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ACC)REP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD1YYYY) 9/30/2025 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(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 endorsement(s). PRODUCER NONTAUT AME: Pasadena Office SullivanCurtisMonroe Insurance Services(Pasadena) PHONE E 949-250-7172 FAX Na: 949-852-9762 2010 Main Street E-MAIL Suite 700 ADDRESS: Irvine, CA 92614 INSURERS AFFORDING COVERAGE NAIC# www.SullivanCurtisMonroe.com License#OE83670 INSURERA: Great American Assurance Co. AM Best A+XV 26344 INSURED INSURER B: Nationwide General Insurance Company AM Best V 23760 Opptima RPM, Inc. INSURERC: RSUI IndemnityCompany AM Best A++XIV 22314 17945 Sky Park Circle, Bldg 34, Ste. D Irvine CA 92614 INSURERD: Underwriters at Lloyds,London INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 87479229 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. 1LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMID�Y EFF MMID�YIYYYY LIMITS A �/ COMMERCIAL GENERAL LIABILITY ✓ ,/ GLP 5775748 5/9/2025 6/912026 EACH OCCURRENCE $1 000 ODD CLAIMS-MADE OCCUR DAMAGE TO RE TED PREMISES Ea occurrence $100 000 MHD EXP(Any one person) $Excluded V.$5,000 BIIPD Ded per OCC. PERSONAL&ADV INJURY $1 00Q 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ✓�JE LOC PRODUCTS-COMPIOPAGG $2000000 OTHER: $ 13 AUTOMOBILE LIABILITY ✓ ✓ ACPBA017845445336 5/9/2025 5/9/2026 CO Es auddentSINGLE LIMIT $1 000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SULEn AUTO BODILY INJURY(Per accident $ AUTOS ONLY AUTOS ) HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per acoldent $ $ C UMBRELLA LIAB N OCCUR ✓ ✓ NHABO6623 5/9/2025 6/9/2026 EACH OCCURRENCE $5 000 ODD ✓ EXCESS LIAR CLAIMS-MADE AGGREGATE $5 OD0 000 DED I ✓ RETENTION$0 $ WORKERS COMPENSATION I PER DTH- AND EMPLOYERS'LIABILITY Y r N STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED4 N I A (Mandalory In NH) E.L,DISEASE-EA EMPLOYEE $ If yes,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Excess Liability EXC 5775749 5/9/2025 5/9/2026 $3,000,000 xs$5,000,000 D Professional Liability ANE156998625 6/9/2025 6/9/2026 $1,000,000 Each Claim 1$2,000,000 Aggr Claims Made and Reported Retention$5,000 Per Claim Retroactive Date:5/9/19 Max Total Retention 15 000 A r DESCRIPTION OF OPERATIONS 1 LOCATIONS[VEHICLES(ACORD 401,Additional Remarks Schedule,may be attached If more space is required) City of Santa Ana,its City Council,officers,officials,employees,agents and volunteers are named as additional insureds per attached endorsements Waiver of subrogation applies per attached endorsements.Coverage applies on a primary noncontributory basis per attached.30 day notice applies per attached endorsoment.Excess Llabilily is follow fDrm. ; D191tallystgned Tu TrariLbYTuTran ''Nguyen Nguyen09,3a38-07E' APPROVED CERTIFICATE HOLDER CANCELLATION By Iran Ng a at 9 31.am Oct 21,2025 Clt Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATE THEREOF,Its officers, agents, and employees ACCORDANCE WITH THE POLICY PROVISIONS NOTICE WlLL BE DELIVERED IN 20 Civic Center Plaza Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE Kathy Roberge ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 87479229 1 OPTIMRPM 1 25-26 GL/CAU/XLS/PRF I Ellie Mendoza 1 9/30/2025 4:39:30 PM (PDT) I Page I of 12