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DATE(MMIDD/YYYY) ACCOR" CERTIFICATE OF LIABILITY INSURANCE 08/04/2025 Ill 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 CONTACT Meyer Jordan NAME: Great Park Insurance Services,Inc. a/cNr o Ext: (949)387-3242 a/c,No): (888)370-4994 10 Corporate Park Suite 130 E-MAIL Jordan.meyer@greatparkinsurance.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Irvine CA 92606 INSURERA: Kinsale Insurance 38920 INSURED INSURER B: Berkshire Hathaway Homestate Companies 11014 Jacob Green&Associates INSURER C: Kinsale Insurance 38920 13217 Jamboree RD INSURER D: Lloyd's Syndicate 2987 #248 INSURER E: Tustin,CA 92782 INSURER F COVERAGES CERTIFICATE NUMBER: CL238802967 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 250,000 MED EXP(Any one person) $ 5 000 A X X PSN0140030874 08/09/2025 08/09/2026 PERSONAL&ADV INJURY $ 2000000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4000000 X POLICY El PEA ❑ LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: Errors and Omissions $ 2000000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liability X X PSNO140030874 08/09/2025 08/09/2026 Occurrence $2,000,000 Aggregate $2,000,000 D Cyber Liability X CYP17217224 09/23/2024 09/23/2025 Occurence $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana, its City Council, officers, employees, agents and volunteers as additionally insured Tu Tra n Digitally signed by Tu Tan Nguyen Nguyen °08;020°00' Sy Tu Traar.Nguyen at 12:07 darer,Autry 14,025 CERTIFICATE HOLDER CANCELLATION ------------------------------- 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 PROVISIONS. Attention:Human Resources-Lori Schnaider/Breanna Lynch 20 Civic Center Plaza,5th Floor,M-24 AUTHORIZED REPRESENTATIVE Santa Ana,CA 9270 1988-2015 P Rlb CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD