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DATE(MIWDDIYYYY} <br /> ACaR©® CERTIFICATE OF LIABILITY INSURANCE <br /> 07/1712025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER.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(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION 18 WAIVED,subject to the term and conditions of the poiicy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder In Ileu Of such sndorsement(s. <br /> PRODUCER Certificate Issuance Team <br /> Comprehensive Insurance Services C Nu E (949)709-8800 <br /> 26429 Rancho Parkway South <br /> ADDRESS: Jeremy(Mthecamprehensiveinsuranea.com <br /> Suite 120 _ MURER(S)AFFORDING COVERAGE NAIC R <br /> Lake Forest _ CA 92630 tNsuRERA: Nonprofits insurance Alliance of Califamta f 0023 <br /> INSURED INSURERS: State Compensation Insurance Fund 36076 <br /> Orange County Fair Housing INSURERC: _ F. <br /> 2021 E.4th St.Ste.118&122 INSURER O; <br /> INSIIRERE: - <br /> Santa Ana CA 92705 F c <br /> COVERAGES CERTIFICATE NUMBER: CL257170752'I 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 CONTRACTOR 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 /> LTR TYPE OF INSURANCE in POLICY NUMBER MM100 M L LIMB'S <br /> COMMERCIAL eENERALLIABILrrY EACHOCCURRENCE S 1,000.000 <br /> CLAIMS-MADE 5d OCCUR PREMISES Ea o- rreno® s 500,000 <br /> MED EXP(Anv one ve sans 3 20.000 <br /> A Y Y 01-CP-0003733-01-28 07101/2025 07/0112026 P11s1NAL11ADVtnuuaY s 11000,000 <br /> GEN'LAGGREGArE LIMIT APPLES PEW GENERAL AGGREGATE ; 3,000,000 <br /> POLICY❑PO- <br /> JET ©LOC PRODUCTS-COMMOPAGG S 3,000,000 <br /> OTHER: I I $ <br /> AUTOMOBILE LIABILITY COMBINED SfNGLE LIMIT $ 1.000,000 <br /> Ea a <br /> ANYAUTO BODILY INJURY(Per oenonl S '-- <br /> A OWNED SCHEDULED Y Y 01-CP-0D03733-01-28 0710112025 07/0112026 BODILY INJURY(Per acddent) 4 <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMA a E <br /> AUTOS ONLY AUTOS ONLY Per acomenl S <br /> f <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> 1,000.000 <br /> A EXCESSIJAB CLAIMS-MADE 01•U13-0003733-01-05 07/01/2025 0710112026 AGGREGATE t 1,000.000 <br /> DED RETENTION S <br /> WORKERS COMPENSATION PER O <br /> AND EMPLOYERS'LIABILITY Y f N STATUTE ER <br /> ANY PROPRIETOWARTNERIEXECUTIVE 1.000,000 <br /> 8 OFFICERIMEM13ERPXCLUCIE07 FNI NIA Y 9099740-25 owiet2025 05116no28 E.L EACH ACCIDENT $ <br /> IMandatory In NH) E,L.DISEASE-EA EMPLOYEE S 1,000,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below El,DISEASE-POLICY LIMIT S 1,000,000 <br /> Improper Sexual Conduct Liability Social $1,000.DO011,000,000 AggregatalOcc <br /> A Service Professional Liability 01-CP-0003733-01-28 01101/2025 07/0112026 $2,000,00011.000,000 AggregatelOcc <br /> DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES(ACORO 101,AddtkWrtld R�rrrartca 9cheduI*,may be stnchad It mw.spno�Isnpatrad} <br /> The City of Santa Ana,its officers,agents,employees,and volunteers are included as Additional Insured per attached endorsement NIA-061 LL 03-25& <br /> NIAC Al.This insurance is Primary and Non-contributory per endorsement NIA-081 LL 03-25. 30 day notice of cancellation with 10 day notice of <br /> cancellation for non-payment of premium per policy provision. Waiver of Subrogation applies per attached endorsement NIA-0268 GL 01-26,10217& <br /> CA0444. <br /> Tu Tran 61gi1°psgnedhy <br /> T.Tran Nguyen <br /> Nguyen °°sa3°-0 APPROVED <br /> By Tu Tran Nguyen at 11:49 am,Aug 14,2025 <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Community Development Agency <br /> AUTHORIZED REPRESENTATIVE <br /> 20 Civic Center Plaza M-25 <br /> Santa Ana CA 92701 <br /> (019118.2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 2512016103) The ACORD name and logo are registered marks of ACORD <br />