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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE 4/9/20OIYVYY) 4/9I2025 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(fes) 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 NAME: Ann Woman EG Insurance Agency, Inc PHONE 71q 533-7089 ac No Exe: ( ) (A/C,No: (714)533-8873 616 S Euclid St. ADDRESS: ann@egins.com INSURER(SI AFFORDING COVERAGE NAIC# INSURER A: HISCOX INS CO rNC 10200 Analteim CA 92802 INSURED INSURER B: EMPLOYERS PREFERRED INS CO 10346 HOLISTIC YOGA & HEALTH LLC INSURER C : 13041 GALWAY ST STE D INSURER D : INSURER E : GARDEN GROVE CA 928491660 INSURERF: 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 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. LTR TYPE OF INSURANCE INSO VIVO POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS x COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FKIOCCUR PREMISES (Ed occurrence) $ 100,000 MED FXP (Any one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 A Y Y Pt00.247.053.5 05/03/2024 05/03/2025 GyEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑PECT RG- �LOC J PRODUCTS - COMP/OP AUG $ Included $ OTHER: AUTOMOBILE LIABILITY UUMBiNED 61NULE$ (Ea accident) BODILY INJURY (Per Person) $ ANY AUTO OWNED 5CHEOULEO AUTOS ONLY AUTOS (Per accident) BODILY INJURY Pident $ HIRED NON -OWNED AUTOS ONLV AUTOS ONLY (Peraccident) $ UMBRELLA LIAR EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAO CLAIM&MADE DED RETENTION It $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNEWEXEOUTIVE FFICERIMEMSER EXCLUDED? �Y NIA Y EIG265479006 07/02/2024 07/02/2025 Vy TR r� STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE$ 1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below A Professional Liability 1`100.247.053.5 05/03/2024 05/03/2025 Each Claim Aggregate i500,000 $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Yoga studio City of Santa Ana, its City Council, officers, officials, employees, agents and volunteers under written contract are named as additional insureds with respect to General Liability. All terms and conditions are based upon the actual policies. APPROVED By Tu Tran Nguyen at 8:31 am, Apr 17, 2025 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, its City Council, (com. in ACORD 101) ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Parks, Recreation, and Community Services Agency AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza M-23 -. Santa Ana CA 92702 @ 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD