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ACC>R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 1111 4/25/2025 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 CONTACT The J. More Company, Inc. NAME: Matt Sakurao Y PHONE FAX 10833 Valley View Street, Suite 550 N ,714-562-5910 vc No:714-562 8747 Cypress CA 90630 ADDRESS: msakurau@imoreyins.com INSURERS)AFFORDING COVERAGE NAIC# License#:0655907 INSURER A:HIsCOX Insurance Comeany 10200 INSURED SW MSRA-01 Swim Brayv INSURER B 5701 Santa Catalina Ave INSURER C Garden Grove CA 92845 INSURERD: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:975469206 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 REOJiREMENT, 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR 4 POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y P102.732.064.4 511012025 5/10/2026 EACH OCCURRENCE $1,000,000 MAGE TO CLAIMS-MADE X DA OCCUR PREMISES Ea RENTED occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL 8 AUV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $2,000,000 X POLICY[:] PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER' S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED Peracesdent AUTOS ONLY AUTOS BODILY INJURY( ) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Par accident $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ EXCESS L1AB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $. WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTN ER/EXECUTIVE OFF ICERIMEMBEREXCLUDED7 El NIA E.L.EACH ACCIDENT $ )Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its Clty Council,officers,officials,employees,agents,and volunteers are considered additional insured and a waiver of subrogation applies in respects to general liability Tu Tran Tu Tran signed by APPROVED Tu Trann Nguyen DaW2025.05.14 By Tu Tran Nguyen at 9:46 am,May 14,2025 Nguyen 09:45:3,-07'00' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Parks, Recreation, and Community Services Agency AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana CA 92701 t 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD