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ACCEONL-01 SSALAZAR CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/18/2024 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 License#0757776 CONTACT NAME: HUB International Insurance Services Inc. PHONE FAX 2300 Clayton Road Suite 300 (ac.No,Ex* (800)366-7050 (NC,NO(925)905-5584 Concord,CA 94520 A oRcss'Jamie.rose@hubinternational.com INSURERISI AFFORDING COVERAGE NAIC I/ INSURER A:Citizens Insurance Company of America 31534 INSURED INSURER B:Allmerica Financial Benefit Insurance Company 41840 Accent on Languages Inc. INSURER C: Caroline Lee 2718 Telegraph Ave#104 INSURER D Berkeley,CA 94705 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSD WVD (MM/DDIYYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR OBFH940265 2/17/2024 2/17/2025 DAMAGE TO RENTED 300,000 X PREMISES!Ea occurtence) $ MED EXP fAny one tter on) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 — GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY n PRO- n LOC 4,000,000 JECT PRODUCTS-COMP/OPAGG S OTHER: S A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2,000,000 fEa accident) S ANY AUTO OBFH940265 2/17/2024 2/17/2025 BODILY INJURY(Per person)_ S — OWNED SCHEDULED ' AUTOS ONLY _ AUTOS BODILY INJURY(Per accident), S �( HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY — AUTOS ONLY (Per accident) S S UMBRELLA LIAB _ OCCUR EACH OCCURRENCE S _ EXCESS LIAR CLAIMS-MADE AGGREGATE S _ DED RETENTION S S B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE n W2FH940263 2/17/2024 2/17/2025 1,000,000 OFFICER/MEMBER EXCLUDED? N I A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached if more space is required) The City of Santa Ana,its officers,officials,employees,and volunteers are included as an additional insured with regard to general liability when required by written contract per attached endorsement form 391-1006 08 16.Primary and Non-Contributory applies with regard to general liability when required by written contract per attached endorsement form 391-1003 08 16. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIRFn POI l(IFs RF C..ANC..FI I En REFC)RF City of Santa Ana THE EXPIRATION DATE THEREOI\ ACCORDANCE WITH THE POLICY PRC Risk Management Division Risk Management Division ,+,,'"'"°R 20 Civic Center Plaza =- REVIEWED&APPROVED By: Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE ry ,.` A AG�u4: �. d �_--- Risk Management Specialist I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD