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MK PRINTING (MEKONG PRINTING, INC.)
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Last modified
7/29/2024 9:15:47 AM
Creation date
7/29/2024 9:12:19 AM
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Contracts
Company Name
MK PRINTING (MEKONG PRINTING, INC.)
Contract #
N-2024-240
Agency
Finance & Management Services
Expiration Date
12/31/2024
Insurance Exp Date
5/19/2025
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/� MEKOPRI-01 ALOR I <br />'4`� CERTIFICATE OF LIABILITY INSURANCE DAT jnijD/YYYYJ <br />af�nnme <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 />PRODUCER <br />PIASC Insurance Services, Inc. <br />5800 S. Eastern Avenue <br />Suite 400 <br />Los Angeles, CA 90040 As <br />INSURED <br />Hoan Truong <br />2421 W. First Street <br />Santa Ana, CA SAG <br />COVERAGES <br />RER E : <br />THIS IS TO CERTIFY T THE POLICIES <br />CE <br />BEL <br />INDICATED. NOTWITHSTANDING ANY REQUUIIREMENT, ITERII OR CONDIOIYIV01 AN 1 U F;/.CT�ODE3E?F218ED`HEREINTS IIUB EFOR <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TF'_ IN' JRANCE AFFOR �ti !)EEIE+S CTTOATLO HEWHICH <br />TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. U AITP SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />tNSO <br />SUBR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />GL BROADEN ENDT <br />X <br />ZH3914586513 <br />511912024 <br />511912025 <br />EACH OCCURRENCE <br />$ 1,060,000 <br />DAMAGE TO RENTED ne <br />90000g <br />10,000 <br />X <br />GEN'L <br />X <br />MED EXP an onoperson) <br />PERSONAL&ADV INJURY <br />11000,006 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JEgCT LOG <br />OTHER: <br />GENERALAGGREGATE <br />2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$ Included <br />Emp. Ben. <br />$ 1,000,000 <br />B <br />AUTOMOBILELIABILITY <br />X <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NO�Nq ApWNED <br />AUTOS ONLY AUrOSONLV <br />AW3914743413 <br />5/1912024 <br />511912025 <br />COMBINEDSINGLE LIMIT <br />Ea aedred <br />10gg ggg <br />$ <br />BODILY INJURY Perperson) <br />$ <br />BODILY INJURY Per accident <br />$ <br />ROPERTV DAMAGE <br />Per accident <br />$ <br />A <br />X <br />UMBRELLALIAS <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />UH3909155012 <br />5/1912024 <br />511912025 <br />EACH OCCURRENCE <br />$ 1.000,000 <br />AGGREGATE <br />11000,000 <br />DED X RETENTION$ 0 <br />C <br />WORKERS <br />ND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERl ECLITNE <br />QFFICERIMEMBER EXCLUDED? ❑Y <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />EIG287806905 <br />7/1/2024 <br />71112025 <br />X STATUTE ERµ <br />E.L EACH ACCIDENT <br />1,000,000 <br />E.L DISEASE -EA EMPLOYE <br />1,000�060 <br />$ <br />E.L DISEASE -POLICY LIMIT <br />1,000,060 <br />A <br />Printers E&O <br />ZH3914586513 <br />5/1912024 <br />511912025 <br />Ded: $1000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, ma be attached if more space is required) <br />The City of Santa Ana, it's officers, employees, agents and representative are namedyas 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 />The City of Santa Ana <br />Attn: Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE <br />THE EXPIRATION DATE <br />ACCORDANCE WITH THE POI <br />REVIEWED & APPROVED BY: <br />Risk Management Specialist <br />ACORD 25 (2016103) <br />©1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />
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