|
AC RO o� CERTIFICATE OF LIABILITY INSURANCE PATE(MMIDDNYYY)
<br /> 11/2512025
<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
<br /> IMA, Inc. -Colorado PHONE IMA Denver Team FAX
<br /> 1705 17th Street, Suite 100 303-534-4567 Arc Not:
<br /> Denver CO 80202 ADDRESS: denaccounttechs@_jmacorp.com
<br /> FNSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Homesite Insurance Company of Florida 11156
<br /> INSURED VINFAUT-01 INSURER B:HDI Global Insurance Company 41343
<br /> VinFast Auto Ltd.
<br /> 9881 Irvine Center Drive INSURERC:
<br /> Irvine, CA 92618 INSURER D
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1302262896 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 SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY KDSLP90063002 2/27/2025 2/27/2026 EACH OCCURRENCE $1,OOO,OOC
<br /> 71 O OCCUR DAMAGES(RENTED
<br /> CLAIMS-MADE
<br /> PREMISES Ea occurrence) $1,000,000
<br /> MED EXP(Any one person) S 5,GOO
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
<br /> POLICY JECT PRO 0 LOC PRODUCTS-COMPIOPAGG $1,000,000
<br /> X PRO
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY KDSLP90063002 2/27/2025 2/27/2026 COMBINED SINGLE LIMIT $1 000,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X Symbol 21 L IDeductibie $10.000
<br /> B X UMBRELLA LIAB X OCCUR CU06273102 3I112025 3/1/2026 EACH OCCURRENCE $9,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $9,000,000
<br /> DFD X RETENTION$ $
<br /> ® WORKERS COMPENSATION WCCDO000301 212712025 2127/2026 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1.000,000
<br /> OFFIGERIMEMBER EXCLUDED? N NIA
<br /> (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $1,000,000
<br /> IF yes,descdhe under
<br /> DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Garage Liability Coverage KDSLP90063002 2/2712025 2127/2026 Limit: $1,000,000
<br /> Deductible: $10,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:Just display.Location:Centennial Park-3000 W Edinger Ave,Santa Ana,CA 92704;Date:Feb 7,2026.
<br /> City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers are included as Additional Insured on the General Liability and
<br /> Automobile Liability Policies,if required by written contract or agreement,subject to the policy terms and conditions.
<br /> This Insurance is Primary&Non-Contributory on the General Liability and Automobile Liability Policies,if required by written contract or agreement,subject to
<br /> the policy terms and conditions.
<br /> A Waiver of Subrogation is provided in favor of City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers on the General
<br /> Liability,Automobile Liability and Workers Compensation Policies,if required by written contract or agreement,subject to the policy terms and conditions.
<br /> CERTIFICATE HOLDER APPR4?VED CANCELLATION
<br /> By Tu waif Nguyen at 4.02 pm,Jan 20,2026
<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 /> Attn: Parks, Recreation, and
<br /> Community Services Agency
<br /> 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE
<br /> Santa Arta CA 92701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
<br />
|