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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMMDNYYY)
<br />7/3/2025
<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
<br />IMA, Inc.
<br />3475 E. Foothill Blvd., Suite 100
<br />Pasadena, CA 91107
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />626799-7000 ac No: 626 583-2117
<br />AIL -M
<br />AEDDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />www.imacorp.com OH64724
<br />INSURERA: Philadelphia Indemnity Insurance Company
<br />18058
<br />INSURED
<br />S Wheels Inc
<br />Community Meals
<br />dba Meals on Wheels
<br />INSURER e: Cypress Insurance Company
<br />10855
<br />INSURER C: Travelers Casualtyand SuretyCc of Amer
<br />31194
<br />INSURERD: Houston Casualty Company
<br />42374
<br />1200 North KnollWood Circle
<br />Anaheim CA 92801
<br />INSURER E:
<br />INSURER F :
<br />COVERAGES ULKI IFIOAIE NUMBER: 86113592 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
<br />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 />I TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/OD
<br />POLIC
<br />MMIDDY E%P
<br />LIMBS
<br />A
<br />s/
<br />COMMERCIAL GENERAL LIABILITY
<br />✓
<br />PHPK2573660023
<br />7/1/2025
<br />7/1/2026
<br />EACH OCCURRENCE
<br />$1000000
<br />�/
<br />DAMAGE TO RENTED
<br />PREMISES Ea accurtance
<br />$1 000,000
<br />CLAIMS -MADE MOCCUR
<br />MED EXP (Any one person)
<br />$ 20 000
<br />PERSONAL B ADV INJURY
<br />$1.000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$3,000,000
<br />✓
<br />POLICY PRO-
<br />ECT LOG
<br />PRODUCTS-COMP/OP AGO
<br />$3000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />✓
<br />✓
<br />PHPK2573660023
<br />7/1/2025
<br />7/1/2026
<br />EOaBINEDISINGLE LIMIT
<br />$1000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />$
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per axident)
<br />$
<br />A
<br />✓
<br />UMBRELLA LIAB
<br />✓
<br />occua
<br />PHUB871395023
<br />711 /2025
<br />7/1/2026
<br />EACHOCCURRENCE
<br />$5000000
<br />AGGREGATE
<br />$5 Q0O OOO
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />✓
<br />DED I I RETENTION$
<br />Is
<br />B
<br />WORKERS COMPENSATION
<br />✓
<br />DGWG666059
<br />7/1/2025
<br />7/1/2026
<br />PER OTH-
<br />✓ STATUTE ER
<br />AND EMPLOYERS' LIABILITY YIN
<br />E.L. EACH ACCIDENT
<br />$1,000000
<br />ANYPROPRIETORPARTNERIEXOFFlC RIM MB REXCWDED9 ECUTIVEFIN
<br />N/A
<br />E.L. DISEASE - EA EMPLOYEd
<br />$ 1,000LDDD
<br />(Mandatory In NH)
<br />under
<br />antler
<br />It yes,DESCRIPTION
<br />E.L. DISEASE -POLICY LIMIT
<br />$1.000.000
<br />DESCRIPTION
<br />IPTION OPERATIONS helow
<br />A
<br />Professional Liab.
<br />PHPK2573660023
<br />7/1/2025
<br />7/1/2026
<br />3,000,000 Aggregate
<br />A
<br />Abuse/Molestation
<br />PHPK2573660023
<br />7/1/2025
<br />7/1/2026
<br />2,000,000 Aggregate
<br />C
<br />Employee Dishonesty
<br />107868258
<br />7/1/2025
<br />7/1/2026
<br />1,000,000 Aggregate
<br />D
<br />C ber Liabil ty
<br />I
<br />H25NGP2565500
<br />7/1/2025
<br />7/1/2026 15,000,000Aggregate
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, maybe atmcherl ifmoraspaceis required)
<br />GL &Auto Additional Insured apply per PIGLDHS1011 & CA00010310 attached, only if required by a written contracflagreement.
<br />Tu Train Di9itallysigneT. Trm Ngay
<br />GL & Auto Primary & Non -Contributory Wording apply per PIGLOO50712 & CA00010310 attached.
<br />Date: 2025.07.
<br />GL, Auto, WC Waivers of Subrogation apply per PIGLDHS1011, CA00010310, & WC990410C011g attached.
<br />Nguyen 13:22:52-0To
<br />Additional Insured(s): City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers
<br />APPROVED
<br />CERTIFICATE HOLDER CANCELLATION
<br />By Tu Tran Nguyen at 1:22 pm, Jul 03, 2025
<br />City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />30E 4th St,
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Santa Ana CA 92701
<br />ACCORDANCE WITH THE POLICY
<br />PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Ron Wanglin
<br />© 1988.2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />e6113592 1 MtAT -Cl 1 25-26 Master incl CRIM, CYa I iM Certificate Processing 1 7/3/1025 11:50:17 AM (PDT) I Page 1 of 27
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