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AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDD1YYYY) <br /> 11/13/2025 <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 he 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 <br /> NAME: <br /> Next First Insurance Agency,Inc. PHONE (855}2Z2-5914 FAX <br /> PO Box 60787 A C E: AR`No <br /> Palo Alta,CA 94306 EMAIL <br /> ADDRESS: sup port@nextinsurance.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA: Next Insurance US Company 16285 <br /> INSURED INSURER B <br /> Tuscany Espresso And Coffee LLC <br /> 1102 1/2 French St INSURER C: <br /> Santa Ana,CA 92701 <br /> INSURER D <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:787774530 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 ADDLSUBR <br /> LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP <br /> MM100lYYYY MM!@@lYYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE $1,000,000.00 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES F.occurrence) $100,000.00 <br /> MED EXP(Any one person) $15,000.00 <br /> A X X NXTR7FFTQP-00-GL 10/27/2025 10/27/2026 PERSONAL&ADV INJURY $1,000,000.00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S2,000,000.00 <br /> X POLICY PRO- ❑ <br /> JECT LOC PRODUCTS-COMPlOP AGG $2,000,000.00 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) 3 <br /> OWNED SCHEDULED BODILY INJURY P AUTOS ONLY AUTOS (Per accident) $ <br /> HIRED NON-OWNED PROPERTYOAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR HCLAIMS-MADE <br /> AGGREGATE $ <br /> ❑ED I RETENTION$ $ <br /> WORKERS COMPENSATION PFR OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER <br /> ANYPROPR(ETORIPARTNERIEXECUTIVE ❑ E.L.EACHAGCI@ENT $ <br /> OFFICERIMEMBEREXCLUDED7 N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below C.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> The Certificate Holder is City Of Santa Ana Parks&Recreation,and Community Services Agency.A General Liability Waiver of Subrogation applies in favor of this Certificate <br /> Holder.This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.All Additional Insured <br /> privileges apply only if required by written agreement between the Certificate Holder and the insured,and are subject to policy terms and conditions. <br /> Tu Tran b,T.Tyn'" <br /> NQoye° APPROVED <br /> Nguyenna, �z5n.,a <br /> a.19-Muo By Tu Tram Nguyen at_11:12 am,Nov 18. 2028 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City Of Santa Ana Parks&Recreation,and Community LIVE CERTIFICATE <br /> Services Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 26 Civic Center Piz#M-23 RI 4r r THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Santa Ana,CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> J' <br /> Y <br /> AUTHORIZED REPRESENTATIVE <br /> Click Or scan to View <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />