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<br /> AC R" CERTIFICATE OF LIABILITY INSURANCE DA 4f(141202ti YI
<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 endorsemertt(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Arthur J. Gallagher Risk Management Services, LLC PHONE E 804-239-0544 NC No:864-239-2435
<br /> 15 S Main St
<br /> Ste 200 ADDRESS: GGB.PGA AJG.COM
<br /> Greenville SC 29601 INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:HDI Global Specialty SE
<br /> INSURED PGAOFAM-01
<br /> INSURER
<br /> THE MEMBERS AND ASSOCIATES :
<br /> OF THE PROFESSIONAL GOLFERS ASSOC. OF AMERICA INSURER C
<br /> MEMBER: Robert W. Stevens(#27039755) INSURERD:
<br /> 1916 PGA Parkway INSURERE:
<br /> Frisco TX 75033
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER:1232323504 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 /> INTRR' ADDTYPE OF INSURANCE INSD WVD POLICY NUMBER I MMI-01c, YY MMIODIYYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y HDGL003701855 4l112026 41112027 EACH OCCURRENCE S1,000,400
<br /> CLAIMS-MADE � OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence S 1,000,400
<br /> MED EXP(Any one person) so
<br /> PERSONAL&ADV INJURY 31,000,4DO
<br /> GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 3,000,4DO
<br /> POLICY JEC PROT ❑ LOC. PRODUCTS-COMPIOPAGG 53.000,000
<br /> X OTHER: MemberlAssociate I S
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S
<br /> Ee accident _
<br /> ANY AUTO BODILY INJURY(Per person) 3
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AU TO S BODILY INJURY(Per accident) 5
<br /> HIRED NON-OWNE❑ PROPERTY DAMAGE S
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> 5
<br /> A X UMBRELLA LIAB X OCCUR HDEX003741424 41112026 41112027 EACH OCCURRENCE S 5,000,040
<br /> EXCESS LIAR CLAIMS-MADE AGGREGATE S 5,000,04D
<br /> ❑ED RETENTION 5 S
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $
<br /> OFFICERIMEMBEREXCLUDED? NIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5
<br /> If yen,descnhe under
<br /> DESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT S
<br /> A Sexual Abuse&Molestation HDGL003701855 41112026 4/1/2027 Per Person $ ,040,040
<br /> Aggregate $2,040,040
<br /> DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required(
<br /> COVERAGE APPLIES TO PGA MEMBERS,ASSOCIATES,STUDENTS AND JUNIOR LEAGUE PARTICIPANTS WHILE PLAYING,PRACTICING,
<br /> OFFICIATING,TEACHING OR COACHING THE GAMES OF GOLF AND INCIDENTAL CLUB REPAIR. *A WRITTEN CONTRACT EXECUTED PRIOR TO A
<br /> LOSS IS REQUIRED FOR A CERTIFICATE HOLDER TO BE ADDED AS AN ADDITIONAL INSURED*
<br /> Umbrella liability limit for Sexual Abuse&Molestation capped at$3,000,000,
<br /> City of Santa Ana,its City Council,officers,offcials,employees,agents,and volunteers are included as Additional Insured on the General Liability policy,as per
<br /> endorsement#CG 20 26 04 13. A Waiver of Subrogation is included in favor of Additional Insured under the General Liability coverage as evidenced herein as
<br /> required by written contract.
<br /> CERTIFICATE HOLDER APPROVED CANCELLATION
<br /> By Tu Tran Nguyen at 3:19 pm,Apr 23,2026
<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 Parks, Recreation, and Community Servic
<br /> 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana, CA 92701
<br /> CC7 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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