FIVE ELEMENTS CONSULTING GROUP (MICHELLE BOOS-STONE)

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nc RLi CERTIFICATE OF LIABILITY INSURANCE DATE (MAP DO YYYV) 01/23/2024 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 be endorsed. If SUBROGATIONIS 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 AUTO CLUB INSURANCE AGENCY LLC/PHS 72253682 NAME PHONE (866)467-8730 (AIC, No, Ext): FAX (A/C, No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICM INSURED INSURERA: Sentinel Insurance Company Ltd. 11000 Five Elements Consulting Group LLC INSURER B 8100 E TOPIA ST INSURERC: LONG BEACH CA 90808-3339 INSURER D : 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. INSF LTR TYPE OF INSURANCE - ADDL INSR SUBR WVU POLICY NUMBER POLICY EFF fMMIDDNYYYI POLICY EXP IMMICKINYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED $1,000,000 PREMISES X APED EXP(Any one person) $10,000 General Liability A X X 72 SBM BF5602 10/10/2023 10/10/2024 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑JECT PRO- El PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par accident) HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS (Peraccident) UMBRELLALIAB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAB CLAIMS - MADE 72 SBM BF5602 10/10/2023 10/10/2024 AGGREGATE $1,000,000 IDEJ X I RETENTION$ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATU E.L. EACH ACCIDENT ANY YIN PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/ A E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Risk Management Division BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 20 CIVIC CENTER PI 7 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE SANTA ANA CA 92701-4058 C1'41eal-I 12f ©1988.2015 ACORD CORPC ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD -•� RIAMnlagenad:il'taiictt i, i?. REVIEWED&APPROVED Br TwyJ" lagement Analyst