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AC R" CERTIFICATE OF LIABILITY INSURANCE DATE[MM1DDfYYYY)
<br /> D7116/2025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND ORALTER 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 Kasey Litz
<br /> NAME:
<br /> Stanton and Associates Inc. PHONE (805)413-1498 FAX (805)435-3737
<br /> fC No.
<br /> o E t: (AI,'No):
<br /> ISU Stanton&Associates E-MAIL kasey@isustanton.com
<br /> ADDRESS: y�
<br /> 3625 Thousand Oaks Blvd#292 INSURERS)AFFORDING COVERAGE NAIC#
<br /> Westlake Village CA 91362 INSURERA: HARTFORD FIRE INSURANCE CO. 19082
<br /> INSURED INSURER B; Trumbull Ins.Co. 27120
<br /> Burke,Williams&Sorensen,LLP INSURER C: Hartford Casualty Ins Co 29424
<br /> 444 S.Flower St.,40th Floor INSURER D: Sentinel Insurance Company Ltd 11000
<br /> INSURER E:
<br /> Los Angeles CA 90071 INSURERF:
<br /> COVERAGES CERTIFICATE NUMBER: 25-26 City REVISION NUMBER:
<br /> THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDINGANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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 ALJLJL WUK POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD wVD POLICY NUMBER MMIDDNYYY MMfDI)NYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE 19 OCCUR PREMISES Eaoccurence $ 300,000
<br /> MED EXP(Any one person) $ 10,000
<br /> A Y 72UUNBD3RBC 08/01/2026 08101/2026 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'LAGGREGATE LIMITAPPUES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY 0 jeRCT LOG PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY C Ea aOMBccidentINED SINGLE LIMIT $ 1,000,000
<br /> '
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULFD 72UENCG7716 08/01/2025 08/0112026 BODILY INJURY(Par accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED �/ NON-OWNED PROPERTYDAMAGE
<br /> X AUTOS ONLY ^ AUTOS ONLY Per accident $
<br /> X UMBRELLA LIA13 X OCCUR EACH OCCURRENCE $ 10,000,000
<br /> C EXCESS�LIIAR CLAIMS-MADE 72XHUBF3DCB 08/01/2025 08/01/2026 AGGREGATE $ 10,000,000
<br /> DED /� RETENTION$ 10,000 $
<br /> WORKERS COMPENSATION X STATUTE ERH
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETORIPARTNER/EXECUTIVE YIN F.I..EACH ACCIDENT $ 1,000,000
<br /> D OFPICERIMEMBER EXCLUDED? El NIA 72WEAB2915 08/01/2025 08/01/2026
<br /> iMandatoryInNH) E.L,DISFASF-FA EMPLOYEE $ 1,000,000
<br /> Byes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E,L,DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> Hartford CGL policy form HG0001 includes Additional Insured status,Primary and Non-Contributory wording,and Waiver of Subrogation where required by
<br /> written contracts. TU Tra n a r�aln�y�by
<br /> IN 0303-30 Day NOC applies
<br /> CG2026—Additional Insured—Designated Person or organization Date:.zo-0 oo,
<br /> g g Nguyen I6:oeso-oTaa
<br /> WC 990304—30-Day Notice of Cancellation to Certificate Holders
<br /> WC040306—WC Waiver of Subrogation
<br /> APPROVE®
<br /> CERTIFICATE HOLDER CANCELLATION By TO Tran Nguyen of 4:08 pm,Oct 16,2025
<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 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Human Resources Department
<br /> 20 Civic Center Plaza,4th Fir AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701 /0
<br /> O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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