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Ac R V CERTIFICATE OF LIABILITY INSURANCE r
<br /> ATE(MMIDWYYYY)
<br /> �f 8/14/2025
<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 NgME"cT Tyler Takahashi
<br /> Alliant Insurance Services, Inc. PHONE F
<br /> 32 Old Slip 29th FI o ExIll, No:
<br /> New York NY 10005 E-MAIL
<br /> ADDREss: Tyler.Takahashi@alliant.com
<br /> INSURER(S)AFFORDING COVERAGE NAtC q
<br /> INSURER A:National Fire Insurance Corn pan 20478
<br /> INSURED INSIPAR-OF GivicPlus, LLC and its direct and indirect subsidiaries INSURERS:Continental Insurance Company 35289
<br /> (Refer to Named Insured Schedule) INSURERC: Endurance American Specialty 1 41718
<br /> 302 S.4th Street Suite 500 INSURERD:
<br /> Manhattan KS 66502 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:571957311 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 ADDL SUBR
<br /> LTR TYPE OF INSURANCE POLICY NUMBER MMLDDYIYYYY M©LDpY�Y LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 7092029663 5117/2025 5117/2026 EACH OCCURRENCE
<br /> D NTED S1,000,000
<br /> 70 RE
<br /> CLAIMS-MADE ®OCCUR PREMISESAMAGE Ea occurrence S 1,000,000
<br /> MED EXP(Any one person) $15.000
<br /> PERSONAL&ADV INJURY s 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000
<br /> POLICY L JECT O LOC PRODUCTS-COMPIOP AGG $2,noa,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 7092022602 5/1712025 5/17/2026 COMBINED
<br /> lSINGLE LIMIT $1,000,006
<br /> X ANY AUTO BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> S
<br /> B X UMBRELLA LIAR X. OCCUR 7092030120 5/17/2025 5/17/2026 EACH OCCURRENCE $5,000.000
<br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $5.000,000
<br /> DED X RETENTION$ $
<br /> B WORKERS COMPENSATION Y 7092032580 5/17/2025 5/17/2026 X PER OTH-
<br /> A AND EMPLOYERS'LIABILITY Y i N 7092031056 5/17/2025 5/17/2026 STATUTE ER
<br /> ANYPROPRIETORlPARTNEWEXECUTIVE OF E.L.EACH ACCIDENT s 1,000,000
<br /> FICERlMEMSEREXCLUOEO? N NIA
<br /> (Mandatory in NH) E.L.DISE45E-EA EMPLOYEE S 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> C Cybernach E&O Y Y CT030087537300 511712025 5/17/2026 Each Claim Limit $5,000,000
<br /> Aggregate Limit $5,000,000
<br /> Retention $100 000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> The deductibles/Self Insured Retentions are$0 for those policies not specified above, oiynauy'ly"d APPROVED
<br /> Tu Tran by TUT,an
<br /> WC-7092032580-CA Nguyen By Tu Trarr Nguyen at 7:57 am,Aug 19,2025
<br /> WC-7092031056-AIDS Nguyen Date_2025.0a.15
<br /> 07:5es4.0700'
<br /> City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers is included as Additional Insured with regards to the General Liability
<br /> and Cyber/Tech E&O Liability as required by written contract subject to the policy terms and conditions.Coverage is Primary and Non-Contributory with regards
<br /> to the General Liability as required by written contract subject to the policy terms and conditions.Waiver of Subrogation appfies with regards to the General
<br /> See Attached...
<br /> CERTIFICATE HOLDER CANCELLATION
<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 /> Attention: Parks, Recreation and Community Servic
<br /> 20 Civic Center Plaza, M-23 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana CA 92701
<br /> O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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