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TRAIAND-01 DMOORE
<br /> ,d►coRO CERTIFICATE OF LIABILITY INSURANCE DAT9/9/2 DIYYYY)
<br /> /9/2025
<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 License#L100460 CONTACT
<br /> NAME:
<br /> Knauf Maxwell Insurance Services PHONE FAX
<br /> 2900 W.Broadway (A/C,No,EXt): (323)550-7900 (A/C,No):(323) 256-0800
<br /> Los Angeles,CA 90041 E-MAIL knaufreception@kmins.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:GuideOne Specialty Mutual Insurance Company 14559
<br /> INSURED INSURER B:GUIdeOne Insurance Company 15032
<br /> Training and Research Foundation INSURER C:Service American Indemnity Company 39152
<br /> 750 W.First St. INSURER D
<br /> Tustin,CA 92780
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DDNYYY MMIDO
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X71 OCCUR CPP010053786 7/1/2025 7/1/2026 DAMAGE TO RENTED 500,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $
<br /> 20,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000
<br /> X POLICY❑ PRO- ❑ LOC PRODUCTS-COMP/OP AGG $ 3,000,000
<br /> JECT
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO BAP010053787 7/1/2025 7/1/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per acc DAMAGE
<br /> AUTOS $
<br /> L $
<br /> B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000
<br /> EXCESS LIAB CLAIMS-MADE UMB010053788 7/1/2025 7/1/2026 AGGREGATE $ 4,000,000
<br /> DED X RETENTION$ 2,500 $
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN SATIS0579801 7/1/2025 7/1/2026 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A 1,000,000
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A Sexual Abuse CPP010053786 7/1/2025 7/1/2026 Each Occurrence 1,000,000
<br /> A Sexual Abuse CPP010053786 7/1/2025 7/1/2026 Aggregate 3,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Coverage:Sexual Misconduct Liability
<br /> d by
<br /> Policy#CPP010053786 Tu Tran °U9`ainYN9 Yen
<br /> Effective 7/01/2025 to 7/01/2026 D,e 2025.09.1e
<br /> Nguyen0sz530-
<br /> $1,000,000 Each Occurrence(Claim)limit
<br /> $3,000,000 Aggregate limit
<br /> F!P!ROVED
<br /> SEE ATTACHED ACORD 101
<br /> Tran Nguyen at 8:24 am,Sep 16,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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