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A� a CERTIFICATE OF LIABILITY INSURANCE DATE ) S/16/20 e THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lauren Drotar NAME: Oswald Companies 1100 Superior Avenue East PHONE (216)367-878. FAX 12161241-4520 AIC NI. poorslEss: ldrotar(9oswaldcompanies. com Suite 1500 INSURERS AFFORDING COVERAGE NAIC If INSURER A:MOtOriste Mutual Insurance Company Cleveland OH 44114 INSURED INSURERB:AXIS Insurance Company 37273 INSURER C: Blue Technologies Inc INSURER D: 5885 Grant Ave INSURER E Cleveland OH 44105 INSURER F: COVERAGES CERTIFICATE NUMBER:CL185100571 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE ADDLSUBR INN911 MAIL POLICYNUMBER POLICYEFF MMIDDIYYYY POLICYEXP MM/DD WV LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS MADE Ix I OCCUR EACH OCCURRENCE $ 11000,000 DAMAGE REN`TORE TED PREMISES Eoccurrence)$ 100,000 MED EXP(Any one person) $ Excluded X 3325669250 5/l/2018 5/1/2019 PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER, POLICY PRO-JECT D LOC GENERAL AGGREGATE $ 2,000,000 GEHL X PRODUCTS - COMP/OP AGO $ 2,000,000 Employee Benefits Llabilily $ 1,000,000 OTHER. AUTOMOBILE LIABILITY COMBINED S INGLELIMIT Ea accident $ 1, 000, 000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X 3325666250 5/1/2018 5/1/2019 B (P) BODILY INJURY accident -PROPERTY $ NON -OWNED HIRED AUTOS AUTOS -DAMAGE Peraccidenl $ Uninsured motorist Blsin Ie $ 11000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 0 $ X 1 3325666250 5/1/2018 5/1/2019 A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERMEMBER EXCLUDED? LN/A (Mandatory in NH) If yes, describe under 3325666250 5/l/201B 5/1/2019 I OTH- ISTATUTE I I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L DISEASE -POLICY LIMIT $ 1,000 000 DESCRIPTION OF OPERATIONS beIOW B Technology E&O P-001-000027524-01 5/1/2018 5/1/2019 $5,000,000 Aggregate B Cyber P-001-000027524-01 5/1/2018 5/1/2019 $5,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AC ORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insured as required by written agreement per the policy terms City of Santa Ana David Quintana 20 Civic Center Plaza Attn: Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Drotar/DROLAU ©1988-2014 ACORD CORPORATION. All ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)