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Samantha Digitally signed by Samantha M.Lambert CERTIFICATE OF LIABILITY Il i Date::262122.10.03 DATE/18/2MIDDIYYYY) A�QRQ � 10:26:21-0T00' 08/18/2022 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 NAME: BIBERK PHONE 844-472-0967 FAX - P.O. Box 113247 IWO,No, E II: AIG No): MAIL customerservlce@bIBERK.com Stamford, CT 06911 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Berkshire Hathaway Direct Insurance Company �] (iF�Ns urley INSURERB: INSURER C: 14920 Minneola Ct INSURERD: Tustin, CA 92780 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE ADDUL SU n POLICY NUMBER MMIDDIYYYY MPOLICY EFF D IYY ICY P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ OCCUR DAM ETORENTED CLAIMS-MADE PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV I NJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGOREGATE $ POLICY❑JECT JEC LOC PRODUCTS-COMPIOP AGO $ I� PRO- OTHER: $ AUTOMOBILE LIABILITY COMBINED SING LPHMIT $ a accident _ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acid nt UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DE D RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y f N STATUTE ER ANYPROPRIFTOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below F.L.DISEASE-POLICY LIMIT $ A Professional Liability (Errors & X N9PL738182 09/01/2022 09/01/2023 Per Occurrence/ $1,000,000/ Omissions): Claims-Made Aggregate $11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES(ACORD 10i,Additional Remarks Schedule,maybe attached it more space is required) City of Santa Ana Risk Management Division is listed as additional insured as it pertains to professional liability(see endorsement attached) Sexual Molestation limits$250k CERTIFICATE HOLDER CANCELLATION 9,w 0REviEWED&APPROVED By: SHOULD ANY OF THE ABOVE DESCRI THE EXPIRATION DATE THEREOF 2' � - City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PRO ----1-,—" Risk Management Supervisor 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATWE 0 1 988-201 5 ACORD CORPORATION, All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD