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AC D® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDfYYYY) <br /> 1 0/2 31202 5 <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 Automatic Data Processing Insurance Agency,Inc. <br /> Automatic Data Processing Insurance Agency, Inc. HO E Ext]; 1-800-524-7024 (FAX,Afe No]: <br /> E-MAIL <br /> ADDRESS: <br /> 1 Adp Boulevard INSURER(S)AFFORDING COVERAGE NAIC# <br /> Roseland N3 07068 INSURER A: Rated by Multiple Companies <br /> INSURED pryrnelnfilInc INSURERB: <br /> INSURER C: <br /> 853 Cutting Ct Ste D INSURER D: <br /> INSURER E: _ <br /> Vacaville CA 956888701 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 4618537 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 TYPE OF INSURANCE ADDL SUER ^^ POLICY EFF POLI CY EXP <br /> LTR INSD WVD POLICY NUMBER 1 MMIDDlYYYY MMlD1 YY LIMITS <br /> COMMERCIAL GENERAL LIABILITY I $EACH OCCURRENCE <br /> CLAIMS-MADE1-1 OCCUR DAMAGE TO F accum <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE- <br /> POLICY PRO-JECT LOC PRODUCTS-COMPlOPAGG $ <br /> I OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) 5 <br /> OWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS ONLY _ AUTOS ( ] <br /> HIRED NON-OWNED PROPERTY- <br /> DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident__ $ <br /> 5 <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> QED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER <br /> ANY A OFFICERIMEMBEREXCLUDErD?ECDTIVE FYI N/A N 76WEGBE9VJW 03/01/2025 03/01/2026 E.L.EACH ACCIDENT $ 1,000,000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE 3 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES ACORD 101,Additional Remarks Schedule,may he attached if more space is requ9redl <br /> APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By T u Tirin Nguyen at 10:33 am,Nov UA,2025 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana(its City Coundl,Officers, Employees,Agents, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> and Volunteers) ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> (D 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />