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�1 BLUETEG-01
<br />D07/07/2020YJ
<br />.d►�OR� CERTIFICATE OF LIABILITY INSURANCE
<br />ononzozo
<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(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WANED, 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 endorsements .
<br />PRODUCER AGT Janette Pompignano
<br />The Fedeli Group PHONE FAX
<br />5005 Rockside Road, Fifth Floor ,lac. No. Ear: 216 643-6851 ,yc, N ):(216) 328.8081
<br />Independence, OH 44131 . JPompignano@thefedeligroup.com
<br />INSURER AFFORDING COVERAGE NAC
<br />INSURER A -Motorists Mutual Insurance Company14621
<br />INSURED
<br />INs RERB,ACE Amerfcan Insurance Com an
<br />22867
<br />INSURER C:
<br />Blue Technologies Smart Solutions LLC
<br />INSURER D
<br />5885 Grant Ave
<br />Cleveland, OH 44105
<br />INSURERE:
<br />INSURER F:
<br />COVERAGES CFRTIFICATF NIIMRFR- RFVISInm NIIMRFR-
<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
<br />TYPE OF INSURANCE ADOLSUBR
<br />POLICY NUMBER POLICY EFF
<br />POLICY EXP
<br />_
<br />LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />—.._
<br />CLAIMS -MADE X OCCUR X 15000119965 05/01/2020
<br />_
<br />GE_N1 AGGRE A ELIMpIT. APPLI S MR
<br />POLICY JECT LOC
<br />DTMER'.
<br />05/011202,
<br />EACH OCCURRENCE
<br />1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Meeau^core
<br />100,000
<br />a
<br />MED EXP An one mw
<br />S,000
<br />PERSONAL& AOV INJURY
<br />s 1,000,000
<br />GENERAL AGGREGATE
<br />s 2,000,OQO
<br />PRODUCTS - COMP/OP AGO
<br />S 2,000,000
<br />A AUTOMOBILE LIABILITY
<br />X ANYAUTO
<br />�— OWNEDSCHEDULEO
<br />A1U1TOpoSONLY ASMEDU p
<br />X I AUR�OS ONLY X AUTOS OMV
<br />5000119965 0510112020
<br />0510112021
<br />COMBINED SINGLE LIMIT
<br />1.000,000
<br />BODILY INJURY Per lesson)
<br />S
<br />BOODILY INJURY Peracdtlen
<br />Pa�ecdtle^t AMAGE
<br />A
<br />X UMBRELLA LAB
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />5000120679
<br />05101/2020
<br />05M1/2021
<br />EACH OCCURRENCE
<br />s 51000,000
<br />HOCCUR
<br />AGGREGATE
<br />5,000.000
<br />DIED i X I RETENTIONS 0
<br />A WORKERS COMPENSATION
<br />AND EMPLOYERS' LABILITY
<br />ANY PROPRIETO�Rq/PARIEX TNERECUTNE Y
<br />FFICER/MMEMBER EXCLUDED'
<br />� o N%
<br />H
<br />SsCdmN OFOPERATIONS below,
<br />N/A
<br />5000119965
<br />05/0112020
<br />05101/2021
<br />j PER X OTH-
<br />EACH ACCIDENT 1,000.000
<br />ISEASE-EA EMPLOYE 11000,QQQ
<br />EL DISEASE - POLICY UNIT 11000,000D
<br />B 'Technology E&O
<br />B ICyber Liability
<br />iD95365838
<br />D95365838
<br />0510112020
<br />05/01/2020
<br />05101/2021
<br />05/01/2021
<br />'IThird Party 5,000,000
<br />Limit 5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may ba attached "mom space is required)
<br />City of Santa Ana, officers, agents, employees, and volunteers are included as additional insureds as required by written contract. Policy is primary and
<br />non-contributory and Includes 30 day notice of cancellation.
<br />REVIEWED & APPROVED
<br />By Risk MANACfEMENT DIVISION
<br />/� 11��) I' /JQ n /JSI T E E ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Sante Ana L( II (�xv_`L1 A4LA� THE E%PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Risk Management DivislonFRAN IN R- VIL R ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE
<br />Poo'
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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