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ACC)R ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDNYYY)
<br /> 03112/2025
<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 rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Colleen Hamil
<br /> NAME:
<br /> Nabavian Insurance Agency, Inc. PHONE 949-428 3321 we No: 949-630-0274
<br /> 2915 Red Hill Ave.Suite B201 D E-MAIL ADDRESS: Colleen@insurewithneda.com
<br /> Costa Mesa,CA 92626 INSURER(S)AFFORDING COVERAGE NAIC R
<br /> INSURER A: Hartford
<br /> INSURED INSURER B:
<br /> Nogalls, Inc. INSURER C:
<br /> 4590 Macarthur Blvd.,Suite 500 INSURER D:
<br /> Newport Beach,CA 92660 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 /> IPOLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DIYYYY MM DD/YYYY LIMITS
<br /> X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE �X OCCUR DAMAGE TO RENTED 1,OOD,000
<br /> PREMISES Ea occurrence $
<br /> MED EXP(Any one person) S 10,000
<br /> A 72SBABAOWME 04/01/2025 04101/2026 PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000
<br /> X POLICY JECT LOG PRODUCTS-COMPIOPAGG $ 4,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED 72SBABAOWME 04/01/2025 04/01/2026 BODILY INJURY Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE S
<br /> AUTOS ONLY /� AUTOS ONLY Per accident
<br /> $
<br /> X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000
<br /> A EXCESS LIAB HCLAIMS-MADE 72SBABAOWME 04/01/2025 04/01/2026 AGGREGATE $ 1,000,000
<br /> DED I I RETENTION$ $
<br /> WORKERS COMPENSATION PERT OTH-
<br /> AND EMPLOYERS'LIABILITY Y 1 N STA UTE ER
<br /> ANYPROPRIETORIPARTN ER/EXECUTIV E
<br /> OFFICERJMEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
<br /> A FAILSAFE TECHNOLOGY E&O 72SBABAOWME 04/01/2025 04/01/2026 Each Glitch $2,000,000
<br /> with Cyber Breach
<br /> Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> signed
<br /> Those usual to the Insured C
<br /> s Operations. TU Tran byigit rual Tralyn
<br /> City of Santa Ana,officers,agents,employees,and volunteers are named as the Additional Insured. Nguyen
<br /> Coverage is Primary and Non-Contributory per the Business Liability Coverage Form SS0008 is included in this Policy. Nguyen oare:m750409
<br /> Notice of Cancellation will be provided in accordance with Form SS1223,included with this policy. 07:07:03-07'00'
<br /> APPROVED
<br /> By Tu Tran Nguyen at 7:06 am,Apr 09,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ATTN:Information Technology Agency AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza, M-42
<br /> Santa Ana,CA 92701 NQ NG%li�Gl Ni
<br /> O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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