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,�►coRO® CERTIFICATE OF LIABILITY INSURANCE <br />DA4 <br />TE(MMDD/YYYY) <br />07/31/202 <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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />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 endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: AP Intego Insurance Group, LLC <br />En. 888-289-2939 1 FAX <br />ac No: <br />AP INTEGO INSURANCE GROUP, LLC <br />E-MAIL <br />AOORE as: certs@apintego.com <br />375 Woodcliff Dr. <br />INSURERS AFFORDING COVERAGE <br />NAICIf <br />Suite 103 <br />Fairport NY 14450 <br />INSURER A: Hartford Casualty Insurance Company <br />29424 <br />INSURED <br />WORKING WARDROBES FOR ANE�',,,/ <br />INSURER <br />� <br />2000 E Mcfadden Ave Ste 100 l J <br />Angie Ace <br />_Nceved <br />f f <br />INSURER E <br />J <br />INSURER F: <br />Santa Ana CA 92705 <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 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 />TR <br />TYPE OF INSURANCE <br />LS <br />INSR <br />O <br />POLICY NUMBER <br />MM/DYEFF <br />MOMffI)DYEXP <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LRENTED <br />IABILITY <br />rr <br />PREMISES Ea occurrence <br />$ <br />CLAIMB-MADE OCCUR <br />I <br />I <br />MED EXP(My one person) <br />$ <br />PERSONAL B ADV INJURY <br />$ <br />GENERALAGGREGATE <br />$ <br />GEN'L AGGREGATELIMIT <br />APPLIES PER: <br />PRODUCTS-COMP/OP AGG <br />$ <br />$ <br />POLICY <br />PRO- LOC <br />AUTOMOBILE <br />LIABILITY <br />r <br />F <br />COMBINED SINGLE LIMIT <br />BODILY INJURY (Par person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS hAUTOS <br />PROPERTY DAMAGE <br />Peracccenl <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />I <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYER <br />ANY PROPRIETORIPARTNERIEXECUTIVE Y <br />OFFICEIMEMBER EXCLUDED? <br />N/A <br />76WEGAT9Z3W <br />O8130/2024 <br />08I3012025 <br />X ORY LIMBS OTH- <br />E.L EACH ACCIDENT <br />$ 1000000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1.000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000.000 <br />F <br />F <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AUach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City of Santa Ana Risk Management Division <br />null <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92702 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF- NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PRC <br />AUTHORIZED REPRESENTATIVE <br />© 1988.2010 ACORD <br />,y <br />y'k <br />�•. <br />Rleklylus mfottDMdan <br />REVIEV/ED S APPROVED BY: <br />Risk Management Spedalist ' <br />Of <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Clear All <br />