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RC44511
<br /> AC Rom'® 1 CERTIFICATE OF LIABILITY INSURANCE DATE11(MMfDDIYYYYJ
<br /> 312 02 6
<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 /> PRODUCER CONTACT
<br /> NAME:
<br /> Safehold Special Risk, Inc,(916)589-8000 PHONE FAX
<br /> AIC No Ext: (AIC,No:
<br /> In California,Safehold Special Risk&Insurance Services,lnc.#OG13561 EMAIL
<br /> ADDRESS:
<br /> 10940 White Rock Road,2nd Floor INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Rancho Cordova,CA 95670-6076 INSURERA: National General Insurance Company 23728
<br /> INSURED INSURER B: Nationwide Mutual Insurance Company 23787
<br /> Irvine Valley Veterinary Hospital INSURERC: Technology Insurance Company 42376
<br /> 14980 Sand Canyon Ave INSURER D:
<br /> INSURER E:
<br /> Irvine,CA 92618
<br /> _1 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 16019364 REVISION NUMBER: See below
<br /> THIS 1S 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 /> INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS
<br /> LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY
<br /> XCOMMERCIAL GENERAL LIABILITY EACH OCoA
<br /> IU=CURRENCE S 1,000,000
<br /> A X ACPBP013201950140 05115/2025 0511512D26
<br /> CLAIMS-MADE Ix I OCCUR PREMISES Ea occur ence S 30o,D0o
<br /> MEO EXP(Any one person) S 5,000
<br /> I
<br /> PERSONAL&ADV INJURY S 1,Oo0,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2.000,000
<br /> POLICY PRO PRODUCTS-COMPIOPAGG S 2,000,000
<br /> JECT LOC
<br /> OTHER: S
<br /> A AUTOMOBILE LIABILITY X ACPBPO13201950140 05/15/2025 05/15/2026 CO ccl nt SINGLE LIb11T
<br /> a acci S 1,DOo,QOo
<br /> E d een
<br /> ANY AUTO BODILY INJURY(Per person) 5
<br /> OWNFO SCHEDULE4 AUTOS ONLY AUTOS BODILY INJU ld RY(Per arcem) S
<br /> x HIRED X NON-OWNED PROPERTY DAMAGE S
<br /> AUTOS ONLY AUTOS ONLY Per acciderrl
<br /> S
<br /> B x UMBRELLALIAB H OCCUR ACPCU013201950140 05/15/2025 05115/2026 EACHoccuRRSNCE S $1oao,oca
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S S1,000.000
<br /> DED RETENTION$ S
<br /> G AND EMPLOYERS COMPENSATIONREMPLOYERS'
<br /> LIILIT X KWC1416494 10/15/2025 10/1,912026 X STATUTE ER"
<br /> AND EMPLOYERS'LIABILITY Y 1 N
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT S 1,000,000
<br /> OFFICERIMEMBER EXCLUDED? N I A
<br /> (Mandatory in NH) EL-DISEASE-EA EMPLOYEE S 1,000,000
<br /> If yes,describe under 1,OOo,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
<br /> B Professional Liability ACPBP013201950140 05115/2025 05/1512026 $1,000,000 Per Occurrence
<br /> $3,000,000 Aggregate
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Certificate holder is named as Additional Insured per the attached endorsement.Primary Wording and Waiver of Subrogation applies per attached
<br /> endorsement
<br /> Digitally signed
<br /> Tu Tran by Tunan
<br /> Nguyen
<br /> Nguyen 1 5152-05'0 APPROVED
<br /> By Tu Tran Nguyen at 2:51 pm,Jan 13,2026
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Santa Ana,its officers,officials,employees and volunteers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana,CA 92702
<br /> AUTHORIZED REPRESENTATIVE
<br /> The ACORD name and logo are registered marks of ACORD ®1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03)
<br /> (Th,s c ff le replaces ceNfi-b,ft 16019139 issued on 11119Q025)
<br />
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