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AC<>J? d® CERTIFICATE OF LIABILITY INSURANCE DATE(MM 24�YI 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 The Buckner Company of Colorado 6400 S. FIDDLERS GREEN CIRCLE, SUITE 950INC.No Greenwood Village CO 80111 CONNAME CT Kase Heu el PHONE 13037563418 FAX aooaless: denve[@buckner.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Certain Undemiriters, at Lloyds 15792 License#: 480397 INSURED MDGASSO-02 INSURER B : MDG Associates, Inc. -10722�Arrow RouI-Suite-822 � ....__._ _... ....... ____ NSURERC:_.<_>_. -._. ._..� ...... _._....._.__. INSURER D: Rancho Cucamonga CA 91730 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 1553113481 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 ADDLSUBR INSD POLICY NUMBER POLICY EFF MM/DDIYYYY POUCYEXP WMIDD/YYYYl LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACHOCCURRENCE $ ET RENTED PREMISES Ea occunance $ MED EXP (Any one person) Is PERSONAL BADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT PRO- ❑ LOC GENERALAGGREGATE $ PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE -LIMIT Ea aWd.rfl $ BODILY INJURY (Per person) $ ANY AUTO OWNED ASCHEDULED AUTOS ONLY UTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per Wdent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DE RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANVPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICER/MEMBEREXCLUDED9 NIA E.L. DISEASE - EA EMPLOYEE If (Mandatory In NH) If DESCRIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT $ A Professional Llabllity, TMP00025702 7/1/2024 7/1/2025 Aggregate 2,000,000 Per Claim $2,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD U1, Additional Remarks Schedule, maybe attached if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PRC Attn: Risk Management Division 20 Civic Center Plaza wakMenagmu'ntDMste 4th Floor AUTHORIZED REPRESENTATIVE �'� REVIEWEDAAPPRovEDTh Santa Ana CA 92702, r �J- $ r� A,�Aill4auaA { Is M Risk M11RagemQHt $Ped4b ©1988.2015 ACORD- ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD