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CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD)YYYY) 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 endorsementfs). PRODUCER r� Venbrook Insurance Services L Suite j� Von Karman Ave n Spite 160 b i e Irvine, CA 92606 ~.venbrook.com CA , D_ OD80832 INSURED Monument ROW 200 Spectrum Center, Acevedo Irvine CA 9261,8 0 COVERAGES CERTIFICATE NUMBER: 79779905 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. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICYEFF MMIDD POLICY EXP MNVDD LIMITS COMMERCtA GENERALLIABIUTY CLAIMS -MADE Iii I OCCUR ✓ ✓ 6807P4562802442 4/23/2024 4123/2025 EACH OCCURRENCE $1.000,000 PREMISES E.Eccc� en $300,000 MEDEXP(Any Oneperson) $5,000 ✓ Deductible: Hone PERSONAL & ADV INJURY $1,000 000 GERM AGGREGATE LIMIT APPLIES PER: POLICY ECT EILOC GENERAL AGGREGATE 52,000,000 PRODUCTS-COMPIOPAGG $2000000 $ OTHER: A AMOMDSLELIABILRY 6807P4562802442 4/23/2024 412312025 COMBINED aiSINGLELM 51000,000 BODILY INJURY(Perperson) S ANYAUTO OWNED UTOSHEDIED A AUTOS ONLY AUTOS BOOILYINJURY Peraceident, ( ) & ✓ AUTOS ONLY ✓ AUTOS ONLY HIRED K0N,OWNED TY Per ac Itle DAMAGE $ $ B ✓ UMBRELLALIAB ✓ OCCUR CUP5N8889392442 4/23/2024 4/2312025 EACH OCCURRENCE $5.000.000 AGGREGATE E5000.000 EXCESSUAB CLAIMS -MADE DIED I ✓ I RETENTION$() $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEREXECUTIVE OFFICERMEMSEREXCLUDED1 N/A ✓ UB2Y3528922442G 4/23/2024 412312025 ,r sin UTE ERH El. EAGHACCIDEW -- $1,000.000 E.L.OISEASE-EAEMPLOYEE_ '-' $1000,00' (Mandatory In Ni If yes, describe under E.L. DISEASEPOLICYLIMIT $1 000 000 DESCRIPTION OF OPERATIONS below C Professional Liability (Claims Made & Reported) MPL444730524 4/23/2024 4/23/2025 $2,000,000 Each Claim/ Aggregate Limit Retention: $5,000 Each Claim DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD in, Additional Remarks Schedule, may be attached If more apace is requlretl{ RE: The City of Santa Ana, its officers, employees, agents, and representatives are named as Additional Insured in respects General Liability per form CGD105 0494. Primary/Non-Contributory form CGTI 000219, Waiver of Subrogation form CGD842 0219, WC040306 4-84 applies in favor of the Additional Insured when required by written contract. 30 Day Notice of Cancellation per policy provisions. Subject to policy terms, conditions and exclusions. City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF NOTICE Van I RF ri NRRFn IN Risk Management Division ACCORDANCE WITH THE POLICY PR( 20 Civic Center Plaza, 4th Floor RiakMmugadatilD9tiwt Santa Ana CA 92701 RevleiaaD&APPROVED Sr AUTHORIZED REPRESENTATIVE1 °3.ui131,�d -L R+;e f AA4 Gabriela Covarrubias Riser Management Spedalist ©1988-20115 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 79775905 1 2024 GL, HND, DPI9, WC, FL Gabriala Covarrubias 1 4/30/2014 1:C2:02 PM Per) I Page 1 of B This certificate cancels and supersedes ALL previously issued certificates..