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/-"I ® DATE(MM/DD/YYYY) <br /> 14� CERTIFICATE OF LIABILITY INSURANCE 06/16/2025 <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.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 13 <br /> NAME: <br /> Aon Risk Services Northeast, Inc. PHONE (866) 283-7122 FAX 800-363-0105 8 <br /> New York NY Office (A/C.No.Ext): A/C.No. <br /> One Liberty Plaza E-MAIL 0 <br /> 165 Broadway, suite 3201 ADDRESS: _ <br /> New York NY 10006 USA <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 <br /> JPMorgan Chase & Co. INSURER B: AIU Insurance Company 19399 <br /> and subsidiary, affiliated, and <br /> associated companies thereof INSURER C: <br /> 383 Madison Ave INSURER D: <br /> New York NY 10179-0001 USA <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 570114953940 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. Limits shown are as requested <br /> LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $5,000,000 <br /> CLAIMS-MADE �OCCUR PREMISES Ea occurrence) $1,000,000 <br /> X Blanket Contractual Liability MED EXP(Any one person) EXC1 uded <br /> PERSONAL&ADV INJURY $5,000,000 CtD <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $50,000,000 co <br /> POLICY ❑JE ❑X LOC PRODUCTS-COMP/OP AGG $5,000,000 v <br /> OTHER: ^o <br /> A 013593978 06/01/2025 06/01/2026 COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY - - $5,000,000 <br /> ADS Ea accident <br /> A X ANYAUTO 013-59-3977 06/01/2025 06/01/2026 BODILY INJURY(Per person) 0 <br /> Z <br /> SCHEDULED MA <br /> OWNED BODILY INJURY(Per accident) 0 <br /> AUTOS ONLY AUTOS R <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE V <br /> ONLY AUTOS ONLY Per accident <br /> A X UMBRELLA LAB H OCCUR 33576381 06/01/2025 06/01/2026 EACHOCCURRENCE $10,000,000 U <br /> EXCESS LAB CLAIMS-MADE SIR applies per policy terns & condi ions AGGREGATE $10,000,000 <br /> DED I X RETENTION <br /> B WORKERS COMPENSATION AND 013626322 06/01/2025 06/01/2026 X PER STATUTE OTH- <br /> EMPLOYERS'LIABILITY Y/N ADS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> B OFFICER/MEMBER EXCLUDED? N N/A 013626323 06/01/2025 06/01/2026 <br /> (Mandatory in NH) MN E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT $1,000,000- <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Santa Ana, its officers, officials, employees and volunteers are included as Additional Insured in accordance with the <br /> policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-Contributory <br /> to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A Waiver of <br /> Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, <br /> Automobile Liability and Workers' Compensation policies. <br /> Tu Tran °�Tranllysigned en <br /> Date:2025.10.03 APPROVED <br /> Nguyen <br /> 10:55:33-07'00' <br /> By Tu Tran Nguyen at 10:54 am, Oct 03,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> City of Santa Ana AUTHORIZED REPRESENTATIVE r <br /> Ris Management Division <br /> 20 Civic Center Plaza e9a JL <br /> Santa Ana CA 92702 USA <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />