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DATE (MM/DD/YYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE F04/18/2024 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. 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 Shantelle Sampayan GS Insurance Solutions Inc Digital I P ) 694-7467 FAx (844) 205-6744 5201 Great Americ kway • E-MAIL-0shantelle@gsisol.com A/C, No ngi ADDRESS: Suite 320 bar A n g i INSURER(S) AFFORDING COVERAGE NAIC # Santa Clara C 95054 INSURERA: Ohio Security Insurance Company 24082 INSURED ceve d 6NSURERB: Evanston Ins. Co. 35378 Metro titan Planning Group INSURERC: Employers Preferred Insurance Company 10346 51 fteeveldo Date. ernon Fire Insurance Company 26522 INSURER E : Campbell 0 • INs COVERAGES CERF!.'ICATE NUMBER: CL243429597 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSD UBR WVD POLICY NUMBER M� DD YYYYMLICY EFF ICY EXP O DD YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 � OCCUR DAMAGE PREM SESORENTEEa occur ence $ 500,000 _7CLAIMS-MADE MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 2,000,000 A BKS56609535 04/09/2024 04/09/2025 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMP/OPAGG 4,000,000 $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BAS56609535 04/09/2024 04/09/2025 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE EZXS3151380 04/09/2024 04/09/2025 DED I X1 RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA EIG5234889-01 04/09/2024 04/09/2025 SPER TATUTE EORH X1 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT 1,000,000 $ Each Claim $ 3,000,000 D Professional Liability (Errors and Omissions) PT2000323 04/09/2024 04/09/2025 Each Aggregate $ 3,000,000 Deductible $ 10,000/claim DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of Insurance. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRO) oR Risk Management Diyisbn AUTHORIZED REPRESENTATIVE REVIEWED & APPROVED BY: CA 92702 CS ® Risk Management Specialist ACORD 25 (2016/03) @ 1988-2015 The ACORD name and logo are registered marks of ACORD