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DATE{MMIDDIYYYY) <br /> CERTIFICATE 4F LIABILITY INSURANCE 210/2026 <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 Ui <br /> NAME: Tiffanie Rodriguez <br /> Stuttgartlnsurance Solutions PHONE 989-885-6145 <br /> [AlC,No] <br /> Aic,No,Ext: : <br /> 31879 Del.Obispo St. ADDRESS: Tiffanial✓ustuttgaiiinsurancesolutions.com <br /> Suite l 18-513 INSURER(S)AFFORDING COVERAGE NAIC p <br /> San Juan Capistrano CA 92675 INSURER A: STATE NATL INS CO INC 12931 <br /> INSURED <br /> INSURER B <br /> Marina Aguilera INSURER C; <br /> 75 VIA CUIDADO INSURER D: <br /> INSURER E: <br /> RANCHO SANTA MARGARITA CA U268S-31 17 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 /> LTR TYPE OF INSURANCE INSD VWD POLICY NUMBER {MMlDDJYYYY) (MMfDD1YYYY) LIMITS <br /> X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE 5 1,000,000 <br /> CLAIMS-MADE I�I OGCUR PREMISES(Ea occurrence) $ 100,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A Y NXT-Y34RRPP-02-GI, 08/09i2025 08/09/2026 PERSONAL&ADV INJURY $ 1,()00,0()0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER' I GENERAL AGGREGATE $ 2,000,000 <br /> MOTHER: <br /> POLICY ❑PERT F7LOC PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT-- <br /> (Ea accident) $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY fNJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED <br /> AUTOS ONLY AUTOS ONLY (Per accident) $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED I RETENTION$ $ <br /> WORKERS COMPENSATION - <br /> AND EMPLOYERS'LIABILITY Y 114 STATUTE ER <br /> ANY PROPRIETORYPARTNERlEXECUTIVE❑ E.L.EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? N 1 A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S <br /> If yes,describe under - <br /> bFSCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS f LOCATIONS!VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) <br /> See ACORD 101 <br /> appRovED <br /> By Tu Tran Nguyen at 7:23 am,Feb 17,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Department(cont.in ACORD 101) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE <br /> T�jn,y,e RrdrvJ,.a-.-. <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />