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[_7ATE(MMIDDIYYYY) <br /> ACOR p CERTIFICATE OF LIABILITY INSURANCE <br /> 4/1112025 <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 /> CONTACT <br /> PRODUCER NAME: <br /> Hub International Midwest Limited PHONE 312-922-5000 alc No):312-922-5358 <br /> 203 N La Salle St Ste 2000 _(Arc No Ext}: <br /> Chicago IL 60601-1245 E-MAIL <br /> F-MAIL ADDRESS: CSUChicago hubinternational.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> License# 100290819 INSURER A: Indian Harbor Insurance Company 36940 <br /> INSURED ENGAING-02 INSURER B <br /> Invoice Claud, Inc. <br /> 30 BRAINTREE HILL OFFICE PARK, INsuRERc: _ <br /> SUITE 303 INSURERD: <br /> Braintree MA 02184 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:123191691 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 /> ADDL SUBR POLICY E�FF POLICY EXP <br /> INSR LTR TYPE OF INSURANCE POLICY NUMBER (MMIDI IYYYY ImMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ __ <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE FI OCCUR PREMISES(Ea occurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY PRO- <br /> RO LOC PRODUCTS-COMPIOP AGG- <br /> JECT <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED LIMIT $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> AWNED SCHEDULED BODILY INJURY(Per acckdent) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEU RETENTION$ $ <br /> PER OTH- <br /> WORKERS COMPENSATION STATUTE ER <br /> AND EMPLOYERS'LIABILITY Y I N <br /> E.L.EACH ACCIDENT <br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ $_ <br /> I OFFICERIMEMBEREXCLUDE1 N r A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> A ProfessionalLiabiltyrE&O MTP004242211 4I11/2025 4111/2026 Limit 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is requiredl <br /> APPROVED <br /> By Tu Tran Nguyen of 1:24 pm,May 07,2025 <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 Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Risk Management Division <br /> 20 Civic Center Plaza, 4th Floor AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />