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AC" CERTIFICATE OF LIABILITY INSURANCE DATE`MMIDD"YYY) <br /> `.� 0710912025 <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 endorsement(s). <br /> PRODUCER CONTACT Melanie Duarte <br /> $tateFaarm Javier Misiego PHONE 714-772-3838 Fax A1C No: 714-808 6431 <br /> Al 227 20ih St Suite 104 ADDRE-ADDRESS: Melanie.a.duarte.vadk7j@statefarm.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Newport Beach CA 92663 INSURER A: State Farm Mutual Automobile Insurance Company 25178 <br /> INSURED INSURER B: State Farm Fire and Casualty Company 25143 <br /> WESTERN AIV INC INSURER c: State Farm General Insurance Company 25151 <br /> 1592 N BATAVIA ST STE 2 INSURER D: <br /> ORANGE,CA 92867 INSURERE: <br /> INSURER F t <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 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 /> ILTR TYPE OF INSURANCE INSM WVn ADDLSUBR POLICY NUMBER MMIDDIYYYY POLICY EFF MMIDDY� LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 2,000,000 <br /> CAMA(3 TO RENTED <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence) 500,000 <br /> MED EXP(Any one person) 3 5,000 <br /> C Y Y 92-GY-D812-0 10/31/2024 10/3112025 PERSONAL s ADV INJURY s 1,C00,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 4,fl00,000 <br /> POLICY rx-1 JECT LOG PRODUCTS-COMPfOPAGG S 4,000,000 <br /> OTHER. S 248,400 <br /> AUTOMOBILE LIABILITY Y Y 661 2954-E13-75 05/1312026 11/13/2025 COMBINED eISINGLE LIMIT s 1,000,000 <br /> ANY AUTO BODILY INJURY{Per person) S <br /> OWNEDIx <br /> SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) S <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Peraceldenl $ <br /> I S <br /> X UMBRELLA LIAR M <br /> OCCUR EACH OCCURRENCE S 5,000,000 <br /> C EXCESS LIA6 CLAIMS-MADE N/A N/A 92-XC-0351-6 12/14/2023 12114/2025 AGGREGATE S <br /> QED RETENTIONS 1 S <br /> WORKERS COMPENSATION X STER ATUTE OTH <br /> AND EMPLOYERS'LIABILITY Y I NFIR <br /> B. OFFICERIMEMBEER'EXCLUDED7ECUTANY fVE ❑ NIA Y 92-MW-H114-6 01101/2025 01/01/2026 E.LEACHACCIDENT S 1,olJfl,l?Ofl <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> SURETY BOND <br /> B 92-KN-M222-7 06/16/2025 06/1612027 $25,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) orq�taIiysis�en <br /> AUDIO VISUAL SYSTEMS INTEGRATION TU Tran byrk Trzn <br /> Nguyen <br /> Business Location 1592 N Batavia St.,Ste 2,Orange,CA 92867 Nguyen 4.tQ;20251003 <br /> 1 es4sa-eree' <br /> It is agreed that is is the intention of the Company to provide 30 days written notice prior to the cancellation of the policy designated in this certificate. However, <br /> the Company assumes no liability for failure to do so, <br /> APPROVED <br /> B- Ten att-0:34�2025 <br /> CERTIFICATE HOLDER CANCELLATION u Tran Nguy <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Santa Ana <br /> Water Resources M85 AUTHORIZED REPRESENTATIVE <br /> 220 S Daisy Ave Bldg A <br /> Santa Ana,CA 92703 <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 199148 132849.13 04-22-2020 <br />