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URTAL-1
<br /> ,a►�-a��» CERTIFICATE OF LIABILITY INSURANCE DATE 10 612 02 6Y)
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<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(les)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 rl hts to the certificate holder In lieu of such endorsemenf s.
<br /> PRODUCER 659-683-4411 o cr Kraft and Lee Insurance Agency
<br /> Kraft and Lee Insurance Agency PHONe 659-683-4411 PAx 559-683.0414
<br /> 40298 Junction Drive,Ste,A Arc No EA: Arc,No):
<br /> P.O.Box 2040 E. AIL
<br /> Oakhurst,CA 93644
<br /> Kraft and Lee Insurance Agency INSURERISI AFFORDINGCOVERAGE a#
<br /> INSURERA:Hartford Underwriters Ins.Co. 30104
<br /> tj'IRTA,LLC INSURER B:Underwriters at Lloyd's,London
<br /> DBA:Utility Response Training Associates LLC INSURERC:NONE
<br /> PO Box 101
<br /> Oakview,CA 93022 INSURER D;NONE
<br /> -INSURER B:NONE '
<br /> INSURERF;NONE
<br /> COVERAGES
<br /> T U 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 I
<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 /> II-TRNSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLEGY EFF POLICY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 2,000,000
<br /> EACH OCCURRENCE
<br /> CLAIMS-MADE � DA
<br /> OCCUR X X 61SBMBEIHSJ 09/1512025 0911512020 MAGEmogo rr 1,000,000
<br /> MED EXP(AgY one Person$ 10,000
<br /> PERSONAL&ADV INJURY 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000
<br /> POUGY❑j'kaT LOG PRODUCTS-COMPIOP AGG S 4,000,000
<br /> OTHER:
<br /> A AUTOMOBILE LIABILITY COMBINEDsuodm SINGLE LIMIT 2,000,005
<br /> ANYAUTO 51SBMBEIH5J 09115/2025 0911612026 BODILY INJURY Per Pqrsoril
<br /> OWNED
<br /> UTO ONLY SCHEDULED
<br /> IIRR
<br /> BODILY INJURYPeraccldenl 3
<br /> X AMU%ONLY X AUT DN 0ow8 ON�nNLY Peda�Rf iDAMACiE
<br /> i
<br /> A UMBRELLA LIAR X OCCUR EACH OCCURRENCE 3,661,000
<br /> X EXCESSLIAB CLAIMS-MADE 51SBMBEIH5J 09/15/2025 09116/2026 AGGREGATE 3,000,000 I
<br /> DED X RETENTION$ 10,000
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMRRPLOYERS'LIABILITY
<br /> ANY 1` Inry InT EXCI UAT'ED?ECUTIVE Yr N 1 A NONE E.L.EACH ACCIDENT
<br /> PI.Ilyes,describe under V.L.DISEASE-EA EMPLOYEE
<br /> DESC IPTION O 0PERATIONS balow E-POLICY LIMIT
<br /> B Professional Liab MPL457010626 09116/2026 09/1812026 Irach Clai 2,000,000
<br /> Claims Made RETRO DATE 9-16-2020 Retention 5,000
<br /> I
<br /> i
<br /> DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES iACORe 101,Addlllona!Remarks Schedule,may be attached If more apace Is requlredJ Digllally signed
<br /> CERTIFICATE HOLDER,THE ENTITY ITS OFFICERS,OFFICIALS,EMPLOYEES&VOLUNTEERS TU Tram.byravan i
<br /> ARE NAMED AS AN ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY ONLY Nguyen
<br /> PER FORM BL3032 0621 WHEN REQUIRED BY WRITTEN CONTRACT AGREEMENT OR PERMIT. Nguyeh 099G 2fi-001 Or.
<br /> PRIMARY WORDING AND WAIVER OF SUBROGATION ARE INCLUDED PER FORM SL0000
<br /> 1018
<br /> I
<br /> ,
<br /> APPROVED
<br /> By Tu,-Tran Nguyen at 9:46 am,,Jan 06 202E
<br /> C RTIEICATE HOLDERCANCELLATION
<br /> CITYANA
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE 7HEREOF, NOTICE WILL BE: DELIVERED IN
<br /> CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> POLICE DEPARTMENT
<br /> HOMELAND SECURITY AUTHORIZED REPRESENTATIVE
<br /> ti0 CIVIC CENTER PLAZA
<br /> and Lee Insurance Age
<br /> i
<br /> ACORD 26(2016103) Q 198 - ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks ofkACORD
<br /> i
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