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ACCEONL-01 SSAA7 R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDWYYVY) 7/18/2024 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 endorsements . PRODUCER License # 0757776 CONTACT HUB International Insurance Services Inc. 2300 Clayton Road Suite 300 Concord, CA 94520 PHONE Ed: 800 366-7050 FAX rvo: 925 905-5584 (kcE-MAIL ) . jamie.rose@hubinternational.com INSUREFTS1 AFFORDING COVERAGE NAIC# INSURER A: Citizens Insurance Company of America 31534 INSURED INSURERS : AIImerica Financial Benefit Insurance Company 41840 Accent on Languages Inc. Caroline Lee INSURER C INSURER D 2718 Telegraph Ave #104 INSURER E: Berkeley, CA 94705 INSURER F : COVERAGES CERTIFICATE NIIMRFR- RFVIsInKi NI IRAPPR: 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. INSR TYPE OF INSURANCE ADEL BURR POLICY NUMBER POLICY Err POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X OBFH940265 2/17/2024 2/17/2025 EACH OCCURRENCE S 2,000,000 DAMAGE TO RENTED 300,000 5, 000 MILD EXP (Any oneDemon) PERSONAL 6 ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JEST LOG GENERALAGGREGATE 4,000,000 PRODUCTS - COMPIOP AGG S 4,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ear accidemlANY $ 2,000,000 BODILY INJURY PerPerson) S AUTO OBFH940265 2/17/2024 2/17/2025 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Peraccitlent $ X PROPERTY DAMAGE Peraccitlent HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLA LAB OCCUR EACH OCCURRENCE 5 AGGREGATE 5 EXCESS LIAB CLAIMS -MADE LED I I RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBFE)R EXCLUDED? Y� in If yes, describe under DESCRIPTION OF OPERATIONS below NIA 2FH940263 2/17I2024 2/17/2025 X PER OTH- E.L. EACH ACCIDEN 1,000,000 3Mandati E.L. DISEASE - EA EMPLOYEE 1,000,000 5 E.L. DISEASE- POLICY LIMIT S 1,000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AGGRO 101, Additional Remarks Schedule. maybe attached if more space Is required) The City of Santa Ana, its officers, officials, employees, and volunteers are included as an additional insured with regard to general liability when required by written contract per attached endorsement form 391-1006 08 16. Primary and Non -Contributory applies with regard to general liability when required by written contract per attached endorsement form 391-1003 08 16. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIRFn POI ICAPS RP CANCFI I Fn RFFORF THE EXPIRATION DATE THEREOI ACCORDANCE WITH THE POLICY PRC AUTHORIZED REPRESENTATIVE 40 f.=s...st .I RultMvugenmtDNleiwt REVIEWED S APPROVED Sr. Risk Management Spedalut cq 988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD