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ACORa CERTIFICATE OF LIABILITY INSURANCE DAM(MMIDDIYYY)() 03/26/2024 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 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 Heffernan SGB Insurance Services LLC CONTACT Rachel Hindle NAME: 32100 Clinton Keith Rd Ste G Wildomar, CA 92595 PNDNEp.N E (951)678-7290 ac No: (951)676 6540 ADDRIESS: rachel@insuremesgb.com INSURERS AFFORDING COVERAGE NAIC # License #: 6009061 INSURERA: Great American Insurance Group 1669 INSURED INSURERB: Employers Preferred Ins. Co. Soundskilz Inc INSURERC: P.O. Box 891720 INSURERD: Temecula, CA 92589 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 00017160-1313040 REVISION NUMBER: 60 THIS 15 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 LTR TYPE OF INSURANCE ADDL Jam SUBR Wvo POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE 1XI OCCUR PAC4725034 11/10/2023 1111012024 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTFD-- PREMISES Ea occurrence $ 300,000 MED EXP(My one person) $ 10000 PERSONAL &ADV INJURY $ 1 gog goo GENT AGGREGATE LIMIT APPLIES PER: x POLICY 0 JECOT 11 LOC GENERAL AGGREGATE $ 2.000.000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS P) BODILY INJURY (Per accident $ HIRED NON-0WNED AUTOS ONLY AUTOS ONLY PROPERTYGAMAGE Per accitlenl $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CIAIMS-MADE OEO RETENTION$ $ B WORKERS AND EMPLOYERS' LI LIABILITY YIN ANY PROPRIETORIPARTNEILEXECUTIVE OFFICEMMEMBER EXCLUDED? (Mandatory in NH) NIA EIG486428702 1011412023 10/14/2024 X I STATUTE OEa 1,000,000 EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Df yes. descr beunder ESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Miscellaneous E&O PAC 4725034 1111012023 11110/2024 Professional Lie 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached If more space is required) The Entity, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations. Coverage is Primary and Non -Contributory City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRI THE EXPIRATION DATE THEREOF, NO ACCORDANCE WITH THE POLICY PRC AUTHORIZED REPRESENTATIVE ,y 'Yt,. a '® RWe MralrgnnmtDMabO REinEv#Eo 6 APPROV® Sr Risk Management Spedalist OF ACORD 25 (2016/03) T MAN PIMP! R D CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Printed by RAH on 03/26/2024 at 12:50PM