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Client#: 1261188 305CDCEINC <br /> DATE(MM/DD/YYYY) <br /> ACORD.,,, CERTIFICATE OF LIABILITY INSURANCE 1 6/05/2025 <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. <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 any rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Mayra Cantoran <br /> McGriff, a MMA LLC Company PHONE 949-679-2144 FAX <br /> 130 Theo Ste 200 Ama L°'E.t: (A/C,No): 877-297-1101 <br /> ADDRESS: mayra.cantoran@mcgriff.com <br /> Irvine, CA 92617 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 714 941-2800 Trans Company INSURER A:Transportation Insurance Com an 20494 <br /> INSURED INSURER B:The Continental Insurance Company 35289 <br /> CDCE Inc <br /> INSURER C:Continental Casualty Company 20443 <br /> 22641 Old Canal Road <br /> INSURER D: <br /> Yorba Linda, CA 92887-4601 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 /> ADDLSUBR <br /> LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> (MM/DD/YYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY X X 4013661900 03/09/2025 03/09/2026 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE L*OCCUR PREMISES(ERENTED <br /> nte) $1,000,000 <br /> MED EXP(Any one person) $15,000 <br /> PERSONAL$ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> PRO- <br /> POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 <br /> OTHER: $ <br /> C AUTOMOBILE LIABILITY X X 6057616617 3/09/2025 03/09/202 Ea accciden SINGLE LIMIT $1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> X AUTOS ONLY X AUTOS ONLY Per accident $ <br /> B X UMBRELLA LIAB X OCCUR 4013661914 3/09/2025 03/09/2026 EACH OCCURRENCE s5,0001000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 <br /> DED I X I RETENTION$1 O 000 $ <br /> C WORKERS COMPENSATION X WC416477777 06/08/2025 06/08/202 X STATUTE EOR" <br /> AND EMPLOYERS'LIABILITY <br /> Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below 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 /> RE: Proof of coverage. <br /> signed by <br /> Certificate holder is amended to read as: City of Santa Ana, its City Council, its officers, officials, Tu Trdn TDu9ly Traln Nguyen <br /> employees, agents, and volunteers Date:2008:,,:54-0�'00'25.06.09 <br /> Certificate holder is included as additional insured as respects general and auto liability as required by Nguyen <br /> written contract. <br /> (See Attached Descriptions) APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 8:11 am,Jun 09,2025 <br /> City f Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> y o THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Plaza M-97 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana, CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> � <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD <br /> #S37501214/M37500801 MAYCA <br />