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A� & CERTIFICATE OF LIABILITY INSURANCE DATE 24 YY 03/04/2024 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. SUBROGATIO41 IS WAIVED, subject 1:t It �Bdl x?I pf e�j0 , ertain policies may require an endorsement. A statement on ' I confer rights to t_h iitt jj��j r k? I bi bYl a sement s . n CONTACT Next First lnsur Agency, Inc. An Igle ACeved PO Box 60787 CA 94306 2 Date: 2024.03 ONE ,(855)222-5919 FPx uc No EMAIL $s. support@nextinsurance.com INSURER$AFFORDING COVERAGE NAICR Aac'eyedo 3URERA: State National Insurance Company,Inc. 12831 1 I - SURER B Its Foam Time LLC 116 Mira Mar Ave Apt C Long Beach, CA 90803 INSURER C INSURER 0 NSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 023587425 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 TR OF INSURANCE ADDLTYPE J=SU O POLICYNUMBER POLICY MIDDEFF POLICY EXP MM/DDNYY LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 CLAIMS -MADE OCCUR ED DAMAGEEoccurrence) PREMISESS a $100,000.00 MED EXP (Any oneperson) $15,000.00 PERSONAL& ADV INJURY $1,000,000.00 A X X NXTXTJ9PJE0I-GL 0223/2024 02/23/2025 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000.00 X POLICY ❑ PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $2,000,000.00 $ OTHER: AUTOMOBILELIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NONAWNEO AUTOS ONLY AUTOS ONLY I PROPERTYDAMAGE a ccitlenl $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN PER OTH- TATUtE R E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICEWMEMBEREXCLUDEDI NIA E.L. DISEASE - EA EMPLOYEE Is (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT Is DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is The City of Santa Ana, A Waiver of Subrogation applies in favor of this Certificate Holder on the following policies: General Liability. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the Insured, and are subject to policy terms and conditions. the City of Santa Ana LIVE CERTIFICATE Fire City, it's officers, officials, employees, and volunteers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tO Civic Center Piz THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PRC •I I,,.m,•Av RWeMmagatladDhidan AUTHORIZED REPRESENTATIVE A �R I(ENl & APPROVED ft p ( Ake A,,w44 Click Or scan to view Risk Management Spedalist @ 1988-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD