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�® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYYYY) 8127/2025 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(tes) 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 Higginbotham Insurance Agency, Inc. 500 W. 13th Street Fort Worth TX 76102 INSURED 02X Human Performance DBA CGLM, LLC 1 Mill Whart Plaza, Unit S12 Scituate MA 02066 r ^AV= R111RAQ=0 49R904AQOn Kat 817 INSURERA: Service Lloyds Insurance Co. 43389 wsuRER B :Twin City Fire Insurance Company 29459 REVISION NUMBER: (.UVt,KAC9Cg LLCr%l lvitr l� 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. gDDt SUBR POLICY EFF POLICY EXP INSR TYPE OF INSURANCE POLICY NUMBER M DDlYY MMfDDN YY LIMITS COMMERCIALGENERALLIABILITY CLAIMS -MADE OCCUR FACHOCCURRENCE $ DAh9GF TO RENTED PREMISES Ea occurrence $ MFD EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS -COMPIOPAGO $ POLICY PRO LOG JECT OTHER: AUTOMOBILE LIABILITY Eaac dSINGLE LIMIT ert $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE per accident $ UMBRELLALIAB EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB HOCCUR CLAIMS -MADE DEp RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOFUPARTNERIEXECUTIVE N _ X STATUTH ER $ A SLICWC110650601 4/1/2025 4/1/2026 E.L. EACH ACCIDENT $1,400,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICERIMEMBEREXCLUI tMandatory In NH) NIA A E.L. DISEASE -POLICY LIMIT $1,000,000 If DESCyes, desc RIPTribeION uOF OnderPERATIONS below 8 EmployrrentPractices LInblllly 46KB073795625 4/1/2025 4/112026 LlmltofLiability 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The Workers' Compensation policy Includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named Insured and the certificate holder that requires such provision. 30 Day Notice of Cancellation provided. City of Santa Ana, Its City Counclt, officers, officials, employees, agents, and volunteers are provided with a blanket automatic waiver of subrogation . APPROVED ey Tu Tran Nguyen at 2:32 prn,.Aug 27, 2624 a LH_\ 13 City of Santa Ana Attention: Santa Ana Police Department 60 Civic Center Plaza (M-18) Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL HE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEtlR RESENTATIVE %W 10VV-Av W Avvf�Ll vv,ar v.ara,.va. nu .a..... .........M..• ACORD 25 (2016103) The ACORN name and logo are registered marks of ACORD