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WISECAC-Cl LRMIREZ <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 />