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JLGRO-1 OP ID: MN ACORO CERTIFICATE OF LIABILITY INSURANCE DATE/1512025 04/15l2025 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 endorsements. PRODUCER 760-471-7116 CONTACT Michelle A Nowell ME: Alliance Mgt.&Insurance Sery PHONE 760-471-7116 F IC 760 471-9378 355 Via Vera Cruz#7 IAIC,No,Ext): (AIc,No): CA Agent/Broker Lic#0737966 EDDRE :mnowe amiscorp.COm San Marcos,CA 92078 Michelle A.Nowell INSURERS AFFORDING COVERAGE NAIC# INSURER A:Star-Stone Specialty Ins Comp 44776 INs RED INSURER B:HSB Specialty Insurance Co. JL�roup LLC 30025 Alicia Pkwy#327 INSURER C: Laguna Niguel,CA 92677 INSURER D 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 DDL UBR POLICY NUMBER POLICY EFF POLICY EXPITR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR X X SGP000321 12/20/2024 12/20/2025 DAMAGPR ETO eocTu ace $ 100,000 X Errors&Omission MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO- ❑ LOC 1.000.000 JECT PRODUCTS-COMPlOP AGG $ OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO WSGP000321 12/20/2024 12/20/2025 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOSS ONLY Per accident $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE WSG0000136 12/20/2024 12/20/2025 AGGREGATE $ 1,000,000 DED I I RETENTIONS WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Cyber 6612216-03 08/17/2024 08/17/2025 Cyber 1,000,000 A Professional Liab WSGP000321 12/20/2024 12/20/2025 Occ/Agg 1/4 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Tu Tran Digitally signed by Tu Tran Nguyen City of Santa Ana, its directors, officers,employees,and agents, are named Nguyen Date:202505.01 en as an additional insured with respects to the work performed by the named 9 Y 10:20:58-07'00' insured. Waiver of Subrogation Applies. Investigations,CA - APPROVED By Tu Tran Nguyen at 10:20 am,May 01,2025 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 ACCORDANCE WITH THE POLICY PROVISIONS. Finance&Mgmt Sery Agency 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana,CA 92701 a U ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD