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..--- —I MDUAbbLi ITOLOSA DATELMMIDOIYYYV) 7jsjzoza A� DB CERTIFICATE OF LIABILITY INSURANCE 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(les) 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 endorsements . PRODUCER C NTACT Jessica Chavez Acrisure Southwest Partners Insurance Services, LLC 4000 Westerly Place Suite 110 PHONE FAX ArC, No, Ext): Me, No): MFL.��,jechavez@acrisure.com Newport Beach, CA 92660 INSURERS AFFORDING COVERAGE NAIC It INSURER A: State Compensation Insurance Fund of California 35076 INSURED INSURER B : INSURER C: MDG Associates, Inc. 10722 Arrow Route Ste 822 Rancho Cucamonga, CA 91730 INSURER D: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER' RFVICIQM 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 UTH TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP DD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r7 OCCUR EACH OCCURRENCE $ DAMAGE TO RENTEDPREMISES $ G EN'L MED EXP (my one arson $ PERSONAL B ADV INJURY $ AGGREGATE LI MIT APPLIES PER: POLICY jE T a LOD OTHER, GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGO $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS TONLY AOOBONLY COeBINED SINGLE LIMIT ecdI $ BODILY INJU RV Par arson $ BODILY INJURY Par accident $ PeaaAdntAMAGEAUOS r e $ UMBRELLA LIAB EXCESS LIAR J OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATIONX ANY PROPRIETORIPARTNERIEXECUTIVE AND EMPLOYERV LIABILITY YIN EXCLUOEDP (A andatory In NHl FA If DEa, descirbe under SCRIPTION OF OPERATIONS below NIA %( 1960756.24 7/1@924 7/1/2025 STRU OTH- E.L, EACH ACCIDENT $ 1,669,999 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,900 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES tACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Proof of Insurance - Waiver of subrogation applies. City of Santa Ana Risk Management Division 20 Civic Center Plaza, MIT Floor Santa Ana, CA 92702 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RI, CANCELLED BEFORE THE EXPIRATION DATE THEREO ACCORDANCE WITH THE POLICY PR( AUTHORIZED REPRESENTATIVE ynt. ' RLekMwta�+emrnfDfvls[md RE IEv(ED6j9PPRnOV®BY: Mang@��pecdetial�irl- ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD