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BIGBENI-01 <br />VRAO <br />,d►coRO CERTIFICATE OF LIABILITY INSURANCE <br />DAT215//2025Y) <br />1/025 <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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # OC36861 <br />CONTACT Sandra Vasquez <br />NAME: <br />PHONE FAX <br />(A/C, No, Ext): (619) 870-8353 (A/C, No): <br />San Diego-Alliant Insurance Services, Inc. <br />701 B St 6th FI <br />San Diego, CA 92101 <br />E-MAIL-ADDRESS: sandra.vasquez@alliant.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURERA:Zurich American Insurance Company <br />16535 <br />INSURED <br />INSURER B : <br />INSURER C7 <br />Big Ben Inc <br />INSURER 7 <br />4790 Irvine Blvd, #105-404 <br />Irvine, CA 92620 <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 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 />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MWDD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE ❑ OCCUR <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any oneperson) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENT <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICYEl PEA LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />$ <br />X <br />BODILY INJURY Perperson) <br />$ <br />ANY AUTO <br />X <br />X <br />BAP4329259-00 <br />7/1/2025 <br />7/1/2026 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />PROPERTY DAMAGE <br />Per accident) <br />ccident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/ R/EXECUTIVE <br />X <br />WC4329258-00 <br />7/1/2025 <br />7/1/2026 <br />X PER <br />STATUTE EERR <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />EXCLU <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />A <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are included as additional insured in regard to Automobile Liability. <br />Waiver of Subrogation applies for Automobile Liability and Workers Compensation. <br />APPROVED <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />uy - ­annyuycn a1 a. p"',- 11, 1- <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 PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />