Laserfiche WebLink
AC o® CERTIFICATE OF LIABILITY INSURANCE bATE(MMIPPNYYY) <br /> 0411 0120 2 5 <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 pollcy(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 NAME. Certiflcates Department <br /> Colony West Financial Insurance Services,Inc. PHONE (714)542-4870 (714)542-4871 <br /> AIC No Exi: AIC No): <br /> License#OC42420 E-MAIL DDRESS: certlflca y <br /> lesQcolon wesl.com <br /> A <br /> 3843 S.Bristol Street#606 INSURERS AFFORDING COVERAGE NAIC# <br /> Santa Ana CA 92704 INSURERA: Evanston Insurance Company 35378 <br /> INSURED INSURER B: <br /> Prehistoric,Inc, INSURER C: <br /> DBA:Prehistoric Pets;Jurassic Parties INSURER D: <br /> 18822 Brookhurst St. INSURER E: <br /> Fountain Valley CA 92708-7304 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 25-26 Master Cart REVISION NUMBER: <br /> THIS IS TO CERTIFYTHATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 AUIJL 5ULIK POLICY EFF P L CY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDPNYYY MMIDDNYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCEDAMAGETO $ 1,000,000 <br /> CLAIMS-MADE 19 OCCUR PREMISES Ea occurrence $ 100,000 <br /> MFD EXP(Any one person) $ 5,000 <br /> A Y Y W858078 01/20/2026 01/20/2026 PERSONAL&ADV INJURY $ EXCLUDED <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERA€.AGGREGATE $ 2,000,000 <br /> x POLICY❑ P ❑ <br /> JECTRO LOC PROPUCTS-COMPlOPRGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANYAUTO BODILY INJURY(per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 <br /> A EXCESS LIAR CLAIMS-MADE EZXS3186181 01/20/2026 01/20/2026 AGGREGATE $ 2,000,000 <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION DER OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <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 /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are Included as Addl(lonal Insureds with regard to General Liability <br /> on a Primary and Non-contributory basis.Waiver of subrogation applies to Additional Insureds with regard to General Liability per attached endorsement <br /> forms, <br /> b d Dal ra'n e .. <br /> Tu Tran'byTlgn�Tra Ngu ,APPROVED <br /> yen <br /> Nguyen- 2e25.n5.e5 <br /> 1s:32:23-0r001 By Tu Tran Nguyen at 3.31 pm May 05,2025 <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,Attention:Dario Gaitan,Police Department ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 60 Civic Center Plaza,M-23 <br /> AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> 0 1 988-201 5 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />