|
ASEBC01 OP ID: CH
<br />'A<:_"M LX CERTIFICATE OF LIABILITY INSURANCE D04/1ATE 01202YY)
<br />0411 QI2025
<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 1NSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsements .
<br />PRODUCER
<br />HAN MI INSURANCE CENTER, INC
<br />7700 Orangethorpe Ave #15
<br />Buena Park, CA 90621
<br />CONTACT
<br />Gharlie Hahn
<br />PHONE FAX
<br />A c N® E.et : 714SG2-Q3Q0 Arc Np ; 714-562-0333
<br />ab RIESS: Charlie insurancehanmi.com
<br />INSUREI AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Travelers Casualty In5,Ci0,
<br />19046
<br />INSURED Asel Beauty College, Inc.
<br />Lee, Christopher
<br />9240 Garden Grove Blvd,##10
<br />INSURERB: Hartford Casualty Insurance Co
<br />14397
<br />INSURERC:
<br />INSURER D
<br />Garden Grove, CA 92844
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER. RFVlAll N11MRIll
<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.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />D
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMlDD1YYYY
<br />POLICY EXP
<br />MMfDD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE J OCCUR
<br />X
<br />X
<br />680-5W851912
<br />0510712025
<br />05/07/2026
<br />EACH OCCURRENCE
<br />$ 1,000,00
<br />DAMAG T RENTED
<br />PREMISES Ea occurrence
<br />$ 30U,000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL & Al INJURY
<br />$ 1,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />X POLICY ❑ PRO
<br />JEGT LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />PRODUCTS - CDMPlOP AGG
<br />$ 2,000,000
<br />$
<br />OTHER'
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$
<br />BODILY INJURY (Per person}
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED AUTOS AUTOS
<br />BODILY INJURY (Peracckdenl)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I I RETENTION $
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPA.RTNERIEXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED? ElNIA
<br />(Mandatory in NHJ
<br />72WECAJOHH1
<br />10/18/2024
<br />10/18/2025
<br />PER OTH-
<br />X I STATUTE ER
<br />E.L. EACH ACCIDENT
<br />S 1,000,00
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />I
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />BPPIRCVILOC #1
<br />680-5W851912
<br />05107/2025
<br />05/07/2026
<br />Special 84,100
<br />A
<br />BPPIRCVILOC#2
<br />680-5W851912
<br />05/0712025
<br />06107/2026
<br />Special 31,500
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Digitany,ig—d by
<br />Tu Train
<br />T�TNg�ye
<br />-City of Santa Ana, its officers, employees, agents and volunteers are named
<br />Date: 2021.06. 11
<br />as additional insureds. Nguyen 081830-07'00'
<br />W.O.S. & P.N.C.Wording:lncluded.
<br />-City will be mailed 30 days written notice of policy cancellation.
<br /><Please refer holder note for more details?
<br />APPROVED
<br />By Tu Train Nguyen at 8:17 am, Jun 17, 20;
<br />CFRTIll HOI ll
<br />CANCELLATION
<br />CITTSAN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />Y
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn:Audrey Goodson
<br />801 W,Civic Center Dr,3uite200
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />, r I
<br />®1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
|