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A` ORar CERTIFICATE OF LIABILITY INSURANCE
<br />DATl 1E/7/2D25 DN YYI
<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
<br />Alllant Insurance Services, Inc.
<br />32 Old Slip
<br />New York NY 10005
<br />CONTACT
<br />NAME: Stephanie Maes
<br />LAIC No PHDNE AIC No:
<br />AEDORess: Ste hanie.Maes alliant.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Atlantic Specialty Insurance C
<br />27154
<br />License#: 812008
<br />INSURED MGTCONS-01
<br />TVG-MGT Holdings, LP
<br />AMS.NE
<br />AMS.NET, LLC
<br />INSURER B: Republic Indemnity Company of
<br />22179
<br />INSURER C: Great American Spirit Insuranc
<br />33723
<br />InsuRERD: Houston Specialty Ins Co
<br />12936
<br />4320 West Kennedy Blvd
<br />Tampa FL 33609
<br />INSURERE: Westfield Specialty Insurance
<br />16992
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 1400276838 REVISION NUMRFR-
<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
<br />LTR
<br />rypE OF INSURANCE
<br />ADDLSUBR
<br />POLICYNUMBER
<br />POLICY EFF
<br />fMM1DDNYYYI
<br />POLICY EXP
<br />(MMIDD/YYYt')LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ff] OCCUR
<br />Y
<br />Y
<br />711-00-86-83-0018
<br />8/24/2023
<br />5/12/2025
<br />EACH OCCURRENCE
<br />$1,000,000
<br />DAMAGETO TED
<br />PREMISES Ea me,unance
<br />$1,000,000
<br />MED EXP (Any onePerson)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY jEa � LOC
<br />GENERALAGGREGATE
<br />$2,000,000
<br />PRODUCTS -COMPIOPAGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />711-00-86-83-0018
<br />8/24/2023
<br />5/12/2025
<br />COMBINED SINGLE -LIMIT
<br />E.
<br />$1,000,000
<br />X
<br />ANYAUTO
<br />BODILY INJURY (Par person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY eccident )
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />A
<br />X
<br />UMBRELLALIAS
<br />X
<br />OCCUR
<br />711-00-86-83-0010
<br />8/24/2023
<br />5/12/2025
<br />EACH OCCURRENCE
<br />$5,000.000
<br />AGGREGATE
<br />$5,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED X RETENTION$ in nnn
<br />$
<br />B
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />Y
<br />16099222
<br />WC E94267302
<br />2/1/2025
<br />2/1/2025
<br />2/1/2026
<br />2/1/2026
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />ANYPROPRIELORIPARTNEWEXECUTIVE
<br />OFFICERIMEMBEREXCLUDEDY
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1.000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />E
<br />Professional Liability
<br />Cyber
<br />Tech E&O
<br />MEO-HS-0005133-01
<br />PCE-338465W-01
<br />5/12/2024
<br />5/12/2024
<br />5/12/2025
<br />5/12/2025
<br />Per Claim/Aggregate
<br />Per Claim/Aggregate
<br />Per Clami/Aggregate
<br />$5,000,000
<br />$5,000,000
<br />$6,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Hours "
<br />WC - 16099222 - AZ CA ID TX 'oh,
<br />WC - WC E94267302 - MD OK VA Tu Tran„"'', _ ROVED
<br />Nguyen'-, - — By Tu Tran Nguyen at 2:04 pm, Feb 13, 2025
<br />The City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insured with regards to the General Liability and Auto Liability
<br />as required by written contract subject to the policy terms and conditions. Coverage is Primary and Non -Contributory as required by written contract subject to
<br />the policy terms and conditions. Waiver of Subrogation applies with regards to the General Liability, Auto Liability and Workers' Compensation as required by
<br />See Attached...
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />PUBLIC WORKS AGENCY —M22
<br />CITY HALL ROSS ANNEX, 3RD FLOOR
<br />20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92701�_----
<br />n 19RR-2019 ACORn CORPORATION AN Hl hfc r...... A
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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