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A ® DATE(MMIDD YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 08/2612025 ,
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS I.
<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 Aimee Guesno
<br /> NAME:
<br /> Cornerstone Specialty Insurance Services,Inc. HIINr Ex1: (714)731-7700 FAX,No: (714)731-7750
<br /> 14252 Culver Drive,A299 E-MAIL aimee@eornerstonespeciagy.com
<br /> ADDRESS:
<br /> I NSURER(S)AFFORDING COVERAGE NAIL q
<br /> Irvine CA 92604 INSURER A: Continental Casualty Company 20443
<br /> INSURED INSURER B: American Cas.Co.of Reading PA 20427
<br /> PROACTIVE CONSULTING GROUP,LLC INSURER C
<br /> 15235 Springdale St. INSURER D
<br /> INSURER E:
<br /> Huntington Beach CA 92649 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 25126 COVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAYBE 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 I
<br /> TYPE OF INSURANCEADULSUBH POLICY EFF POLICY EXP
<br /> LTR INSD MD POLICY NUMBER MMfDDfYYYY MMIDDIYYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 2,000,000
<br /> CLAIMS-MADE Fx_1 OCCUR OA A ET RENTED 1,000,000
<br /> PREMISES Ea occurrence $
<br /> x ADDT'L INSURED!P&NC IVIED FXP(Any one person) 5 10,000
<br /> A x BLNKT WVR OF SUBRO Y 2084330890 07/28/2025 07/28/2026 PERSONAL&ADV INJURY 5 2,OOQ000
<br /> GEN`L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE 1 5 4,000,006
<br /> POLICY F PRO JECT ❑ 4,000.000
<br /> LOC PRODUCTS-COMPIOPAGG 5
<br /> OTHER: 5
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1,000,000
<br /> Ea accident
<br /> ANYAUTO BODILY INJURY(Per person) S
<br /> AIX
<br /> OWNED SCHEDULED Y 2084330890 07/28/2025 0712812026 BODILY INJURY(Per accident) S
<br /> AUTOS ONLY AUTOS
<br /> HIRED s/ NON-OWNER PROPERTY DAMAGE S
<br /> AUTOS ONLY /� AUTOS ONLY Per ecciGenl
<br /> S
<br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE S
<br /> EXCESS L€AB CLAIMS-MADE AGGREGATE S
<br /> CEO I I RETENTION S S
<br /> WORKERS COMPENSATION X SEATUTE CRH
<br /> AND EMPLOYERS`LIABILITY Y 1 N
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA Y 4024152345 07/2812025 07/28/2026 E.L.EACH ACCIDENT g 1.000,000
<br /> OFFICERIMEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1.000.000
<br /> If yes,describe under 1,QOD,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> PROFESSIONAL LIABILITY Each Claim $2,000,OOC
<br /> A Claims Made EEH288355962 07/28/2025 07/28/2026 Annual Aggregate $2,000.000
<br /> DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:Agreement Number N-2020-176-01 Digitally, ned
<br /> City of Santa Ana,its officers,employees,agents,volunteers and representatives are named Additiona[Insured for General Liability and Non-Owned& TU Tran by Tu T,a
<br /> Hired Auto Liability on a primary and non-contributory basis,but only if required by written contract with the Named Insured prior to an occurrence and as Nguyen
<br /> per attached endorsement.Coverage is subject to all policy terms and conditions.*30 days notice of cancellation,except for 10 days notice for non-payment N 9 uyen oss i0Z roe 09 y
<br /> of premium.For Professional Liability coverage,the aggregate limit is the total insurance available for all covered claims reported within the policy period.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Train Nguyen at 70:54 am,Aug?7,20?5
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> do Heidi Chou
<br /> AUTHORIZED REPRESENTATIVE j
<br /> 215 S.Center St.,M-85
<br /> Santa Ana CA 92701
<br /> 01988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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