A R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM`DO1YYYY)
<br /> 6/29/2026
<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(les)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 ICONTACT
<br /> Arthur J. Gallagher Risk Management Services, LLC PHONE Jenn Kim Fax
<br /> 500 N Brand Boulevard, Suite 100 •818.539.8611 Arc No).818,539,8711
<br /> Glendale CA 91203 ADDRESS: Jenny_Kim@aig.com
<br /> INSURERS AFFORDING COVERAGE NAIC it
<br /> License#:OD69293 INSURER A:Manufacturers Alliance Insurance Company 36897
<br /> INSURED FDNOR00001 INSURERB;Pennsylvania Manufacturers Assoc Ins Cc 12262
<br /> Orangewood Foundation
<br /> 1575 E. 17th Street INSURER c:Service American Indemnity Company 39152
<br /> Santa Ana, CA 92705 INSURER D:Hudson Excess Insurance Company 14484
<br /> INSURER E;
<br /> ENSURER F;
<br /> COVERAGES CERTIFICATE NUMBER:1132692157 REVISION NUMBER:
<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 /> IN_SR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
<br /> LTRPOLICY NUMBER MMIDDIYYYY MMIDD/YY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 302501 1595735 3/112025 3/1/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE OCCUR PREMISES(Ea oNccurrence) $100,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
<br /> X POLICY El
<br /> PRO-
<br /> JECT LOC PRODUCTS-COMP/OP AGG $3,000,000
<br /> OTHER:
<br /> A AUTOMOBILE LIABILITY Y Y 302501 1595735 3/1/2025 3/1/2028 EOa eac ffD SINGLE LIMIT $1,000,000
<br /> Ix
<br /> ANY AUTO BODILY INJURY(Per persDh) $
<br /> OWNED SGHEOULEDAUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> Cam!Coll Deductible $500/$500
<br /> B X UMBRELLA LIAB X OCCUR 602501 1505735 3/1/2025 3/1/2026 EACH OCCURRENCE $3,000,000
<br /> EXCESS LIAB CLAIMS-MADE
<br /> AGGREGATE $3,000,000
<br /> bEp RETENTION$ $
<br /> C WORKERS COMPENSATION Y SATIS0599500 3/1/2025 3/1/2026 X
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE "
<br /> ATUTE ER
<br /> ANYPROPRIETORIPARTNERlEXECUTIVE E.L.EACH ACCIDENT
<br /> OFFICERIMEMBEREXCLUDED? NIA $1,000,000
<br /> (yes.dory be under
<br /> E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> O Directors&Oflicers Liabllky HFP-HE-NPP-12635 3/1/2025 3/1/2026 Per Claim $3,000,000
<br /> Retention $25,000
<br /> EPL Retention $75,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES tACORb 101,Addilional Remarks Schedule,may be attached if more space Is required)
<br /> Policy:Professional liability
<br /> Policy#:302501 1695735
<br /> Relro Date:41112024 TU Tldrl ni9'r''1"Ignedby
<br /> Carrier:Manufacturers Alliance Insurance Company Il.nl,n
<br /> Polley Term:3/112025 To 3/112026 Dat.:2025A M
<br /> Nguyen 14a703-0100'
<br /> Per Claim:$1,000,0001 Aggregate:$3,000,000
<br /> Retro date:4/1/2024
<br /> See Attached...
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City Of Santa Alfa ACCORDANCE WITH THE POLICY PROVISIONS,
<br /> Attention: Community Development Agency
<br /> 20 Civic Center Plaza, M-25 AUTHORIZEDRE1:;�7
<br /> Santa Ana CA 92701 R�
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