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AC n> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYYI 16-. � 08/29/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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(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 Karer Ingram NAME: Fortune Insurance H E Ext: (253)200-6633 FAX ; (253)200-6626 705 S.9th St.#302 - IL MA : karen.ingram@onedigital.com INSURER(S)AFFORDING COVERAGE NAIC# Tacoma WA 98405 INSURERA: Lloyd's of London INSURED INSURERS: Aptemiz,Inc. INSURER C: 1309 Coffeen Ave.#1200 INSURER D: INSURER E Sheridan WY 82801 INSPIRER F: COVERAGES CERTIFICATE NUMBER 24-25 PLfGLICyber REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ZSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDLISUBRI LTR TYPE OF INSURANCE 1NSD WVD POLICY NUMBER POLICY EFF POLICY EXP MMIDDYYYYY MMlDOIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE OCCUR OAMA E NTED PRBMISFS Eaeccurrence $ 250,000 MED EXP(Any one person) 5 5,000 A Y Y PSNO04019464B 12/23/2024 12/23/2025 PERSONAL s,ADV INJURY 5 2,000,000 GEN'LAGGREGATE LIMiTAPPLIES PER GENERAL AGGREGATE $ 4,000,000 X POLICY ❑ PRO- ❑ LQC 4,000,000 JECT PRODUCTS-COMP/OP AEG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1.000,000 ANY AUTO .BODILY INJURY(Per person) S OWNEA AUTOS AUTOS SCHEDULED Y Y PSNO040194648 12/23/2024 12/23/2025 BODILY INJURY Per accident S AUTOS ONLY AUTOS [ } x HIRED IXNON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I I RETENTION S S WORKERS COMPENSATION I PER QTH- AND EMPLOYERS'LIABFLITY YIN STATUTE I I ER ANY PROPRIETORIPARTNMEXECUTNE ❑ E.L.EACH ACCIDENT OFFICE RIMEMBER EXCLUDED? N!A $ If in andNH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRI PTICN OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability-Claims Made Errors&Omissions $3,000,000 A Y Y PSNO040194648 12123/2024 12/23/2025 Cyber Liability $1,000,000 Deductible $5,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attachad If more space is required) Certificate holder is included as additional insured Tu Tran bygi Tu Tran ran Nguyen Nguyena4a°zaoo3 APPROVED By Tu Tran Nguyen at 4:22 pm, Sep 03,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Anta ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza(M-30) PO Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702-1988 01988-201SACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD