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MEKOPRI-01 ALORRAINE
<br />ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(M
<br />6/20/202YYY)
<br />2024
<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.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER CONTACT
<br />NAME:
<br />PIASC Insurance Services, Inc. PHONE FAX
<br />5800 S. Eastern Avenue C-N Ellt 32 ) 00-6705 pvc, No):
<br />Suite 400 E' I f i
<br />Los Angeles, CA 90040 w INSURERISI AFFORDING COVERAGE NAIC it
<br />INSURED
<br />Mekong Printing, Inc.
<br />Hoan Truong
<br />2421 W. First Street
<br />Santa Ana, CA 9h03
<br />urance Co
<br />MSURER C: EnnDlovers Preferred Ins. Co. 110346 1
<br />IN. 'RER E :
<br />THIS IS TO CERTIFY THAT THE POLICIES OF I U21-$TH ABOVE FOR THE POLICY PERIOD
<br />OI INSURANCE
<br />OYSREQUIREMENTRESPECT
<br />I�JRNAFFOR E E�ICERTFICATE MAY ISSUED OR MAYPERTAIN, TFDr N IS SUBJECT ALLTHE TERMS,
<br />Y
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. L' AITF SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE X OCCUR
<br />X
<br />ZH3914586513
<br />5/19/2024
<br />5/19/2025
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />100,000
<br />$
<br />X
<br />MED EXP (Any oneperson)
<br />$ 10,000
<br />GL BROADEN ENDT
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />X
<br />POLICY JECT LOC
<br />PRODUCTS - COMP/OPAGG
<br />$ Included
<br />Emp. Ben.
<br />$ 1,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />$
<br />BODILY INJURY Perperson)
<br />$
<br />X ANY AUTO
<br />AW3914743413
<br />5/19/2024
<br />5/19/2025
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />X HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />UH3909155012
<br />5/19/2024
<br />5/19/2025
<br />AGGREGATE
<br />$ 1,000,000
<br />DED X RETENTION $ 0
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE [Y]
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N / A
<br />EIG287806905
<br />7/1/2024
<br />7/1/2025
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />A
<br />Printers E&O
<br />ZH3914586513
<br />5/19/2024
<br />5/19/2025
<br />Ded: $1000
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be attached if more space is required)
<br />The City of Santa Ana, it's officers, employees, agents and representative are named as Additional Insured in regards to General Liability per COMMERCIAL
<br />GENERAL LIABILITY SPECIAL BROADENING & ENHANCEMENT ENDORSEMENTS, with respects to services provided and/or performed by the Named
<br />Insured as required by written contract, per the attached endorsement.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFLLFD RFFnRF
<br />The City of Santa Ana THE EXPIRATION DATE THEREO
<br />Y ACCORDANCE WITH THE POLICY PR( Risk MeagernentDivisbn
<br />Attn: Risk Management Division a " "�F
<br />20 Civic Center Plaza o=' REVIEWED & APPROVED BY.
<br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE °I, fil Aecv44
<br />( ® Risk Management Specialist
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved
<br />The ACORD name and logo are registered marks of ACORD
<br />
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