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CERTIFICATE OF LIABILITY INSURANCE O03/01/I0DIYYYY) 3/01/2023 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: Stephen Sanchez PHON a 661-425-9153 ext 102 uc Ne: 661-425-9153 MaxPro Insurance Solutions aoCAass, certs max roinsurance.com 25129 The Old Road 5.220 Stevenson Ranch, CA 91381 INSURERS AFFORDING COVERAGE NAIC If WSURERA: Travelers Insurance Company 25666 INSURED INSURER B: Employers Preferred Insurance Company 10375 INSURER C: Underwriter's at Lloyds of London 15792 American Alliance Drug Testing 326 N Euclid Ave Upland, CA 91786 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF OLIO YYYY POLICY EXP MMIDDFOLIC YYYY LIMITS COMMERCIAL GENERAL LIABILITY $ 1,000,000 CLAIMS -MADE OCCUR RENTEDa occurrence $ 100,000 y one Panama) $ 5,000 A 6806P166924 04/06/2022 04/06/2023 FEACHOCCURRENCERRENCE ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GREGATE $ 2,000,000 GENT RI - POLICY JECTPRO- LOC -COMP/OP AGO s 2,000.000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NONOWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA Lure OCCUR EACH OCCURRENCE $ 4,000,000 A EXCESS LUNG CLAIMS -MADE CUP6P166948 04/06/2022 04/06/2023 AGGREGATE $ 4,000,000 DED J I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 B ANYPROPRIETORIPARTNEWEXEC"VE OFFICERIMEMBEREXCLUDEDa Y❑ NIA EIG462889701 10/01/2022 10/01/2023 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory, in NH) If yes, describe under DESCRIPTION OF OPERATIONS beow l E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liability ME0167026423 01/04/2023 01/04/2024 Each Claim Aggregate $1,000.000 $3,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is req VIEWED PROVED Proof of Insurance B MANA E ENT DIVISION Certificate Holder is listed as Additional Insured. 7 1 1� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD