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<br /> .4cvR[7 CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY}
<br /> �-� 7/311231l2025
<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
<br /> NAME:
<br /> IMA,Inc.-Pasadena PHONE FAX
<br /> 3475 E.Foothill Boulevard (arc,No,Ext):(626)799-7000 (A/C,No):(626)441-3233
<br /> Suite 100 E-MAIL
<br /> Pasadena,CA 91107
<br /> INSURER$AFFORDING COVERAGE NAIL IE
<br /> INSURERA:Tokio Marine Specialty Insurance Company 23850
<br /> INSURED INSURER s:Service American Indemnity Company 39152
<br /> Wiseplace,CA Corp,Wise Silver Center dba: INSURER C:Philadel hia Indemnity Insurance Company 18058
<br /> 1505 E.17th St. Ste.#214 INSURER D
<br /> Santa Ana,CA 92705
<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 TYPE OF INSURANCE ADDINSDL SUBDR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR PHPK2624672-023 1l112025 11112026 DAMAGE TO RENTED 100,000
<br /> X X PREMISES Ea occurrencel $
<br /> _ MED EXP(Any one arson $ 5,0DD
<br /> PERSONAL&ADV INJURY $ 1,000'O00
<br /> GFNL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3,000,000
<br /> POLICY JECT LOC PRODUCTS-COMPIOPAGG 3'000'000
<br /> OTHER: SEXUAL PHYSICAL 1,000,000.
<br /> A COBINED 1000,
<br /> M SINGLE LIMIT , 000
<br /> AUTOMOBILE LIABILITY Ea accident I $ _
<br /> ANY AUTO X X PHPK2624672-023 111/2025 111/2026 BODILY INJURY Parperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X AUTOS ONLY X AUT03 ONLIY Pe°ac¢�den DAMAGE I $
<br /> $
<br /> A X UMBRELLA LAB X OCCUR EACHOCCURRENCE $ 1,000,000
<br /> EXCESS LIAB CLAIMS-MADE PHUB890187023 1/1/2025 1/1/2026 AGGREGATE $ 1,000,000
<br /> DED I X FRETENI 10,000 Personal 8,Adv 1'000'000
<br /> B WORKERS COMPENSATION X PER TE 4RH-
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PRO PRIETO WPARTNERIEXECUTIVE YIN X SATIS0324605 8/15/2025 8/1512026 1,000,000
<br /> gFFICERfMEMBER EXCLUDE NIA E.L.EACH ACCIDENT
<br /> D? $
<br /> [Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0DD
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A Professional Liab. PHPK2624672-023 1/112025 1l112026 Aggregate 3,000,000
<br /> C Crime PHSD1792539005 61,112025 61912,126 500,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> Cyber Liability:Policy#PHS01802586-619125.619126-Limits:$500,000,Ded.$25,000
<br /> City of Santa Ana,officers,officials,agents,employees,and volunteers are named as additionally insured on this policy pursuant to written contract,
<br /> agreement,or memorandum of understanding.Such insurance as is afforded by this policy shall be primary,and any insurance carried by City shall be
<br /> excess and noncontributory.GL,Auto&WC Waivers of Subrogation apply performs attached.
<br /> Di
<br /> Tu Tran TuTralnyNguy nby
<br /> Nguyen 1534�9-0 APPROVED
<br /> [By Tu Tran Nguyen at 3:34 pm,Jul 31,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana Attention:Executive Director THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ty ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Community Development Agency
<br /> 20 Civic Center Plaza(M-25)
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> +r, Apy
<br /> ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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