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A CCIl �i CERTIFICATE OF LIABILITY INSURANCE
<br />DATEIMMIODIYYYY)
<br />07/2812025
<br />THIS CERTIFICATE IS ISSUED ASA 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 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 endorsernent(s).
<br />PRODUCER
<br />CONTACT Lynne Arruda
<br />NAME: y
<br />Aiera Group, Inc.
<br />PHONE FAX
<br />AIG No. Ext : AIC, Na
<br />120 Longwater Drive
<br />E-MAIL ADDftEss: lynne.arruda@aleragroup.com
<br />INSURERIS) AFFORDING COVERAGE
<br />NAIC #
<br />Norwell MA 02061
<br />INSURER A: LexingtonlRTS
<br />INSURED
<br />INSURER B : Coalition Insurance Solutions, Inc.
<br />FGP-02X Holding LLC
<br />INSURER C :
<br />1 Mill Wharf Plaza
<br />INSURER D
<br />Unit 512
<br />INSURER E :
<br />Scituate MA G2066
<br />tNSURER F :
<br />'. UvCrt/5VC7 111i IIli I i NUMlili z%-zu UL/rr,Vr CAL, Ii Rlli uI IIIAQco.
<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 MAYBE 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 />LTR
<br />TYPE OF INSURANCE
<br />Ai
<br />INSD
<br />SUBIR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMfDDIYYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />1:1DAMAGE
<br />X CLAIMS -MADE OCCUR
<br />Professional Liability
<br />EACH OCCURRENCE
<br />$ 1 ,000,000
<br />TO RENTED
<br />PREMISES Ea occurrence
<br />$ 300,000
<br />X
<br />MED EXP (Any one person)
<br />$ 1,000,000
<br />X
<br />Ded $10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />Y
<br />1070632
<br />09/19/2024
<br />09/19121
<br />Gi AGGREGATE LIMITAPPLIES PER:
<br />X POLICY ❑ PRO- ❑
<br />JECT LOC
<br />GENERAL AGGREGATE
<br />$ 3,000,000
<br />PRODUCTS - COMPIOPAGG
<br />$ 1,000,000
<br />Healthcare GLAgg
<br />$ 3,000,000
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED 51 NGLE LIMIT
<br />li accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Y
<br />Y
<br />1070632
<br />09/1912024
<br />09/1912025
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />HIRED \/ NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />_
<br />$
<br />UMBRELLA LIAB
<br />HCLAIMS-MADE
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X
<br />AGGREGATE
<br />$ 1,000,000
<br />A
<br />EXCESS LIAB
<br />6798924
<br />09/1912024
<br />09/1912025
<br />DED I I RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNERfEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />PER OTH-
<br />STATUTE ER.
<br />E.L. EACH ACCMENT
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$
<br />(Mandatory in NH)
<br />If Yes. describe udder
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Cyber Liability
<br />LPL107922
<br />11/17/2024
<br />11117/2025
<br />Li
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />Abuse & Molestation - Policy # 1070632 eff 09119/2024 - Coverage Limit: $1,000,000 Each Perpetrator 1$2,000,000 Aggregate Digitally si
<br />City of Santa Ana, its City Council, its officers, officials, employees, agents and volunteers are Additional Insureds with respects to General Liability and TU Tra n byTr Tra
<br />Automobile Liability, on a primary and non-contributory basis including waiver of subrogation, as required by written contract only, per attached policy form. Nguyen
<br />Policy includes 30 Day Notice of Cancellation. Nguyen Date 202 I
<br />Retro-active dates: Professional Liability 9119F2021, General Liability 9119/2018 14:32:524 i
<br />Employee Benefits Liability - Policy # 1070632 eff 09/19/2024 - Coverage Limit: $1,000,000 1$3,000,000
<br />APPROVED
<br />CFRTIFICOTF Hnl nFR rAi I ATi ByTuTranNguyen at2:32pm, Aug 27, 2025
<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 Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Santa Ana Police Dept
<br />AUTHORIZED REPRESENTATIVE
<br />60 Civic Center Plaza {M-18}
<br />Santa Ana CA 92701
<br />@ 1980-201 S ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />9,27
<br />.00'
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