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AC a® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMroomYY)
<br /> 7125/2025
<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 CONTACT -
<br /> Arthur J. Gallagher Risk Management Services, LLC NAME:PHONE FAx
<br /> 500 N. Brand Boulevard o Ez :818-539-2300 vc No):818-539-2301
<br /> Suite 100 EAD®RtEss:
<br /> Glendale CA 91203 INSURERS AFFORDING COVERAGE NAIC#
<br /> License#,0069293 INSURER A:Travelers Property Casualty Company of America 25674
<br /> INSURED VOLUOFA-14 INSURER B;Great American Alliance Insurance Company 26832
<br /> Volunteers of America of Los Angeles
<br /> 3600 Wilshire Blvd, Suite 1500 INSURER C:Great American Assurance Company 26344
<br /> Los Angeles CA 90010-2619 INSURERD:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:446233487 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 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP
<br /> LTR POLICYNUMBER MMIDDNYYY MMIDDIYYYY LIMITS
<br /> C X COMMERCIAL GENERAL LIABILITY Y GLP3964834 04 6/3012025 6/3012026 EACH OCCURRENCE $1.000,000
<br /> CLAIMS-MADE [XI OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence $1,000,000
<br /> MFD EXP(Any one person) $20,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
<br /> X PRO-
<br /> POLICY 0JECT LOC PRODUCTS-COMP/OP AGG $3,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY Y CAP3964835 04 6/30/2025 613012026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person? $
<br /> OWNED SCHEDULED 8001LY INJURY Per accident $
<br /> AUTOS ONLY AUTOS ( )
<br /> X HIRED X NON-OWNED PROPERTYDAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> Gom 1Collision Ded $3,000
<br /> B X UMBRELLA LIAB X OCCUR UMB3964836 04 6/30/2025 6/30/2026 EACH OCCURRENCE $5,000,000
<br /> EXCESS LIAB CLAIMS-MADE
<br /> AGGREGATE $5,000,040
<br /> DED I X I RETENTION$Nh $
<br /> A WORKERS COMPENSATION UB-1N16453A-25-51-H 7f112025 7/1/2026 X STATUTE ERH
<br /> AND EMPLOYERS'LIABILITY Y I N
<br /> ANYPROPRI ETO W PARTNE W EXECDTI V E
<br /> OFFICERlMEMBEREXCLUDED? ❑ NIA E.L.EACH ACCIDENT $1,040,000
<br /> (Mandatory in NH) E.L.DISEASE-£A EMPLOYEE $1 000,000
<br /> If yes,describe under -
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> C Professional Liability Y GLP3964834 04 6/3012025 6/3012026 Each Occurrence $1,000,000
<br /> FAggregate $3,000,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if more space is required)
<br /> Sexual Misconduct coverage is includesd in policy#GLP396483404. Each Abuse Conduct IimiYAggregate: $1,000,000/$3,000,000.
<br /> Professional Liability Aggregate: $3T000,000
<br /> City of Santa Ana, its City Council, its officers,officials,employees,agents, and volunteers,are additional insureds, only when required by valid written contract
<br /> or an agreement with the named insured with respects to General and Auto Liability per attached endorsements.Waiver of subrogation applies in favor of the
<br /> above per attached endorsements.Additional insureds are on a Primary and Non-contributory basis an the General Liability and Auto policies.30 Day Notice of
<br /> Cancellation will be given to the certificate holder if required by written contract to receive such notice with the exception of non-payment of premium in which
<br /> 10 days notice will be given.
<br /> APPROVED
<br /> CERTIFICATE HOLDER By Tu Tran Nguyen at4:51 pm,Jul28, 2025 CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Attn: Exec. Director, Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza, M-25
<br /> Digi[alty signetl
<br /> P.O. Box 1988 TuTran byT.Tran AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701-1988 "4.y-
<br /> Nguyen�Date:21125A7.11 II /�4�
<br /> United States 652:21 oTon' 0)0&
<br /> VV @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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