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A DATE YYY) <br /> �1 CERTIFICATE OF LIABILITY INSURANCE D„30,2025ZflzS <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 endorsoment(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Next First Insurance Agency,Inc. PHONE (855)222-5419 FAX <br /> PO Box 60787 1C o 1A1c l <br /> Palo Alto,CA 94306 EMAIL ADDRESS: supp corn <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA: State Natlonai Insurance Company,Inc. 12831 <br /> INSURED <br /> INSURER B <br /> ZAO Art <br /> 2548 Santiago St INSURER <br /> Santa Ana,CA 92706 <br /> INSURER 0 <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:476758183 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 ADDTYPE OF INSURANCE INS WVQUBR POLICYNUMBER MMDDIYVCY YY POLICY <br /> LIMITS <br /> LTR <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,DDD,D00.00 <br /> �OCCUR DAMAGE S( RENTS❑ <br /> CLAIMS-MADE 1 <br /> PREMISES Ea occurrence $ D0,000.00 <br /> MED EXP(Anyone person) $15,000.00 <br /> A X X NXTAQ07CJV-04-GL 01/06/2025 01106/2026 PERSONAL&ADV INJURY $1,000,0DO.D0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENE RALAGGREGATE $2,D00,000.00 <br /> POLICY❑ PROJECT ❑ LOC PRODUCTS-CCMPICP AGG $2,000,000.00 <br /> X <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION S $ <br /> WORKERS COMPENSATION TPER i <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ EL EACH ACCIDENT $ <br /> OFFICER/MEMBEREXCLUDED? NIA <br /> {Mandatory in Ni EL DISEASE-EA EMPLOYEE $ <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT 3 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached II'mare space is required) <br /> The Certificate Holder is The City of Santa Ana,its City Council,offcers,officials,employees,agents,and volunteers.A General Liability Waiver of Subrogation applies in favor <br /> of this Certificate Holder.This Certificate Holder is an Additional Insured on the General Liability policy on a primary and non-contributory basis.This Certificate Holder is an <br /> Additional Insured an the General Liability policy with respect to ongoing operations.All Certificate Holder privileges apply only if required bywntten agreement between the <br /> Certificate Holder and the insured,and are subject to policy terms and Conditions. <br /> Tu Tran �I9i ally slgnetl By <br /> Tu Tran Nguyen <br /> Nguyen d 7nl 0 obb <br /> APPROVED <br /> CERTIFICATE HOLDER CANCELLATION <br /> By Tu Tran Nguyen at 7,36 am,Aug 06,2025 <br /> City of Santa Ana LIVE CERTIFICATE <br /> Atm.Executive Director,Community Development Agency Q SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 20 Civic Center Piz THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Santa Ana,CA 92701 <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 0 <br /> Click or scan to view <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />