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CERTIFICATE OF LIABILITY INSURANCE PATE(MM1D0lYYYY) <br /> 1/l/2026 5/12/2025 <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 Lockton Companies,LLC CONTACT <br /> 444 W.47th St.,Ste.900 PHONE FAX <br /> Kansas City MO 64112-1906 E-MAIL AIC No <br /> (816)960-9000 ADDRESS: <br /> kcasu@lockton.com INSURER 8 AFFORDING COVERAGE NAIC# <br /> INSURER A:Zurich American Insurance Comp an 16535 <br /> INSURED SPRINGSHARE LLC INSURER B:American Guarantee and Liab.Ins. Co. 26247 <br /> 1090959 801 BRICKELL AVE,FLOOR 8 INSURER C: <br /> MIAMI FL 33131 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 21784120 REVISION NUMBER: XXXXXXX 1 <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE 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 ADDLTYPE OF INSURANCE 1=SUER POLICY NUMBER MMIIDD�YY MMIDDIYYYY LTR LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y N CPO 3050920-03 1/1/2025 1/112026 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea owurrence $ 1000000 it <br /> WED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY JEST LOG PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> D7HER: $ <br /> A AUTOMOBILE LIABILITY N N CPO 3050920-03 1/l/2025 1/1/2026 EOa BINEotSINGLE LIMIT $ 1 NUN <br /> Ix <br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX i <br /> i <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS XXXXXXX <br /> HIRED X NON-OWNED PROPERTY DAMAGE $ XXXXXXX <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ XXXXXXX <br /> 13 X UMBRELLA LIAB X OCCUR N N AUC 2440402-03 1/l/2025 1/1/2026 EACH OCCURRENCE $ 10,000,000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ 10,000,000 <br /> DED RETENTION$ $ XXXXXXX <br /> WORKERS COMPENSATION NOT APPLICA$LE PER OFTH <br /> i <br /> AND EMPLOYERS'LIABILITY - STATUTE ER , <br /> ANY PROPRIFTOPJPARTNER(EXECUTIVE Y❑ N!A E.L.EACH ACCIDENT $ XXXXXXX <br /> OFFICERIMEMBER EXCLUDED? <br /> (Myandatory In NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX <br /> If DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additlonal Remarks Schedule,maybe attached if more space is required) <br /> RE: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 arising out of <br /> work or operations performed by or on behalf of the Instructor including materials,parts,equipment,and personnel furnished in connection with such work or operations. <br /> Digitally signed <br /> Tu Tran by TU Tran <br /> Nguyen <br /> Nguyeno1 e:2025.0ao? APPROVED <br /> By Tu Tran Nguyen at 11:56 am,Jun 1Z 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 217S412O THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Santa Ana <br /> Attention:Library Services,Dylan Dario <br /> 20 Civic Center Plaza,M-42 AUTHORIZED REPRESENTATIV <br /> Santa Ana, CA 92701 <br /> O 1988 015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />