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A� ®® CERTIFICATE OF LIABILITY INSURANCE <br />DNY <br />oA02/13/2025YY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ON LY 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 pollcy(les) 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 />NAME: CONTACT Jordan Meyer <br />Great Park Insurance Services, Inc. <br />PHONE (949) 387-3242 (888) 370-4994 <br />x AIC No: <br />AIC No Eat)* <br />go.REss: Jordan.meyer@greatparldnsurance.com <br />10 Corporate Park Suite 130 <br />INSURERS) AFFORDING COVERAGE <br />NAIC# <br />Irvine CA 92606 <br />INSURERA: Kinsale Insurance <br />38920 <br />INSURED <br />INSURER B: Berkshire Hathaway Homestate Companies <br />11014 <br />Jacob Green&Associates <br />INSURER c: Kinsale Insurance <br />38929 <br />INSURER D: Lloyd's Syndicate <br />2987 <br />13217 Jamboree RD <br />#248 <br />Tustin, CA 92782 <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: CL238802967 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 />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBS <br />WVD <br />POLICY NUMBER <br />POLICYEFF <br />POLICYEXP <br />POLICY tAv <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FlOCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />PREMISES Ea occurrence) <br />$ 250000 <br />MED EXP (Any one person) <br />$ 5,000 <br />A <br />X <br />X <br />PSNO140030874 <br />08/09/2024 <br />08/0912025 <br />PERSONAL &ADV INJURY <br />$ <br />GENLAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />X POLICY PRO <br />JECT LOC <br />PRODUCTS - COMPIOPAGG <br />$ 4000000 <br />Errors and Omissions <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLELIMIT <br />Ea accident <br />$ <br />BCDILV INJURY Perperson) <br />$ <br />ANYAUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED <br />I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER E <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE-E4 EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />C <br />Professional Liability <br />X <br />X <br />PSNO140030874 <br />08109/2024 <br />0810912025 <br />Occurrence <br />Aggregate <br />$ 2,000,000 <br />$ 2,000,000 <br />D <br />Cyber Liability <br />X <br />CYP17217224 <br />09/23/2024 <br />09/23/2025 <br />Occurence <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD HIM, Additional Remarks Schedule, may be attached if morespace is required) I3I9ltelysi , <br />RE: Leadership Training, Leadership Academy, Executive Coaching, Customized Keynote, Teambuilding, & Department Strategic Planning. Tu Tran by Ta Tran <br />City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability rXI u en Nguyen ys. 3 <br />arising out of work or operations by or on behalf of the Permlttee including materials, equipment, and furnished in connection WI `g y <br />performed parts, personnel to:sa:3o-o 1e <br />such work or operations <br />APPROVED <br />By Tu Tran Nguyen at 90:57 am, Mar 03, 2025 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />Attention: Human Resources - Lori Schnaider/Brearna Lynch <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 51h Floor, M-24 <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE ��^^LpfLJ Q NI <br />mwm/ ' 1 W <br />b 9988.2015 ACORG CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />