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AC V CERTIFICATE OF LIABILITY INSURANCE DATE,MMI°D YY(Y,
<br /> 11/06/2025
<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 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 Certificate Department
<br /> Newfront Insurance Services,LLC PHCNN (415)754-3635 F'
<br /> AIC NO:
<br /> 777 Mariners Island Blvd EMAIL ADDRESS: certs newfront.com
<br /> Suite 250 INSURERS AFFORDING COVERAGE NAIC#
<br /> San Mateo CA 94404 INSURER A: Alliance of Nonprofits for Insurance,Risk Retention Group,Inc 10023
<br /> INSURED INSURERB: State Compensation Insurance Fund 35076
<br /> Asian American Senior Citizens Service Center Inc(AASCSC) INSURER C: Underwriters at Lloyd's, London
<br /> INSURER D
<br /> 850 North Birch Street INSURER E:
<br /> Santa Ana CA 92701 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 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 ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMlDD1YYYY MMIDDlYYYy LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
<br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTEDPREMISES Ea occurrence S 500,000
<br /> MED EXP(Any one person) S 20,000
<br /> A X X 01-CP-0001391-01-02 06/05/2025 06/0512026 PERSONAL&ADV INJURY S 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLI FS PER, GENERALAGGREGATE S 3.000,000
<br /> X POLICY PRO ❑ PRODUCTS-COMPIOPAGG s 3.000,000
<br /> JECT LOC
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
<br /> Ea accident 1,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED X X 01-CP-0001391-01-02 06/05/2025 06/05/2026 BODILY INJURY(Per accident $
<br /> AUTOS ONLY AUTOS )
<br /> '\/ HIRED �/ NON-OWNED PROPERTYDAMAGE $
<br /> /� AUTOS ONLY /� AUTOS ONLY Per aeeidenl
<br /> I
<br /> $
<br /> UMBRELLA LIAa OCCUR. EACH OCCURRENCE S
<br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE s
<br /> ❑ED I I RETENTION$ s
<br /> WORKERS COMPENSATION XSTATUTE ER
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> €3 OF IC RANYPROPMEMBEREXCLUDED?FCUTIVE ❑ NIA X 9100741-2025 10101/2025 10/01/2026 E'L EACH ACCIDENT $ 1,000,000
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,0c0
<br /> IF
<br /> yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POL9CY LIMIT $ 1,000,000
<br /> Limit $1,000,000
<br /> C Cyber Liability ES00340533880 10/01/2025 10/01/2026 Ded. $2,500
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> (Insurer A)-Sexual Misconduct,Physical Abuse,and Molestation Liability-01-CP-0001391-01-02-(06/0512025-06/0512026)-Aggregate:$1,000,000.,Each
<br /> Occurrence:$1,000,000
<br /> (insurer A)-Professional Liability-01-CP-0001 391-01-02-(0610512025-0610512026)-Aggregate:$2,000,000.,Each Occurrence:$1,000.000
<br /> (Insurer A)-Liquor Liability-01-CP-0001391-01-02-(0610512025-06/05/2026)-Aggregate:$1,000,000.,Each Occurrence:$1,000,000
<br /> City of Santa Ana,its officers,officials,employees,and volunteers are included as an additional insured as required by a written contract with respect to General
<br /> Liability and Auto Liability.Coverage is Primary and Nan-Contributory.Waiver of subrogation applies with respect to General Liability,Auto Liability and Worker's
<br /> Compensation as required by written contract.
<br /> CERTIFICATE HOLDER APPROVED..._______7byT.
<br /> CANCELLATION
<br /> By Tu Tran Alguyen at 7:34
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana Tu ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Parks Recreation,and Community Services,M-23 Nguyen Date:2025.11 I2 20 Civic Center Plaza 07:3452-08'00 AUTHORIZ ESENTATIVE
<br /> Santa Ana CA 92701
<br /> O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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