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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE 2/20/2026
<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 CONTACT
<br /> NAME: Brittani Jackson
<br /> Arthur J. Gallagher Risk Management Services, LLC PHONE FAX
<br /> 500 N Brand Boulevard, Suite 100 A/C No Ext: (818)539 8628 A/C,NO):
<br /> E-MGlendale CA 91203 ADDRESS: Brittani—Jackson@ajg.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:OD69293 INSURERA:Western World Insurance Company 13196
<br /> INSURED SOUTCAL-64 INSURERB: Nautilus Insurance Company 17370
<br /> Southern California Education Corporation dba INSURERC:The Pie Insurance Company 21857
<br /> Southern California Institute of Technology
<br /> 525 N Muller St INSURERD: Houston Casualty Company 42374
<br /> Anaheim CA 92801 INSURERE:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:33533043 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 OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DD MM/DD
<br /> A X COMMERCIAL GENERALLIABILRY Y Y NPP8883297 1/15/2026 1/15/2027 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $100,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
<br /> POLICY� PRO- � LOC PRODUCTS-COMP/OP AGG $
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED FIR ER DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> L $
<br /> B UMBRELLALIAB X OCCUR AN1373311 1/15/2026 1/15/2027 EACH OCCURRENCE $5,000,000
<br /> X EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED RETENTION$ $
<br /> C WORKERS COMPENSATION Y WC PI 3228801-000 1/1/2026 1/1/2027 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICE R/M EMBER EXCLUDED? ❑ N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> D Cyber Liability H26NGP266066-00 1/15/2026 1/15/2027 Limit $1,000,000
<br /> Educator Legal Liability Retention $5,000
<br /> Employment Practices Liability
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Policy: Educator legal liability& Employment Practices liability
<br /> Policy#: ELL0951610-08 APPROVED
<br /> Policy term: 1/15/2026 to 1/15/2027 By Tu Tran Nguyen at 8:35 am,Mar 1Z 2026
<br /> Carrier: Indian Harbor Insurance Company
<br /> Limit:$1,000,000/Aggregate:$1,000,000/Retention:$25,000
<br /> City of Santa Ana, its City Council,officers,officials,employees,agents,and volunteers are named additional insured with respect to the operations of the
<br /> named insured. Such insurance is Primary and Non-Contributory.Waiver of Subrogation on General Liability and Workers Compensation applies in favor of
<br /> See Attached...
<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 /> Attention: CDA—Work Center
<br /> 801 W Civic Center Dr AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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