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TUMBINC-01 RCROOK <br /> A Q DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE F4/19/2026 <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 Rhonda Crook <br /> NAME: <br /> Terry L.Green&Associates,Inc. PHONE pkx <br /> 3100 Five Forks Trickum Road (A/C,No,Ext): {A/C,No): <br /> Suite 101 E-MAIL <br /> Lilburn,GA 30047 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Sirius Point 38776 <br /> INSURED INSURER B: <br /> Tumble-N-Kids,Inc. INSURER C: <br /> 16802 Lucia Lane INSURERD: <br /> Huntington Beach,CA 92647 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> ILT R ADDL TYPE OF INSURANCE NSD W/D POLICY NUMBER POLICY EFF POLICY EXP <br /> MM/DD MMIDDIYYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE V OCCUR X X PLH02GLO0003941 4/26/2026 4/26/2027 pREM SESOEa RENTED <br /> T ante $ 300,000 <br /> X Abuse/Molestation <br /> X $1M OCC/$2M AGG MED EXP An one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 <br /> X POLICY❑JER8� LOC PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> OTHER:PROFESSIONAL$1M/$1M Participant $ 0001000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident $ <br /> ANY AUTO BODILY INJURY Perperson) $ <br /> OWNED SCHEDULED AUTOS ON AUTOS BODILY INJURY Per accident $ <br /> LY <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NA <br /> E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? / <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below <br /> E.L.DISEASE-POLICY LIMIT $ <br /> A PARTICIPANT ACCIDENT PHSA-13AMH-10248-26 4/26/2026 4126/2027 EXCESS COVERAGE 25,000 <br /> A DEDUCTIBLE$500 PHSA-BAMH-10248-26 4/26/2026 4/26/2027 AD&D 10,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if mores ace is required) <br /> Coverage is provided under this policy for sponsored and supervised activities of the named insured for which a premium has been paid. <br /> Youth Recreational Gymnastics-Mobile Program <br /> The Certificate Holder is an additional insured with respect to the operations of the named insured <br /> "City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers." <br /> Certificate of Insurance shall provide thirty(30)day prior written notice of cancellation. <br /> Coverage is Primary and Non-Contributory. APPROVED <br /> By Tu Tran Nguyen at 4:07 pm,Apr 27,2026 <br /> CERTIFICATE HOLDER 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 /> Attention: Parks,Recreation,and Community Services Agent ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza,CA 92701,M-23 <br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />