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AcCli CERTIFICATE OF LIABILITY INSURANCE DATEIMMIODIYYYY)
<br /> 07/2812025
<br /> THIS CERTIFICATE IS ISSUED ASA 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 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 endorsernent(s).
<br /> PRODUCER CONTACT Lynne Arruda
<br /> NAME: y
<br /> Aiera Group,Inc. PHONE FAX
<br /> AIG No.Ext: AIC,Na
<br /> 120 Longwater Drive E-MAIL ADDftEss: lynne.arruda@aleragroup.com
<br /> INSURERIS)AFFORDING COVERAGE NAIC#
<br /> Norwell MA 02061 INSURER A: LexingtonlRTS
<br /> INSURED INSURER B: Coalition Insurance Solutions,Inc.
<br /> FGP-02X Holding LLC INSURER C:
<br /> 1 Mill Wharf Plaza
<br /> INSURER D
<br /> Unit 512 INSURER E:
<br /> Scituate MA G2066 tNSURLR F:
<br /> COVERAGES CERTIFICATE NUMBER: 24-25 GLIPROF EXC NOH REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 Ai SUBIR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMfDDIYYYY MMIODIYYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> X CLAIMS-MADE OCCUR DAMAGE TO RENTEDPREMISES Fa occurrence $ 300,000
<br /> X Professional Liability ME EXP(Any one person) $ 1,000,000
<br /> A X Ded$10,000 Y Y 1070632 09/19/2024 09/19121 PERSONAL&ADV INJURY $ 1,000,000
<br /> Gi AGGREGATE LIMITAPPLESPER: GENERAL AGGREGATE
<br /> X ❑PRO-
<br /> $ 3,000,000
<br /> JECT LOC PRODUCTS-CMPIOPAGG $POLICY 1,000,000
<br /> OTHER: Healthcare GLAgg $ 3,000,000
<br /> AUTOMOBILE LIABILITY COMBINED 51 NGLE LIMIT $ 1,000,000
<br /> Ea acoitlent
<br /> ANYAUTO BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y Y 1070632 09/1912024 09/1912025 BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED \/ NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $ _
<br /> $
<br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000
<br /> A X EXCESS LIAB HCLAIMS-MADE 6798924 09/1912024 09/1912025 AGGREGATE $ 1,OCO,000
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER.
<br /> ANY PROPRIETOR/PARTNERIEXECUTIVE
<br /> OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCMENT $
<br /> (Mandatory in N H) E.L.DISEASE-EA EMPLOYEE $
<br /> If Yes.describe udder
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Cyber Liability
<br /> B LPL107922 11/17/2024 11117/2025 Li $1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> Abuse&Molestation-Policy#1070632 eff 09119/2024-Coverage Limit:$1,000,000 Each Perpetrator 1$2,000,000 Aggregate Digitally si ned
<br /> City of Santa Ana,its City Council,its officers,officials,employees,agents and volunteers are Additional Insureds with respects to General Liability and TU Tra n by Tc Tra
<br /> Automobile Liability,on a primary and non-contributory basis including waiver of subrogation,as required by written contract only,per attached policy form. Nguyen
<br /> Policy includes 30 Day Notice of Cancellation. Nguyen Date:2021 09,27
<br /> Retro-active dates:Professional Liability 911 9 12 0 2 1,General Liability 9119/2018 14:32:5247'00'
<br /> Employee Benefits Liability-Policy#1070632 eff 09/19/2024-Coverage Limit:$1,000,000 1$3,000,000
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 2:32 pm,Aug 27,2025
<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 /> Attn:Santa Ana Police Dept
<br /> AUTHORIZED REPRESENTATIVE
<br /> 60 Civic Center Plaza{M-18}
<br /> Santa Ana CA 92701
<br /> @ 1980-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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