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CABIFORNIA INC.
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Last modified
10/21/2025 9:26:02 AM
Creation date
10/21/2025 9:25:40 AM
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Contracts
Company Name
CABIFORNIA INC.
Contract #
P 25-6058
Agency
Public Works
Expiration Date
1/1/1900
Insurance Exp Date
10/30/2025
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CERTIFICATE OF LIABILITY INSURANCE D10/10/25Y) <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER Amir Darabi <br /> NAME:ME: <br /> A & S Insurance Management Center 310-699-9949 FAX <br /> (AIXNo; 310--807-8312 <br /> 14252 Culver Dr. ADDRESS: amirQasinscenter.COm <br /> Suite A338 INSURERS AFFORDING COVERAGE NAIC# <br /> Irvine CA 92604 INSURERA:Kemper Auto Commercial <br /> INSURED INsuRERB;Westchester Insurance Company <br /> Cabifornia, Inc. INSURERC: <br /> 26611 Naccome Drive INSURER D: <br /> Mission Viejo, CA 92691 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 ADDL SUBR POLICY EPP POLICY EXP <br /> LTR POLICY NUMBER MWDDNYYY MMIDD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ <br /> PERSONAL&AOV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN1 AGGREGATE LIMIT APPLIESPER: PRODUCTS-COMP/OP AGO $ <br /> POLICY r PRO- LOC $ <br /> AUTOMOBILE LIABILITY 50019255701 04/30/25 10/30/25 EOaacBad.nt) LELIMIr <br /> ANY AUTO BODILY INJURY(Par person) $ 1, 0 0 0, 0 0 0 <br /> A ALL OWNED SCHEDULEO X X BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS ( ) <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Poraccide t <br /> UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEU RETENTION $ <br /> WORKERS COMPENSATION I WC STATU- I IOTH- <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? El N/A E.L.EACH ACCIDENT $ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYE: $ <br /> ES <br /> If es,describe under <br /> CRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> D <br /> B Pollution Liability X G48744874 001 10/10/25 10/1.0/26 Ded $5,000 $lm/$2m <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are <br /> to be covered as additional insureds are named as additional insured. Waiver of subrogation <br /> applies. <br /> CERTIFICATE HOLDER APPROVED_.____._. CANCELLATION <br /> By Tu Tran Nguyen at 7:44 am,Oct 13,2025. <br /> SHOULD ANY OF THE ABOVE OF-SCRIBED 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 /> 20 City Center Plaza <br /> Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br /> Amir Darabi -L7— <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br /> i <br />
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