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= ®'> CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />09/17/2O 5YY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF <br />INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE <br />CERTIFICATE HOLDER. <br />IMPORTANT: if the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />FEDERATED MUTUAL INSURANCE COMPANY <br />HOME OFFICE: P.O. BOX 328 <br />QVIVAUl <br />NAME: CLIENT CONTACT CENTER <br />PHONE FAX <br />(Arc, No, EA); 888-333-4949 (Arc, No): 507-446-4664 <br />OWATONNA, MN 55060 <br />ADDRESS: CLIENTCONTACTCENTER®FEDINS.COM <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURERA:FEDERATED MUTUAL INSURANCE COMPANY <br />13935 <br />INSURED <br />INSURER B: <br />ELEGANT CONSTRUCTION INC. <br />15375 BARRANCA PKWY STE J103 <br />INSURER <br />INSURER D: <br />IRVINE, CA 92618-2210 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 24 REVISION NUMBER: 0 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDOIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED PREMISES <br />(Ea occurrence) <br />$100,000 <br />MED EXP (.any one person) <br />EXCLUDED <br />A <br />Y <br />Y <br />1920279 <br />01/24/2025 <br />01/24/2026 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />CEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />- � <br />9( <br />POLICY 1HECT ❑ LOC <br />I _ _ <br />PRODUCTS & COMPIOP ACC <br />$2,000,000 <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />BODILY INJURY(Per Person) <br />X ANYAUTO <br />A <br />OWNED AUTOS ONLY -SCHEEDDULED <br />TOS <br />Y <br />Y <br />1920279 <br />01/24/2025 <br />01/24/2026 <br />BODILY INJURY (Per AecidenQ <br />HIRED AUTOS ONLY AUTOS ONLDY <br />PperAccident) AGE <br />X <br />UMBRELLA LIAB <br />X OCCUR <br />EACH OCCURRENCE <br />$10,000,000 <br />A <br />EXCESSLIAB <br />CLAIMS -MADE <br />Y <br />Y <br />1920280 <br />01/24/2025 <br />01/24/2026 <br />AGGREGATE <br />$10,000,000 <br />DEp RETENTICN <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER STATUTE THER <br />E.L EACH ACCIDENT <br />ANY PROPRIETORIPARTNERI EXECUTIVE <br />OFFICER MEMBER EXCLUDED? L <br />(Mandatory in NH) <br />If yes, describe under <br />N/ilt <br />E.L DISEASE -EA EMPLOYEE <br />E.L DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) <br />SEE ATTACHED PAGE <br />Tu Tran <br />D4Tea7 75.,0 4Y APPROVED. <br />Nguyen 13:1P23A700 <br />By Tu Tran Nguyen at i 09 ph], 00t 14 20 5 <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLZ # M-21 <br />SANTA ANA, CA 92701-4058 <br />24 (1SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />X, � k L , e 1-4- -/-, --1 <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />