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AC�® DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 411/1015 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 CONIAUl NAME: Liz OrOZCo Cure Brokers Insurance Services FHUNE RRR 426-7344FA A/C,No Ext: ( ) (AIC,No): 4101 McGowen Street ADDRESS: liz(e'corebrokers.com Suite 110-446 INSURER(S)AFFORDING COVERAGE NAIC# Long Beach 90808 INSURER A: Cypress Insurance Company 10855 INSURED INSURER B: QBE Specialty Insurance Comany 11515 The Illumination Foundation INSURER C: Berkshire Hathaway Homestate Companies 20044 2871 Pullman Street INSURER D: Underwriters at Llyods N/R INSURER E: Santa Ana CA 92867 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYV (MMIDDIYYYY) LIMITS V COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE § 2,000,000 CLAIMS-MADE ERIOCCUR PREMISES(Ea occurrence) $ 50,000 Including Professional Liability MED EXP(Any one person) $ 5,000 B Y Y [40002207 12/01/2024 12/01/2025 PERSONAL&ADV I NJ URY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 MPOLICY ❑PE� LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: Prof Liab:Each/Agg $ ?,000,000/4,000,000 AUTOMOBILE LIABILITY {Ea accident S 1,000.000 ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED Y Y 01 APM053501-01 12/01/2024 12/01/2025 BODILY INJURY(Per accident AUTOS ONLY AUTOS ) S HIRED NON-OWNED S AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB HCLAIMS-MADE AGGREGATE S DED I I RETENTION S S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY y/N K STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT S 1,000,000 A OFFICERIMEMBEREXCLUDED? NIA Y ILWC613770 01/01/2025 01/01/2U26 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 One Victim 2,000.000 D Sexual Molestation Liability B062IPILL0001324 12/01/2024 12/01/2025 All Victims 2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its City Council,its officers,officials,employees,agents and volunteers are included as Additional Insured as required by written contract per attached endorsement form.Primary and Non-Contributory wording applies.Waiver of Subrogation per attached endorsement form.30 Days notice of cancellation; 10 Days for Non-payment applies per policy provisions. Digitally signed APPROVED Tu Tran hyr.rrzn Nguyen Nguyen Date-:o-s.oa.os B Tu Tran Nguyen at 4:56 m,Apr 08,2025 laszlg-mno� YP P 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. Community Development Agency AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza,M-25 P.O.Box 1988 Gkriq Trade" Santa.Ana CA 92702 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD