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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYYJ
<br /> 03/12/2025
<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), AUTHORIZER
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poilcy(ies)must have ADDITIONAL INSURED provisions or be endorsed,
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the Polley,certain policlos 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 ON .; Colleen Harrill
<br /> NAME
<br /> Nabavian Insurance Agency,Inc, P�gH[�ON�Eo,�rn: 049-428 3321 — — --- �UL,No): 949-630-0274 —
<br /> 29i5 Red HIII Ave.Suite B201 D E-MAIL Colleen I
<br /> apogpss: Q nsurewithneda.com
<br /> Costa Mesa,CA 92626 ^
<br /> _INSURER IS]AFFORDING COVERAGE HARD N
<br /> INSURER A: Hartford
<br /> INSUREp INSURER B: _
<br /> NCgallS,Inc, INSURER 0:
<br /> 4590 Macarihur Blvd.,Suite 500 INSURER D;
<br /> Newport Beach,CA 92660 INSURERE:
<br /> 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 /> INSR TYPE tlF INSURANCE ADO&SUBR POLICY EFF POLICY EXP
<br /> LTR POLICY NUMBER MMlpO YY M ! DlYYYY LIMITS
<br /> X GOMMI"RGIALGENER�AL/LEABiLITY EACH OCCURRENCE _$ 2,000,000
<br /> CLAIMS-MADE CI1]OCCUR Ea occurrREWIND—
<br /> PREMISESnce 5 1,000,000
<br /> T....... _— MED EXP An :e aoe agn $ � 10,000
<br /> A 72SBABAOWME 04101l2025 04101/2026 PERSONAL AADV INJURY_µ $ 2,000,000
<br /> GEN'LAGGRCGATC LIMIT APPLIES PER:
<br /> GENERAL AGGREGATE $ 4,000,000
<br /> POLICY C�JECT LOC PRODUCTS-COMPIOPAGG $� 4.000,000
<br /> OTHER: 5
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> (Ea accident 3 2,606,000
<br /> ANY AUTO BODILY INJURY(Per porson) $
<br /> A AUTOS AUTOS
<br /> 72SBABAOWME 04101/2025 04/0112026 BODILY $
<br /> AUTOS ONLY AUTOS )
<br /> HIRED NON-OWNED PFiOPErtTYOAMAGE —�"
<br /> AUTOS ONLY AUTOS ONLY par acci 1 8
<br /> x Ix
<br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000
<br /> A BXCEss LIAa __ _ CLAIMS-MADE 72SBABAOWME 04/01/2026 04/01/2026 AGGREGATE g i,000,000
<br /> DED I I RETENTION $
<br /> WORKERS COMPENSATION PER pT AND EMPLOYIpRS'LIABILITY YIN TUTS LFt_
<br /> ANYPROPRIETOr21PARTNER7EXECUTIVE [—] N f A E.L.EACH ACCIDENT $
<br /> OFFIGERIMEMBEn EXGLUpEG?
<br /> IMendatary In NH) E.L.DISEASE-EA EMPLOYEE S
<br /> Ir yyab,dasaribe tinder -- ------ _
<br /> AESGRIPTION OF OPERATIONS below E.L.DISEASE..POLICY LIMIT S
<br /> A F will)
<br /> SAFECyber TECHNBreach LOGY E&O 72SBABADWME 04/01/2025 04/01/2026 Each Glitch $2,0Q0,000
<br /> wish Cyber Breach
<br /> Aggrogafe $2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Ramarks Sahoduie,may bo attached it more sputa Is required)
<br /> Dtg
<br /> Those usual to the Insured's Op©rations, Tl.l Tran by rarnallr an'
<br /> City of Santa Ana,officers,agents,employees,and volunteers are named as the Additional insured, 69L
<br /> Coverage is Primary and Nan-Confributory per the Business Liabilfty Coveraqe Form$80008 is included In this Policy. Nguyen Nr.7075.oa109
<br /> a7:97A7.07'99'
<br /> Notice of Cancellation will be provided in accordance with Form 551223,Included with this policy.
<br /> APPROVED
<br /> 8y To''ran Nguyen at 7r06 am,Apr 09,2625
<br /> CERTIFICATE HOLDER CANCELLATION
<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:Information Technology Agency AUTHORIZED REPRESENTATIVE
<br /> 20 Clvfc Center Plaza,M-42
<br /> Santa Ana,CA 02701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved,
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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