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FATE(MMIDDIYYYY)ACOR" CERTIFICATE OF LIABILITY INSURANCE 4/11/202610/2025 <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 Lockton Companies,LLC CONTACT <br />NAME: <br />DBA Lockton Insurance Brokers,LLC in CA PHONE FAX <br />CA license#OF15767 <br />A/C,No Ext: A/C,No <br />E-MAIL <br />8110 E Union Ave.,Ste.100 ADDRESS: <br />Denver CO 80237 INSURER(S)AFFORDING COVERAGE NAIC# <br />denver-cetts@lockton.com INSURER A:Houston Casualty Company 42374 <br />INSURED <br />Simple Therapy,Inc. INSURER B:Scottsdale Insurance Company 41 297 <br />1542844 Halycon Behavioral,LLC INSURER C:Continental Casualty Complmy 20443 <br />1080 Shaw Ave St 105 INSURER D:Ironshore Specialty Insurance Co 25445 <br />Fresno CA 93711 INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 19715405 REVISION NUMBER: XXXXXXX <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 />TYPE OF INSURANCE <br />ADDL SUBR POLICY EFF POLICY EXP <br />LIMITSLTRINSDWVDPOLICYNUMBERMM/DDIYYW WMMIDD/ YY <br />COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE XXXXXXX <br />CLAIMS-MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ XXXXXXX <br />MED EXP(Any one person) $ XXXXXXX <br />PERSONAL&ADV INJURY $ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX <br />POLICY <br />PRO <br />JECT LOC PRODUCTS-COMP/OP AGG $ XXXXXXX <br />OTHER: <br />AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $ <br />Ea accident XXXXXXX <br />ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br />OWNED SCHEDULED BODILY INJURY(Per accident) $ <br />AUTOS ONLY AUTOS XXXXXXX <br />HIRED NON-OWNED PROPERTY DAMAGE XrXrXrXrXrXrXrAUTOSONLYAUTOSONLYPeraccident <br />XXXXXXX <br />UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE XXXXXXX <br />EXCESS LIAB CLAIMS-MADE AGGREGATE XXXXXXX <br />DED RETENTION$ XXXXXXX <br />WORKERS COMPENSATION NOT APPLICABLE PER OTH- <br />AND EMPLOYERS'LIABILITY STATUTE ER <br />YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT XXXXXXX <br />OFFICER/MEMBER EXCLUDED? N I A <br />Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX <br />If yes,describe under <br />DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX <br />A Tech EO-Cyb N N HA25TG33676-02 7/1/2025 4/11/2026 $5M,Ret.$25k <br />B XS Tech EO-Cyb EKS3580291 7/l/2025 4/11/2026 $5M xs$5M <br />C DO/EPL/FTD 8019002204 4/11/2025 4/11/2026 $1 M/$1 M/$1 M <br />D Mng Cr EO HC7CAB4HM9005 7/1/2025 4/11/2026 $1M Per Claim/$2M Agg <br />DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERMS)REFERENCED. Digitally sig ed <br />Cit of Santa Ana is included as an additional insured as respects to Mn Care E&O if required b written contract. Tu Tra n by Tu Tran <br />Y P g 4 Y Nguyen <br />Nguyen D01329207 O5 <br />APPROVED <br />By Tu Tran Nguyen at 10:12 am,Sep 15,2025 <br />CERTIFICATE HOLDER CANCELLATION See Attacrimetus <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />19715405 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City <br />5 <br />Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attention: Human Resources Department fAUTHORIZEDREPRESENTATNE <br />20 Civic Center Plaza <br />Santa Ana,CA 92702 <br />1988-20i ACORD CORPGRATION. All rights reserved. <br />ACORD 25(2016/03)The ACORD name and logo are registered marks of ACORD