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TE Ac" CERTIFICATE OF LIABILITY INSURANCE °A07/112025 ' r�.,I 07111/2025 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 pollcy(les) 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 NAME: Lockton Companies,LLC for G&A PHONE FAX 8110 East Union Avenue Arc No Ext: Arc No E-MAIL ti cerficaes na Suite 100 ADDRESS: t �gartners.com p Denver,CO 80237 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Zurich-American Insurance Company 16535 INSURED INSURER B; G&A Outsourcing,LLC dba:G&A Partners Labor Contractor,for co-employees of Straight Talk Clinic Inc INSURER C: 17220 Katy Freeway Suite 350 INSURER D: Houston,TX 77094 INSURER E: INSURER F COVERAGES CERTIFICATE NUMSER:25TX0381247530 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S CLAIMS-MADE O OCCUR REMISES DAMAGE TO PREMISES Eaoecurrenee 5 MED EXP(Any one person) s PERSONAL&ADV INJURY S GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO El LOG PRODUCTS-COMPIOP AGG $JECT OTHER 5 AUTOMOBILE LIABILITY C EaDMBINEDSINGLELIMIT 5 accident ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION .� I PER OTH- AND EMPLOYERS'LIABILITY Y f N STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE E.L,EACH ACCIDENT 5 1,000,000 A OFFICERIMEMBEREXCLUDED? ❑ N!A X WC 33-76-171-00 06/29/2025 03/01/2026 (Mandatory to NHI E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S 1,000,000 Location Coverage Period: 06/29/2025 03/0112026 Client# 6910-CA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Coverage is provided for Straight Talk Clinic Inc Project/Job:TBD only those co-employees 3785 S Plaza Dr of,but not subcontractors Santa Ana, CA 92704 Io: APPROVE© Endorsements:Waiver of Subrogation By Tu Tran Nguyen at 3:55 pm,Jul If,2025 CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Community Development Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza (M-25) ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD