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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />02/20/2025 <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 <br />CONTACT Ashley Tevis <br />NAME: <br />GAD Insurance, LLC <br />PHONE (614) 221-1500 FAX (614) 221-1580 <br />AIC No Ext : A/C No <br />E-MAIL atevis@gadinsurance.com <br />ADDRESS: <br />1349 W Lane Avenue <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Ste 1000B <br />INSURERA: Valley Forge Insurance Company <br />20508 <br />Columbus OH 43221 <br />INSURED <br />INSURER B : Allmerica Financial Benefit <br />41840 <br />INSURER C : <br />Meeder Investment Management; Meeder Public Funds <br />INSURER D : <br />6135 MEMORIAL DR <br />INSURER E : <br />INSURERF: <br />DUBLIN OH 43017 <br />COVERAGES CERTIFICATE NUMBER: CL2522030802 REVISION NUMBER: <br />THIS IS 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGE <br />PREMSESOEaolccu".nce <br />$ 1,000,000 <br />_7TED <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL& ADV INJURY <br />$ 2,000,000 <br />A <br />6025571227 <br />04/01/2025 <br />04/01/2026 <br />LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />H'LAGGREGATE <br />POLICY N PRO FX LOC <br />JECT <br />PRODUCTS-COMP/OPAGG <br />$ 4,000,000 <br />Hired Auto Physical <br />$ 75,000 <br />OTHER: $0 Deductible <br />AUTOMOBILE <br />LIABILITY <br />C�OWIBIIYEO SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />6025571227 <br />04/01/2025 <br />04/01/2026 <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />X <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />6025571227 <br />04/01/2025 <br />04/01/2026 <br />DED I X RETENTION $ 10,000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />NIA <br />W2WJ682426 <br />04/01/2025 <br />04/01/2026 <br />XSTATUTE EORH <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />1,000,000 <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />This document neither affirmatively nor negatively amends, extends, or alters the terms of or the coverage afforded by policy referenced herein. <br />WC States: AZ/CA/CO/FL/IA/IL/IN/KY/MI/MO/NC/NJ/NV/PA/TX/UT <br />Dlglta�lyslgned APPROVED <br />Tu Tran by Tu Tran <br />Nguyen <br />Nguyen Date: 2025.04.15 By Tu Tran Nguyen at 7:54 am, Apr 15, 2025 <br />07:54:58-0700' <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attention: Rosie Perez <br />20 Civic Center Plaza M-17 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />r <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />