|
Policy Number:
<br />Date Entered: 01/07/2026
<br />ACORO®CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />2/12/2026
<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
<br />Richard Fucci Insurance
<br />214 MAIN ST #457
<br />EL SEGUNDO, CA 90245
<br />CONTACT Rick FuCC1
<br />NAME:
<br />AICNNo Ext: (310) 529-0695 FAX,
<br />No: ) —
<br />E-MAIL rickfucci@outlook.com
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: NATIONAL LIAB & FIRE INS CO
<br />20052
<br />INSURED KARTS CARTS, INC
<br />NAUTILUS INSURANCE CO
<br />INSURER B
<br />17370
<br />INSURERC: NAUTILUS INSURANCE CO
<br />17370
<br />INSURERD: ICW GROUP INS SERVICES
<br />16386
<br />324 W Florence Ave
<br />Inglewood, CA 90301
<br />INSURER E
<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
<br />LTR
<br />OF INSURANCE
<br />ADDLTYPE
<br />INSp
<br />WVpSUBI
<br />POLICY NUMBER
<br />/Y POLICY EFF
<br />MM/DDYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1 , 000 , 000
<br />B
<br />CLAIMS -MADE ® OCCUR
<br />X
<br />X
<br />NN11853893
<br />6/4/2025
<br />6/4/2026
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 100 000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2 r 000 , 000
<br />POLICY JECOT LOC
<br />PRODUCTS -COMP/OP AGG
<br />$ 2 , 000 , 000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />A
<br />ANY AUTO
<br />73 APS 115601-03
<br />12/21/2025
<br />12/21/2026
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Pera ccident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />UMBRELLA LIAB
<br />OCCUR
<br />X
<br />EACH OCCURRENCE
<br />$ 2 , 000 , 000
<br />AGGREGATE
<br />$ 2 , 000 , 000
<br />C
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AN12 61815
<br />6/4/2025
<br />6/4/2026
<br />DED RETENTION $
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? Y❑
<br />(Mandatory in NH)
<br />N/A
<br />WVE508650700
<br />10/3/2025
<br />10/3/2026
<br />PER OTH-
<br />STATUTE I I ER
<br />E.L. EACH ACCIDENT
<br />$ 1 , 000 , 000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />30 DAYS NOTICE OF CANCELLATION FOR NONPAYMENT OF PREMIUM'
<br />CERTIFICATE HOLDER & ALL LISTED BELOW ARE ADDITIONAL INSURED **
<br />"City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds".
<br />APPROVED
<br />By Tu Tran Nguyen at 8:51 am, Apr 09, 2026
<br />CERTIFICATE HOLDER CANCELLATION
<br />Attention: Library Services, Dylan Dario
<br />20 Civic Center Plaza, M-42
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|