DAVALOS, MAYRA - Laserfiche WebLink

Home Browse Search

.4COR0� CERTIFICATE OF LIABILITY INSURANCE �� ATE(MYYY) 06/03/20262026 P THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE(855) 222-5919 FAX No Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 E-MAIL pp ADDRESS: support@nextinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Next insurance US Company 16285 INSURED INSURER B : National Specialty Insurance Company 22608 MAYRA DAVALOS Curious Chiquitines 1909 W 15th St Santa Ana, CA 92706 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 133874631 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLSUBRTYPE INSD WVD POLICY NUMBER MMIDDPOLICEFF POLICYEXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 CLAIMS-MADEI-XI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000.00 MED EXP (Any one person) $15,000.00 PERSONAL & ADV INJURY $1,000,000.00 A X X NXTFK4RVYJ-00-GL 06/01/2026 06/01/2027 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.00 POLICY PRO ❑ LOC X JECT PRODUCTS - COMP/OP AGG $2,000,000.00 ABUSE & MOLESTATION $100,000.00 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ UMBRELLALIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- X STATUTE ER E.L. EACH ACCIDENT $100,000.00 B ANYPROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? FN I NIA X NXTDHF7QRL-00-WC 06/01/2026 06/01/2027 E.L. DISEASE - EA EMPLOYEE $ 100,000.00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000.00 Each Occurrence: $1,000,000.00 A Professional Liability NXTFK4RVYJ-00-GL 06/01/2026 06/01/2027 Aggregate: $2,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is City of Santa Ana. Waiver of Subrogation applies on Workers Compensation in favor of the Certificate Holder and as required by written contract usual to the Insured's Operations. Waiver of Subrogation applies on General Liability in favor of the Certificate Holder and as required by written contract usual to the Insured's Operations. City of Santa Ana, its city council, officers, officials, employees, agents and volunteers is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. All Additional Insured privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. APPROVED B— Tran-Mou4mn.aLli-25-am,-.lun Q9.o2026 CERTIFICATE HOLDER of Santa Ana ration: Parks, Recreation, and Community Services (c Center Plaza M-23 Ana, CA 92701 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD