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SUTTER, KATHERINE
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SUTTER, KATHERINE
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Last modified
6/4/2025 9:59:58 AM
Creation date
6/4/2025 9:59:28 AM
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Contracts
Company Name
SUTTER, KATHERINE
Contract #
N-2025-134
Agency
Parks, Recreation, & Community Services
Expiration Date
5/31/2026
Insurance Exp Date
7/21/2025
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.ACC)RL>® DATE (MMfOD1YYYY) <br /> '160il CERTIFICATE OF LIABILITY INSURANCE 0511SJ2025 <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 BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE <br /> 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, If <br /> SUBROGATION IS WAIVED„ subject to the terms and conditions of the policy, certain policies may require an endorsement.A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Maguire Insurance Agency,Inc,FVVI NAME:PHONE. FAX <br /> 1 Bala Pla St.100 <br /> Bala Cynwyd,PA 19004-1401 (AID,No,Exti: (A1C,No): <br /> 610.617.7900 EMAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIL A <br /> INSURER A: Philadelphia Indemnity Insurance Company 18058 <br /> INSURED INSURER B: <br /> Katherina Sutter <br /> 4307 Archway INSURER C, <br /> Irvine,CA 92818 INSURER D: <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 INDICATED. <br /> NOTWITHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS <br /> OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUDR I POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE 1NSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYYI LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY X PHPK2304127-003 D712IJ2024 07/2112025 <br /> EACH OCCURRENCE $1,000p00 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) S100,000 <br /> X PROFESSIONAL LIABILITY MED EXP(Any one person) S2,5D0 <br /> PERSONAL 8 ADV INJURY $1,00i <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> GENERAL AGGREGATE 33,000,000 <br /> PH <br /> OLICY El PROJECT <br /> ElLOC PRODUCTS-COMPIOP AGG $3,000,000 <br /> OTHER SAM AGGREGATE S300,000 <br /> SAM OCCURENCE S100.000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) $ <br /> ANY AUTO BODILY INJURY(Per person) S <br /> OWNED AUTOS SCHEDULED AUTOS <br /> ONLY BODILY INJURY(Per accident) $ <br /> HIRED AUTOS NON-OWNED PROPri DAMAGE <br /> ONLY AUTOS ONLY (Per accident) $ <br /> S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> 11 EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DIED RETENTION$ <br /> WORKERS COMPENSATION PER OTHER <br /> AND EMPLOYERS'LIABILITY YIN STATUTE <br /> ANYPROPRIETORfPARTNERIEXECUTIVE N I A <br /> OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ <br /> (Mandatory in NH] <br /> If yes,describe under E.L.DISEASE-EA EMPLOYEE $ <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> It is understood and agreed that the following entity is added as an additional insured but only with respact(s)to the operations of the named insured except that liability resulting from the additional insured's sale <br /> negligence. <br /> APPROVED <br /> 8y Tu Tran Nguyen at 11:16 am,May 20,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana,Attention Parks,Recreation,and Community Services Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> 20 Civic Center PI7 FI 4 <br /> Santa Ana,CA 92701-4058 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br /> THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> 4- <br /> 0 1988-20 ACORD CORPORATION,All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />
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