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AC" CERTIFICATE OF LIABILITY INSURANCE FDATE,MM!°DIYYYY) �� 01/13/2026 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 CONTACT Edward W DehSeulle DIAI Insurance Brokerage, Inc. NAME:PRONE FAX 7561 Center Avenue, #9 C o Ext; (714) 963-5684 AIC No: (714) 965-0067 E-MAIL edmdiai.cam Huntington Beach CA 92647 ADDRESS: INSURERS AFFORDING COVERAGE NAIC tI INSURERA:Philadelphia Indemnity Insuran 18058 INSURED INSURER B Santa Ana Lawn Bowling Club INSURER C 12362 Ranchwood Rd INSURERD: Santa Ana CA 92705 INSURERE: (714) 839-3942 INSURER F COVERAGES ED CERTIFICATE NUMBER:Cert ID 14353 (2) 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_ INSR ADDL SUBR POLICY EFF POLICY EXPlY LTR TYPE OF INSURANCE POLICYNUMBER MMIDDYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMA E TO RENTED CLAIMS-MADE X OCCUR Y Y PHPK2731352-000 01/01/2026 01/01/2027 PREMISES Ea occurrence 5 100,o00 MED EXP(Any one person) 5 Excluded PERSONAL BADVINJURY S 1,000,000 GEN`L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE 5 3,000,000 POLICY JECTPRO � LOC PRODUCTS-COMPIOP AGO 5 3,000,000 X OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 Ea accident ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTYCAMAGE 5 AUTOS ONLY AUTOS ONLY Per accident 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE 5 DED RETENTION S 5 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y f N STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT 5 OFFIGERIMEM BEREXCLUDED? ❑ NIA - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS beiaw E.L.DISEASE-POLICY LIMIT S S 5 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Sports Club * GL: Additional Insured per scheduled CG2010. Primary/Non-Contributory per scheduled PI-GL-005. Waiver of subrogation per scheduled CG2404. Notice of Cancellation per scheduled PI-CANXAICH-002. City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 10:49 am,Mar 09,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Page 1 of 1