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A�R" CERTIFICATE OF LIABILITY INSURANCE DATE
<br /> (MMI DfY )
<br /> Illkl02
<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
<br /> Patriot Growth Insurance Services, LLC NAME: Julie aDan
<br /> 7777 Center Avenue, Suite 600 PHONE E,ti. 714-733-6200c Na
<br /> Huntington Beach CA 92647 ADD LES& Julie.I)oan@patriotgis.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A: Nonprofits'Insurance Alliance of California 11384
<br /> INSURED TAL LSAN-01 INSURER B:0 8 E Insurance Corp/The ILM Group
<br /> Taller San Jose Hope guilders
<br /> $01 N Broadway INSURER C:Philadelphia Indemnity Insurance 18058
<br /> Santa Ana CA 92701 INSURER D:Midwest Em to ers Casualty Company 23612
<br /> INSURER E:
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER:892156418 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BLLOW 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 SUBJLCT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDffYYYY) (MMIDD/YYYYJ LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY Y Y 20236888 10/1/2025 10/112026 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE Fx] OCCUR PREMISES(Ea occurrence S5C0,000
<br /> MED EXP(Any one person) $20,000
<br /> PERSONAL&ADV INJURY $1,000.000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY JECTPRO ❑ LOC PRODUCTS-COMPIOPAGG $2,000,000
<br /> X PRO-
<br /> OTHER: Prof.Li2LIit Aggregate $$2,000,000
<br /> C AUTOMOWLELIABILITY Y Y PHPK2606749 1011/2025 10/1/2026 COMBINEDSINGLFLIMIT S1 D00,000
<br /> Ea accident
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED LX SCHEDULED BODILY INJURY(Per accident) $
<br /> AUT05 ONLY AUTOS
<br /> XHIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Pet accident
<br /> $
<br /> A X UMBRELLA LIAB X OCCUR Y 202368880UMB 10/112025 10/1/2026 EACH OCCURRENCE S2,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> p WORKERS COMPENSATION BNET579668666 9/112025 9/1/2026 X PER
<br /> EORH
<br /> AND EMPLOYERS'LIABILITY Y 1 N
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERWEMBEREXCLUDED? ❑ NIA
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000.000
<br /> If yes,describe Under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000
<br /> B AroclenUSexuaiMisconduct MHH010307/202268BOACC 1D/112025 10/112026 Aggregate $1,000,000
<br /> A Social Service Professional Lied 20236888 10/112025 10/112026 Per EvenUAggregate $2rnm1$2mm
<br /> C Crime PHPK2606749 10/112025 10/1/2026 Aggregate $250,D000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: 100 N Harbor Blvd.,Ste 200,Anaheim CA 92805
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents, and volunteers are named as additional insured with respects to General liability,auto
<br /> liability. Policies are primary and non-contributory.Waiver or subrogation applies.
<br /> APPROVED
<br /> 8y Tu Tran Nguyen at 2:54 pm,May 21,2026
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> 20 Civic Center Plaza
<br /> Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE
<br /> O 1988.2015 ACORD CORPORATION. All rights reserved,
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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