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A►C a® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYYI <br /> ill 04/18/2025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 /> PRODUCER CONTACT Larissa Soul <br /> NAME: <br /> The Liberty Company Insurance Brokers PAHo No Exr: (415)892-1080 TX No): <br /> Lic#OD79653 E-MA ADDRESS: larissa.sourlis@libertycompany.com <br /> 5955 De Soto Ave,Ste 250 INSURER(SI AFFORDING COVERAGE NAIC# <br /> Woodland Hills CA 91367 INSURERA: Aspen American Insurance Company 43460 <br /> INSURED <br /> INSURER B <br /> Goldfarb&Lipman LLP INSURERC: <br /> 1300 Clay Street INSURER D <br /> 11 th Floor <br /> INSURER E <br /> Oakland CA 94612 INSURER F <br /> COVERAGES CERTIFICATE NUMBER: CL2541866488 REVISION NUMBER: <br /> THIS IS TO CERTIFYTHATTHE 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 CONTRACTOR 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 /> INSR ADUL SUBM POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE ii WVD POLICY NUMBER MM10DfYYYY MMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE 5 <br /> AMA E T RE 0 <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence)$ <br /> ME EXP(Anyone person) $ <br /> PERSONAL&ACV INJURY $ <br /> RLOLICY <br /> AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $JECT LOC PRODUCTS-COMPIOPAGG THER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accidem <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS ONLY AUTOS i ) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> UMBRELLA LIAB OCCUR <br /> EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DIED I I RETEN71ON$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE I I ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE ❑ N f A E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In I E.L.DISEA5$-EAEMPLOYEE S <br /> If yes,describe under <br /> DESCRIPTION OFOPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> Professional Liability <br /> Aggregate Li $5.000,000 <br /> A LPP002314-11 04/11/2025 04111/2026 Per Claim $5,000,000 <br /> Deductible $50.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES {ACORO 101,Additional Remarks Schedule,maybe attached If more space is required) TU ran Digitally signed by <br /> Tu Tran Nguyen <br /> Proof of Professional Liability Coverage. oaze:2:zdzs.os.Is <br /> Nguyen p7:27:z,-070o <br /> APPROVED <br /> By Tu Fran Nguyen at 7.26 am,May 15,2025 <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 Attn:Risk Manager ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> P.O.Box 1988 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92702 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) TheACORD name and logo are registered marks of ACORD <br />