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PACICOA-05 AKANG
<br />,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMI0YYYY)
<br />#% 6/28/2024
<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 />If IMPORTANT:
<br />TIONthe IS WAIVED, Abject
<br />Solder is ect tonthe DtermsNAL andlNondR io is f t �c Ile u t n; ADDI�dN IN�R 4vi ens or be endorsed.
<br />tatement on
<br />this ce e d t c ig�s certlflcate holder In Ir u OUR
<br />r e i+ [`�,
<br />Paramol#t Exclks§e Ir
<br />15760 Ventura BTvd. Su
<br />Encino, CA 91436
<br />INSURED
<br />0
<br />INSURERC:CC orry Specialty Insurance Company
<br />Aw 919kE.'TWutTF0 w 'ROMP AWE r IeRD •
<br />Santa Ana, CA 92701 I •
<br />INSURER F :
<br />rnVFRAr,FC RFRTIFIRATF NIIMRFR• DFVICI(NJ NIIMRFR•
<br />18) 986-4949
<br />22322
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD
<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 CLAMS.
<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 />CLAM -MADE X occuR
<br />X
<br />X
<br />NPC-1006073-02
<br />5/17/2024
<br />5/17/2025
<br />DAMAGE TO RENTED
<br />PREMISES a occurrence)$
<br />100,000
<br />MED EXP (Any oneperson)
<br />$ 5,000
<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 [::] PER � LOC
<br />PRODUCTS -COMP/OP AGG
<br />$ 2,000,000
<br />Employee Benef.
<br />$ 1,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMEc)� D SINGLE LIl�II"C
<br />$ 1,000,000
<br />X
<br />BODILY INJURY erperson)$
<br />ANY AUTO
<br />X
<br />X
<br />NBA-1009128-00
<br />5/17/2024
<br />5/17/2025
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY(Per accident
<br />$
<br />PROPERTY DAMAGE
<br />(per accident)
<br />ccident
<br />$
<br />HIRED L NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />$
<br />A
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />NEC-6006892-02
<br />5/17/2024
<br />5/17/2025
<br />AGGREGATE
<br />$
<br />DED RETENTION$
<br />Prod/Comp Work
<br />$ 1,000,000
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/BXEcuTIVE Y/N
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N / A
<br />X
<br />CTP1002524
<br />5/17/2024
<br />5/17/2025
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EAEMPLOYEE
<br />$ 1,000,000
<br />Ifyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE-POLICYLRvUT
<br />1,000,000
<br />$
<br />C
<br />Equipment Floater
<br />IM2583771
<br />5/17/2024
<br />5/17/2025
<br />Limit
<br />327,908
<br />A
<br />Employment Practices
<br />NPC-1006073-02
<br />5/17/2024
<br />5/17/2025
<br />Limit
<br />50,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />A) Property Liability Policy No. NPC 1006073-02 Effective Date: 5/17/2024- 5/17/2025 Location Office 910 E. Walnut St., Orange, CA 92701 B.P.P. Limit $10,000.
<br />A) Cyber Policy No. NPC 1006073-02 Effective Date: 5/17/2024- 5/17/2025 Aggregate Limit $50,000.
<br />Waiver of subrogation in favor of City of Santa Ana, its officers, employees, agents and representatives. 30 days notice of cancellation. Worker's comp
<br />endorsement to follow.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREO
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PRG
<br />Risk Management Division ;"orz,"�E RAMougmumtDMs(an
<br />20 Civic Center Plaza � REVIEWED�nq&APPROVED BY.
<br />Santa Ana, CA 92702 AU�TppHORIZED REPRESENTATIVE ° 1_If�a, _I_�Y L% T� ffLZVe
<br />( t¢sxccuuu� �� Risk Management Specialist
<br />(DI-_ I �
<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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