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DATE{MMlDD1YYYY) CERTIFICATE OF LIABILITY INSURANCE F Cg12412D25 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE. AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or he endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). y PRODUCER CONTACT NAME: AOri Risk Services Northeast, Inc. PHONE FAX }^ New York NY Office (NC.No.Ext): (866) 283-7122 AIC No.): (800) 363-01U5 y 'a one Liberty Plaza E-MAIL p 165 Broadway, suite 3201 ADDRESS: New York NY 10006 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Hartford Fire insurance Co. 19682 Hanson Bridgett LLP INSURERS: Trumbull insurance Company 27120 425 Market Street 26th Floor INSURERC: Hartford casualty insurance Cc 29424 San Francisco CA 94105 USA INSURER D; INSURER E: INSURER F: _ COVERAGES CERTIFICATE NUMBER:570115636083 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE AVUL INSD"DR] POLICY NUMBER MMID�� MMLI lDOlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY UUNBD LAD EACH occuRRENCE $1,000,000 CLAIMS-MADE X❑OCCUR Commercial Package DAMAGE ORE RENTED $300,000 PREMISES Ea occurrence NED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 m OFN'LAGGREGATE4IMITAPPLIESPER GENERAL AGGREGATE $2,000,000 POLICY ❑�"Q LCC PRODUCTS-COMPlOP AGG $2,000,000 OTHER: h B AUTOMOBILE LIABILITY 1OUENDL9026 08/26/2025 08/26/2026 COMBINED SINGLE LIMIT $1,000,000 Business Auto aac nt ANY AUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Par accident) m AUTOS ONLY AUTOS Ix HIREDAUTOS NON-OWNED PROPERTY DAMAGE u ONLY AUTOS ONLY Per accident W C X UMBRELLALIAB H OCCUR IOXHUBF8XA3 08/26/2025 08/26/2026 EACH OCCURRENCE $10,000,000 U Umbrella AGGREGATE $10,000,000 EXCESS LIAB CLAIMS-MADE SYR applies per policy terns & condi ions DED X RETENTION OtherAggregateLim: $10,000,000 WORKERS COMPENSATIONAND PER STATUTE EMPLOYERS'LIABILITY YIN ER ANY PROPRIETOR!PARTNER I EXECUTIVE E.L.EACH ACCIDENT OFFICERIMEMSER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE Ir yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached Ir more space Is required) city of Santa Ana is included as Additional Insured as their interests may appear as respects to General Liability and .� Automobile Liability. As respects General Liability and Automobile Liability, a waiver of subrogation is included, but only to the extent permitted by law. A.PPROVEfl CERTIFICATE HOLDER By TO Tran Nguyen at 9:36 am,.Oct 03,2025 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division 20 civic center Plaza de/,fi!/ � Santa Ana, CA 92702 USA a r1�//a e.C/.1iGt.�r/ . @1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD i