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GRAFPRO-01 MSHIVA UM
<br /> CERTIFICATE OF LIABILITY INSURANCE Dar 3141202 vvv►
<br /> 3I412025
<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 BYTHE 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 endorsements.
<br /> PRODUCER License#0757776 NR TACT Michelle Vargas
<br /> HUB International Insurance Services Inc. HI Ho,Et 916 770-2918 arc,No 951 231-2572
<br /> 3000 Executive Parkway EAI
<br /> Suite 300 A R'r Cal.CPU@Hubinternational.com I
<br /> San Ramon,CA 94583
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:ColonyInsurance Company 39993
<br /> INSURED INSURER B:Travelers Property Casualty Company of America 25674
<br /> Graffiti Protective Coatings,Inc. INSURER C:
<br /> 4624 E,Florence Ave INSURER D
<br /> Bell,CA 90201-4386
<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 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 /> INSR TYPE OF INSURANCE ADDINSDL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE17K IOCCUR X X PACEP4245050 211712025 2/1712026 PREAGF TORFNcTuren $ 100,000
<br /> MED EXP(Any oneperson) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY�X ECO-- LOG PRODUCTS-COMPIOP AGG $ 2,000,000
<br /> OTHER:
<br /> 13 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
<br /> X ANY AUTO X X 810-A3270965-25-26-G 111/2025 11112026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> WE❑ NON-OWNED ROPE% AMAGE
<br /> PerOS ONLY AUTOS ONLY accident $
<br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN UTE E
<br /> ANY PROPRIETORIPARTNER/EXECUTIVE X UB-A3356816-25-26-G 111/2025 11112026 E.L.EACH ACCIDENT 1,000,000
<br /> OFFICERIMEMBER EXCLUDED? �Y N I A
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ '1,000,000
<br /> If es,describe under 1,000 400
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ,
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> Revised 31412025:This certificate rescinds and supersedes any and all prior certificates issued on behalf of the Named Insured.
<br /> RE:Service Contract,Contractor Agreement:A-2020-155.
<br /> City of Santa Ana,Its officers,agents,employees and representatives are Additional Insured with regard to the General Liability policy,when required by
<br /> written contract,per the attached endorsement forms EPACE101 07121 &EPACE100 07121.Coverage is Primary&Non--Contributory with regard to the
<br /> General Liability policy,when required by wrltten contract,per the attached endorsement form EPACE107 07114.Waiver of Subrogation applies to the General
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn:Jose Santana
<br /> 220 S.Daisy Ave,M-85
<br /> Santa Ana,CA 92703 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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