDDIY YYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE❑OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence <br /> MED EXP(Any one person) <br /> PERSONAL&AOV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY❑PRO- LOC <br /> JECT PRODUCTS-COMPlOP AGG <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per accident) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS AUTOS (Per accident) <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS- <br /> MADE AGGREGATE <br /> ❑E❑ I RETENTION$ <br /> WORKERS COMPENSATION X PER DTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY YIN E.L.EACH ACCIDENT $1,000,000 <br /> A PROPRIETORIPARTNERIEXECUTIVE NIA X 76 WEG BKIYAB 09/0412025 09/04/2026 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-FA EMPLOYEE $1,000,000 <br /> (Mandatory in Ni <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Those usual to the Insured's Operations.Notice of Cancellation will be provided in accordance with Form WC990394,attached to this policy.Waiver of <br /> Subrogation applies in favor of the Certificate Holder per Waiver of our Right to Recover from Others Endorsement WC040306 attached to this policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Human Resources Department 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 AUTHORIZED REPRESENTATIVE <br /> --- <br /> OO 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> APPROVED <br /> By Tu Tran Nguyen at 8.22 am,Jun 23,242i3 <br />